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The Gerontologist, Vol 30, Issue 1 65-71, Copyright © 1990 by The Gerontological Society of America

REVIEWS

The role of intimate others in medical decision making

NS Jecker
School of Medicine, University of Washington, Seattle 98195.

This paper shows how the present emphasis on patient autonomy overlooks ways in which intimate relations enable autonomy to function meaningfully and how traditional categories of competent and incompetent discount intimacy as a tool for accessing patients' subjective experiences. It is also urged that intimate associations mark moral boundaries for autonomy because they constitute a setting in which persons give and expend finite human resources.


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Copyright © 1990 by The Gerontological Society of America.