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Article

French

ID: <

10.4000/ethiquepublique.1453

>

·

DOI: <

10.4000/ethiquepublique.1453

>

Where these data come from
Dementia, autonomy and competence

Abstract

This article addresses, on the basis of concrete examples, the issue of respect for the autonomy of the elderly. The positions of Paul Appelbaum, Ronald Dworkin and Agnieszka Jaworska were initially presented. It can be seen that they result in different definitions of autonomy and different criteria of jurisdiction. Secondly, the authors argue that, far from competing or contradictory, the analyses of Appelbaum, Dworkin and Jaworska can help solve different problems. It is also suggested that these analyses should be based on the same paradigm, that of consent to care and research, and that they may need to be reworked somewhat in order to properly challenge the ethical dilemmas that arise in everyday life. The legitimacy of the distinction between decision-making and executive autonomy is questioned. The interdependence of older people and their surroundings is underlined. The relationship between the concepts of autonomy and dignity was discussed.

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