Using Stories to Assess Values and Establish Medical Directives

While still developing in Germany, a consensus has emerged in the United States on the use of advance directives for guiding future medical decision making. This article outlines three phases in the evolution of advance directive forms--the legal phase, the checklist phase, and the story phase. The...

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Bibliographic Details
Published in:Kennedy Institute of Ethics journal 1993-09, Vol.3 (3), p.303-325
Main Authors: Kielstein, Rita, Sass, Hans-Martin
Format: Article
Language:English
Subjects:
Advance Directives - legislation & jurisprudence
Advance Directives - psychology
Advance Directives - statistics & numerical data
Bioethics
Data Collection
Forms and Records Control
Health administration
Health Knowledge, Attitudes, Practice
Health Services Research
Humans
Internationality
Models, Psychological
Paternalism
Patient Participation - psychology
Patient Participation - statistics & numerical data
Personal Autonomy
Records as Topic
Social Values
Stress, Psychological
United States
Withholding Treatment
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Summary:While still developing in Germany, a consensus has emerged in the United States on the use of advance directives for guiding future medical decision making. This article outlines three phases in the evolution of advance directive forms--the legal phase, the checklist phase, and the story phase. The story-based approach is discussed as the best method for assessing patient values and incorporating them into advance directives, and a story-based advance directive form, which has been developed and tested during the past two years, is presented.
ISSN:1054-6863
1086-3249
1086-3249
DOI:10.1353/ken.0.0247