Palliative care and other physicians’ knowledge, attitudes and practice relating to the law on withholding/withdrawing life-sustaining treatment: Survey results

Background: To effectively care for people who are terminally ill, including those without decision-making capacity, palliative care physicians must know and understand the legal standing of Advance Care Planning (ACP) in their jurisdiction of practice. This includes the use of advance directives/living wills (ADs) and substitute decision-makers (SDMs) who can legally consent to or refuse treatment if there is no valid AD. Aim: The study aimed to investigate the knowledge, attitudes and practices of medical specialists most often involved in end-of-life care in relation to the law on withholding/ withdrawing life-sustaining treatment (WWLST) from adults without decision-making capacity. Design/participants: A pre-piloted survey was posted to specialists in palliative, emergency, geriatric, renal and respiratory medicine, intensive care and medical oncology in three Australian States. Surveys were analysed using SPSS20 and SAS 9.3. Results: The overall response rate was 32% (867/2702); 52% from palliative care specialists. Palliative Care specialists and Geriatricians had significantly more positive attitudes towards the law (χ242 = 94.352; p < 0.001) and higher levels of knowledge about the WWLST law (χ27 = 30.033; p < 0.001), than did the other specialists, while still having critical gaps in their knowledge. Conclusions: A high level of knowledge of the law is essential to ensure that patients’ wishes and decisions, expressed through ACP, are respected to the maximum extent possible within the law, thereby according with the principles and philosophy of palliative care. It is also essential to protect health professionals from legal action resulting from unauthorised provision or removal of treatment.

Futility and the law: Knowledge, practice and attitudes of doctors in end of life care

Despite the potential harm to patients (and others) and the financial cost of providing futile treatment at the end of life, this practice occurs. This article reports on empirical research undertaken in Queensland that explores doctors’ perceptions about the law that governs futile treatment at the end of life, and the role it plays in medical practice. The findings reveal that doctors have poor knowledge of their legal obligations and powers when making decisions about withholding or withdrawing futile treatment at the end of life; their attitudes towards the law were largely negative; and the law affected their clinical practice and had or would cause them to provide futile treatment.

Bajo Dios y bajo la ley : fundamentos de Derecho natural en el sistema del Common-law inglés

Resumen: El common-law inglés tiene una herencia cristiana increíblemente rica. Los juristas ingleses más prestigiosos –incluyendo a Blackstone, Coke y Fortescue– frecuentemente partían desde la fe cristiana a la hora de iluminar y desarrollar lo que ahora son ya principios bien establecidos de la doctrina del common-law. Por consiguiente, este sistema fue desarrollándose históricamente con una particular referencia a la tradición cristiana del derecho natural. Este artículo demuestra cómo el common-law inglés fue mayoritariamente inspirado y desarrollado por estos principios cristianos de la teoría del derecho natural y cómo estos principios todavía subsisten válidos para la interpretación del common-law aun en el presente.

Nueva lectura del concepto de ley natural en Tomás de Aquino : “nueva escuela del derecho natural” o “nueva teoría de la ley natural”

Resumen: La “Nueva Escuela del Derecho Natural” (NEDN) pretende ser una “recuperación” de la “Teoría clásica de la ley natural”. Sus principales representantes son G. Grisez, J. Finnis, J. Boyle, R. P. George y W. May. A ellos se agregan varios pensadores de Estados Unidos y Canadá como R. Shaw, R. Lawler, J. C. Ford, R. A. Connor, T. Kennedy, entre otros. Esta escuela se endilga la recuperación de la versión “auténtica” de Tomás de Aquino de la ley natural, por una reinterpretación de la misma, al entender que ella ha sido deformada por teólogos morales posteriores. En una primera etapa, el trabajo aborda las posiciones centrales de la NEDN, principalmente de Germain Grisez y John Finnis, sin desatender a sus seguidores y críticos. En segundo lugar, y por el planteo de la NEDN, se hace preciso el ocuparse de las fuentes del entredicho, a saber, el concepto de ley en Tomás de Aquino y su impostación en la naturaleza y en la racionalidad práctica.

Derecho natural y ciencia jurídica : consideraciones sobre la ciencia del derecho como ciencia práctica

Resumen: En el trabajo se aborda la vexata quaestio de la cientificidad de la ciencia jurídica, a la que se le impugna la pretensión de ser científica y, a la vez, práctica. Se estudian las impugnaciones realizadas en ese sentido por Claude Lévi-Strauss y Hans Albert, así como los intentos de algunos filósofos del derecho analíticos de superarla a través del análisis lógico del lenguaje jurídico. Se analizan después los cuestionamientos efectuados por algunos representantes de la filosofía hermenéutica, que critican los ensayos analíticos y proponen una concepción interpretativa de la ciencia jurídica. Luego de esta exposición, el A. evalúa las aportaciones analíticas y hermenéuticas, poniendo de relieve sus fortalezas y sus falencias a la hora de establecer el estatuto científico de la ciencia jurídica, para pasar finalmente a proponer una concepción de la ciencia del derecho heredera de la tradición de la filosofía práctica de cuño aristotélico. En este punto, el A. desarrolla —con base en el pensamiento de Tomás de Aquino— una concepción analógica del conocimiento científico y explica de qué modo es posible aplicarla a un saber acerca del derecho que resulte, a la vez, científico y práctico. Finalmente, desenvuelve la necesidad epistémica de una apertura del conocimiento de la ciencia jurídica a los primeros principios prácticos, que la vincula constitutivamente a la doctrina de la ley natural, así como al nivel máximamente determinado de la prudencia jurídica.

