对家长主义行为的辩护以家属的决定有利于实现患者的最佳利益为前提,然而这一前提还有待论证;本着维护家庭利益的道德理论质疑尊重患者自主性的伦理原则,认为治疗方案应该由整个家庭共同决定.然而,自主性原则并非总是割裂个体与家庭成员之间的关系;诉诸我国传统文化的“东亚家庭自主权”主张“家庭共同决定”,强调“客观善”与“家庭依赖关系”的价值,但是,患者常常并没有在家庭的共同决定中发挥应有的作用,并且,儒家生命伦理学还需要对如何处理“主观善”与“客观善”之间的关系做更充分的论证.因此,在当前的医疗环境下,对家属主导决策的无条件默许与认可都是值得反思的.%The defense for paternalism is based on that family members' decisions are usually beneficial for patients' best interests.However,this premise remains to be demonstrated.The moral theory of maintaining family members' interests challenged the ethical principle of respecting patients' autonomy,which believed that treatment decisions should be discussed by the whole family members.However,the principle of autonomy does not always dissever the relationship between individual and family members.It resorted "East Asia family autonomy" of Chinese traditional culture and emphasized on the value of "objective goodness" and "family dependence".However,patients often do not play a proper role in families' decision-making.Besides,the Confucian bioethics also needs to provide more sufficient argumentation to deal with the relationship between "subjective goodness" and "objective goodness".The unconditional acquiescence of family members' domination in decision-making is worthy reflecting in the current medical environment.
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