Article published in:Controversies, Communication and the Body
Edited by Joseph Lehmann
[Pragmatics & Cognition 23:3] 2016
► pp. 516–527
Uses and abuses of the body in the postmodern era
This paper will focus on two controversial cases relating to the [mis]use of the notion of autonomy in situations of life and death. While in one case the patient’s will to die was not respected, in the other there was no attempt to save the life of the individual. I have chosen to put these two specific cases in parallel for the fact that in both instances the presence of some kind of mental impairment is not given at all. Yet, in both situations there is substantial reference to some type of temporary competence -as this is the key element that, allegedly, should function as decisive to assess the moral and legal justification behind the decision to enforce -or not- medical treatment upon the protagonists of these two very sad stories. Following on from the objective of this paper thus, the contraposition of these two cases will provide us with a vivid image of the practical implications of using the notion of autonomy (here presented under the form of a more psychiatric-oriented term: competence) in an inconsistent manner within the Western world (US and EU). Raising many doubts over its appropriateness.
Published online: 20 July 2017
2009 BBC NEWS | Europe | Italian Coma Battle Woman Dies. http://news.bbc.co.uk/2/hi/europe/7880070.stm.
Beauchamp, T.L. & J.F. Childress
Bock, Matthias, Valter Ciarrocchi & Christian J. Wiedermann
Childress, James F. & C. Campbell
Commonwealth Court of Pennsylvania
1990 Dept. of public Welfare v. Kallinger | 134 Pa.Commw. 4151.
Englaro, Beppino & Elena Nave
2008 Eluana - La Libertà E La Vita. La Rizzoli. http://www.booksblog.it/post/4184/eluana-la-liberta-e-la-vita-di-beppino-englaro-e-elena-nave.
Garasic, Mirko Daniel
Garasic, Mirko & Charles Foster
Gostin, Lawrence O
Gross, Michael L
Italy: Tunisian Sex Offender Dies after Hunger Strike
2017 Adnkronos Security. Accessed February 2. http://www1.adnkronos.com/AKI/English/Security/?id=3.0.3746339292.
Kalk, W.J., M. Felix, E.R. Snoey & Y. Veriawa
1993 Voluntary total fasting in political prisoners-Clinical and biochemical observations. South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde 83(6). 391–394. http://www.ncbi.nlm.nih.gov/pubmed/8211454.
Kenny, Mary-Anne, Derrick Silove & Zachary Steel
2004 Force feeding hunger striking asylum seekers. Medical Journal of Australia 180(5). 237–240. http://www.safecom.org.au/hungerstrikes.htm.
Kluge, Eike-Henner W
2005 Competence, capacity, and informed consent: Beyond the cognitive-competence model. Canadian Journal on Aging = La Revue Canadienne Du Vieillissement 24(3). 295–304. http://www.ncbi.nlm.nih.gov/pubmed/16421853. doi:
1984 Dax’s case [Electronic Resource] for concern for dying. Unicorn Media. http://trove.nla.gov.au/work/17008810?q&sort=holdings+desc&_=1486027107535&versionId=231514522.
Sciopero Della Fame, Detenuto Muore a Pavia
2017 La Repubblica.it. Accessed February 2. http://ricerca.repubblica.it/repubblica/archivio/repubblica/2009/09/09/sciopero-della-fame-detenuto-muore-pavia.html.
World Medical Association
2006 WMA: Declaration of Malta: Background Paper.