Unwritten law in Hobbesian political thought

In Hobbesian terminology, ‘unwritten laws’ are natural laws enforced within a polity, by a non-sovereign judge, without some previous public promulgation. This article discusses the idea in the light of successive Hobbesian accounts of ‘law’ and ‘obligation’. Between De Cive and Leviathan, Hobbes dropped the idea that natural law is strictly speaking law, but he continued to believe unwritten laws must form a part of any legal system. He was unable to explain how such a law could claim a legal status. His loyalty to the notion, in spite of all the trouble that it caused, is a sign of his belief that moral knowledge is readily accessible to all.

Filosofia da história no direito natural do brasil império

Pós-graduação em História - FCHS

The principles of natural and politic law /

Translation of: Principes du droit naturel et politique.

What do emergency physicians think of law?

What do emergency physicians think of law? Do they know the law? What role does it have in the practice of emergency medicine? Emergency physicians in New South Wales, Victoria and Queensland are being asked about these issues in a study by the Queensland University of Technology, Brisbane, Australia, titled ‘Withholding and withdrawing life-sustaining treatment from adults who lack capacity: The role of law in medical practice’. The study aims to examine the role that law plays in decisions to withhold or withdraw life-sustaining treatment from adults who lack capacity.

Should law have a role in end-of-life care?

What do physicians think of law? Do they know the law? What role does it have in the provision of end-of-life care? Physicians in New South Wales, Victoria and Queensland are being asked about these issues in a study by the Queensland University of Technology entitled ‘Withholding and withdrawing life-sustaining treatment from adults who lack capacity: The role of law in medical practice’. This research aims to examine the role that law plays in decisions to withhold or withdraw life-sustaining treatment from adults who lack capacity.

On the symbiosis of law and truth in Christian theology: Reconciling universal and particular through the Pauline law of love

This article argues that the secular liberal and positivist foundations of the modern Western legal system render it violent. In particular, the liberal exclusion of faith and subjectivity in favour of abstract and universal reason in conjunction with its privileging of individual autonomy at the expense of the community leads to alienation of the individual from the community. Similarly, the positivist exclusion of faith and theology from law, with its enforced conformity to the posited law, also results in this violence of alienation. In response, this article proposes a new foundation for law, a natural law based in the truth of Trinitarian theology articulated by John Milbank. In the Trinity, the members exist as a perfect unity in diversity, providing a model for the reconciliation of the legal individual and community: the law of love. Through the law of love as the basic norm, individuals love their neighbours as themselves, reconciling the particular and the universal, and providing a community of peace rather than violence.

Medical education and law: Withholding/withdrawing treatment from adults without capacity

BACKGROUND Law is increasingly involved in clinical practice, particularly at the end of life, but undergraduate and postgraduate education in this area remains unsystematic. We hypothesised that attitudes to and knowledge of the law governing withholding/withdrawing treatment from adults without capacity (the WWLST law) would vary and demonstrate deficiencies among medical specialists. AIMS We investigated perspectives, knowledge and training of medical specialists in the three largest (populations and medical workforces) Australian states, concerning the WWLST law. METHODS Following expert legal review, specialist focus groups, pre-testing and piloting in each state, seven specialties involved with end-of-life care were surveyed, with a variety of statistical analyses applied to the responses. RESULTS Respondents supported the need to know and follow the law. There were mixed views about its helpfulness in medical decision-making. Over half the respondents conceded poor knowledge of the law; this was mirrored by critical gaps in knowledge that varied by specialty. There were relatively low but increasing rates of education from the undergraduate to continuing professional development (CPD) stages. Mean knowledge score did not vary significantly according to undergraduate or immediate postgraduate training, but CPD training, particularly if recent, resulted in greater knowledge. Case-based workshops were the preferred CPD instruction method. CONCLUSIONS Teaching of current and evolving law should be strengthened across all stages of medical education. This should improve understanding of the role of law, ameliorate ambivalence towards the law, and contribute to more informed deliberation about end-of-life issues with patients and families.

A fair use project for Australia: Copyright law and creative freedom

This essay provides a critical assessment of the Fair Use Project based at the Stanford Center for Internet and Society. In evaluating the efficacy of the Fair Use Project, it is worthwhile considering the litigation that the group has been involved in, and evaluating its performance. Part 1 outlines the history of the Stanford Center for Internet and Society, and the aims and objectives of the Fair Use Project. Part 2 considers the litigation in Shloss v. Sweeney over a biography concerning Lucia Joyce, the daughter of the avant-garde literary great, James Joyce. Part 3 examines the dispute over the Harry Potter Lexicon. Part 4 looks at the controversy over the Shepard Fairey poster of President Barack Obama, and the resulting debate with Associated Press. Part 5 of the essay considers the intervention of the Fair Use Project as an amicus curiae in the ‘Column case’. Part 6 explores the participation of the Fair Use Project as an amicus curiae in the litigation over 60 Years Later, an unauthorised literary sequel to J.D. Salinger’s The Catcher in the Rye. Part 7 of the essay investigates the role of the Fair Use project in disputes over copyright law and musical works. Part 8 investigates the role of the Fair Use Project as an advocate in disputes over copyright law, fair use, documentary films, and internet videos. The conclusion has main three arguments. First, it contends that Australia should establish a Fair Use Project to support creative artists in litigation over copyright exceptions. Second, it maintains that Australia should adopt a flexible, open-ended defence of fair use, and draw upon the rich jurisprudence in the United States on the fair use doctrine. Finally, this paper argues that support should be given at an international level to the proposal for a Treaty on Access to Knowledge.