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  1. Fair Advice: Discretion, Persuasion, and Standard Setting in Child Nutrition Advice.Monique Jonas - 2015 - International Journal of Feminist Approaches to Bioethics 8 (2):172-203.
    Modern parents, particularly in countries with highly developed public health systems, are not short of guidance about how to feed their children.1 Advice flows freely from many sources. State organs, particularly health departments and health care providers, offer advice with a reassuringly official provenance. Nutritional and pediatric societies, health-related charities, childcare manuals, parenting websites, and nutrition publications draw on scientific research in formulating their advice. Newspapers and magazines report the findings of the latest nutrition studies. Advice is also relayed informally (...)
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  • The zone of parental discretion: An ethical tool for dealing with disagreement between parents and doctors about medical treatment for a child.Lynn Gillam - 2016 - Clinical Ethics 11 (1):1-8.
    Dealing with situations where parents’ views about treatment for their child are strongly opposed to doctors’ views is one major area of ethical challenge in paediatric health care. The traditional approach focuses on the child’s best interests, but this is problematic for a number of reasons. The Harm Principle test is regarded by many ethicists as more appropriate than the best interests test. Despite this, use of the best interests test for intervening in parental decisions is still very common in (...)
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  • Predictive Genetic Testing of Children and the Role of the Best Interest Standard: Currents in Contemporary Bioethics.Lainie Friedman Ross - 2013 - Journal of Law, Medicine and Ethics 41 (4):899-906.
    The genetic testing and screening of children has been fraught with controversy since Robert Guthrie developed the bacterial inhibition assay to test for phenylketonuria and advocated for rapid uptake of universal newborn screening in the early 1960s. Today with fast and affordable mass screening of the whole genome on the horizon, the debate about when and in what scenarios children should undergo genetic testing and screening has gained renewed attention. United States professional guidelines — both the American College of Medical (...)
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  • Predictive Genetic Testing of Children and the Role of the Best Interest Standard: Currents in Contemporary Bioethics.Lainie Friedman Ross - 2013 - Journal of Law, Medicine and Ethics 41 (4):899-906.
    The “best interest standard” is the guidance principle for pediatric healthcare in the United States (US) and the United Kingdom (UK). In the UK, the best interest standard may also be used as an intervention principle when parents make good but non-ideal decisions whereas intervention in the US requires a determination of abuse or neglect. I examine whether and how the different uses of the best interest standard influence predictive genetic testing of children.
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  • When Parents Refuse: Resolving Entrenched Disagreements Between Parents and Clinicians in Situations of Uncertainty and Complexity.Janine Penfield Winters - 2018 - American Journal of Bioethics 18 (8):20-31.
    When shared decision making breaks down and parents and medical providers have developed entrenched and conflicting views, ethical frameworks are needed to find a way forward. This article reviews the evolution of thought about the best interest standard and then discusses the advantages of the harm principle (HP) and the zone of parental discretion (ZPD). Applying these frameworks to parental refusals in situations of complexity and uncertainty presents challenges that necessitate concrete substeps to analyze the big picture and identify key (...)
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  • Harm is all you need? Best interests and disputes about parental decision-making.Giles Birchley - 2016 - Journal of Medical Ethics 42 (2):111-115.
    A growing number of bioethics papers endorse the harm threshold when judging whether to override parental decisions. Among other claims, these papers argue that the harm threshold is easily understood by lay and professional audiences and correctly conforms to societal expectations of parents in regard to their children. English law contains a harm threshold which mediates the use of the best interests test in cases where a child may be removed from her parents. Using Diekema9s seminal paper as an example, (...)
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