Lecture Three: Jan. 20.2011
Case Study: Dax Coward Video
Dax coward at 26 was in a explosion, at which he was severely burned
He had a twenty percent chance of surviving.
Throughout the time at which Dax was in the hospital, he continuously asked
treatment be stopped, and that he be allowed to die.
Physician/Patient Relationship of Dax
The evidence of a paternalistic relationship was evident
The mother claimed that she did not know what to do, as she did not have any
information; she said that they were the experts, hence she just had to sign.
When Dax claimed that he wanted to die; he just ignored it… and continued the
The doctor held a conception of the value of “well being”—thinking that
the patient wants
They tried to bring in a psychologists to claim that he was “incompetent”—and
that he might
have psychological problems.
This would have supported the doctors value of “well-being”.
The doctor claims that he was acting like a little “frustrated kid”
The doctor claimed that he “had an obligation to deliver the best medical care that
and that Dax had an obligation to accept the care or treatment”.
Within this; autonomy is not even considered.
What Motivated Dax’s Mother in her decision
Religious values were fundamental for her; she did not believe in suicide.
She had the view that he only wanted to die due to the situation that he was in,
and that he
really wanted to live; he was just under strain.
A maternal relationship with her child was of value to her.
She respected the expertise of the doctors
What Motivated Dax’s Decisions?
The severity of the pain.
Lecture Three: Jan. 20.2011
He had worries about dependency and independency
He thought that he would not be able to do what he wanted to do.
His life would have no meaning to it.
He claims that we have the right to act at our own parell.
We should be able to take risks, and understand that your risks may or
may not turn
He was upset for paying for hospital treatment that he did not want.
Quality of Life: He claims that the most important thing is the quality of life
acceptable to the individual.
Right of Self-Determination
“ The right to control your own body, is the right your born with—it is not
that you get from the government. It is the right to do whatever you want
He claims that people are sometimes the best judgements of their own
You should be able to make your own decisions even if they are foolish
He claims that “no one can play god”, “When doctors are treating you, they
acting as GOD”.
DO YOU THINK THAT DAX WAS COMPETENT TO DECIDE?
Dax was mentally competent according to the health psychologists
Pain has the ability to cloud your rationality
Dax was on narcotics; how do we know that it wasn’t the narcotics which was
What kinds of standards should apply to figure if one is competent to make your
1. Preference Based Standard
Claims that you are not just competent if you can express a
This standard gives a great emphasis on autonomy and nothing on
dax coward at 26 was in a explosion, at which he was severely burned. he had a twenty percent chance of surviving. throughout the time at which dax was in the hospital, he continuously asked treatment be stopped, and that he be allowed to die. the evidence of a paternalistic relationship was evident. the mother claimed that she did not know what to do, as she did not have any information; she said that they were the experts, hence she just had to sign. when dax claimed that he wanted to die; he just ignored it and continued the. the doctor held a conception of the value of well being thinking that to live. they t ried to bring in a psychologists to claim that he was incompetent and. this would have supported the doctors value of well-being .