Risk-related standards of competence: continuing the debate over risk-related standards of competence.

Publisher: Wiley-Blackwell Country of Publication: England NLM ID: 8704792 Publication Model: Print Cited Medium: Print ISSN: 0269-9702 (Print) Linking ISSN: 02699702 NLM ISO Abbreviation: Bioethics

Publication: Oxford : Wiley-Blackwell
Original Publication: Oxford ; New York : Basil Blackwell, c1987-

Decision Making* ; Ethics* ; Freedom* ; Informed Consent* ; Mental Competency* ; Personal Autonomy* ; Reference Standards* ; Risk* ; Risk Assessment* ; Treatment Refusal*; Altruism ; Beneficence ; Evaluation Studies as Topic ; Humans ; Patient Care ; Patients

This discussion paper addresses Ian Wilks' defence of the risk-related standard of competence that appears in Bioethics 11. Wilks there argues that the puzzle posed by Mark Wicclair in Bioethics 5 against Dan Brock's argument in favour of a risk-related standard of competence -- namely that Brock's argument allows for situations of asymmetrical competence -- is not a genuine problem for a risk-related standard of competence. To show this, Wilks presents what he believes to be two examples of real situations in which asymmetrical competence arises. I argue that insofar as Wilks equivocates two senses of competence in his examples -- namely, competence to perform a task and competence in performing a task -- Wilks is unable to illustrate the existence of real situations of asymmetrical competence. By examining the way in which Wilks equivocates two senses of competence in his examples, and by applying the results of this examination to the problem of patient competency within the medical field, I argue that not only does Wilks fail to show that situations of asymmetrical competence exist, but he is also unable to provide a foundation for understanding how the risk-related standard of competence can strike a balance between an individual's autonomy and benevolent intervention. I thus conclude that insofar as Wilks fails to answer the objections raised by Wicclair and others against the risk-related standard of competence, the risk-related standard of competence continues to be undermined by the problem of asymmetrical competence.

Indexing Agency: KIE Local ID #: 61673.
Keywords: Analytical Approach; Professional Patient Relationship
Note: Commentary on I. Wilks, "The debate over risk-related standards of competence," Bioethics, 1997 Oct; 11(5): 413-426. Note: 28 fn. Note: KIE BoB Subject Heading: informed consent Note: KIE BoB Subject Heading: treatment refusal

Date Created: 20011020 Date Completed: 19990922 Latest Revision: 20191105

20240513

10.1111/1467-8519.00137

11657096