Abstract
This study examines a case where a child needing medical care chose not to undergo
dialysis. The TEM diagram and TLMG were used to identify factors influencing
conflicts and mutual understanding between parents and medical practitioners. The
analysis revealed parental conflict between protecting the child’s life and respecting the
child’s decisions. Medical practitioners face ethical and legal uncertainties that create
conflict. Mutual understanding was facilitated by the child’s firm resolution and active
participation, which eased tensions, strengthened trust, and aided in forming suitable
treatment plans. The parents’ approach of respecting the child’s growth and decisionmaking ability nurtured the child’s autonomy. Trust in and respect for their child’s
efforts allowed parents to balance their protective instincts with the child’s wishes.
The primary physicians’ extensive experience and empathy further supported the
child’s perspective. They focused on how the child and family wanted to spend their
limited time resolving familial conflicts. This included the family’s supportive stance.
