Bioethics
Online ISSN : 2189-695X
Print ISSN : 1343-4063
ISSN-L : 1343-4063
Reports
Self-Other Relationship and Relational Autonomy in Self-Determination Regarding Medical Treatment and Care
Shunsuke AKIBA
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2021 Volume 31 Issue 1 Pages 46-54

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Abstract

    The relationship between self and others in the “emergency situation” associated with the spread of COVID-19 is premised on a reciprocal connection, and there is a growing discussion that appears to connect concern for self and concern for others. Particular attention has been paid to the debate over triages in emergency situations and the shortage of medical resources. This is a subject that has been deliberated in various ways in the past, but in the current debate, the topics of “triage in emergencies” and “self–other relationships in self-determination” are mixed together, and related issues and critiques are not properly coordinated. Therefore, this paper will first examine the relationship between “triage in emergencies” and “self–other relationships in self-determination” referring to “COVID-19's recommendations for the process of determining ventilator allocation during an infection eruption” issued by a research group on ethical, legal, and social implication in Japan. The relationship between self-determination and “relational autonomy” will then be examined using the consideration for self as a consideration for others as a clue, and the overall theoretical structure of this idea will be clarified.

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2021 Japan Association for Bioethics
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