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Please use this identifier to cite or link to this item: http://hdl.handle.net/1812/918

Title: A philosophical approach to decision-making for sterilising mentally disordered adults
Authors: Wang, Min Yen
Keywords: Decision-making
Mentally disordered adults
Mental health legislation
Human rights
Male sterilisation
Female sterilisation
Malaysia
Issue Date: Mar-2009
Publisher: University of Malaya
Abstract: Abstract The issue of sterilisation of mentally disordered persons has never been considered by the courts or the legislature of Malaysia. This thesis examines how the law of tort of Malaysia should look at sterilisation of mentally disordered adults. In this connection, the history of compulsory sterilisation in other jurisdictions, the way the existing legislative framework of Malaysia views the question of consent and medical treatment, as well as how the sterilisation cases in England, Canada, Australia, New Zealand and the US have developed are all looked into with a view of forming a legal proposition using a philosophical approach. It is proposed that the best interests test is not necessarily the best test and that it could be overly dependent on the value system of the decision-maker. Many of the factors that are considered important to the best interests test may not have good basis for comparison and they have contributed to the medicalisation of many legal and ethical issues. The principle of autonomy and the principle that non-therapeutic sterilisation can never be performed without the consent of the patient are the two principles that should be used to safeguard the interests of the mentally disordered adults. These two principles are used to propose a set of guiding principles for decision-makers in Malaysia after taking into consideration the existing regulatory conditions in Malaysia. ABSTRAK Isu sterilisasi orang sakit mental tidak pernah dipertimbangkan oleh mahkamah ataupun perundangan Malaysia. Tesis ini mempertimbangkan bagaimana undang-undang tort di Malaysia wajar menangani isu sterilisasi orang dewasa yang sakit mental. Sehubungan dengan ini, sumber-sumber berikut ditelitikan untuk membentukkan suatu usul perundangan dengan menggunakan pendekatan falsafah: (a) sejarah di lain-lain negara yang melakukan sterilisasi wajib; (b) struktur perundangan Malaysia tentang izin dan rawatan perubatan dan (c) pendekatan undang-undang yang digunakan dalam kes-kes sterilisasi di England, Kanada, Australia, New Zealand dan Amerika Syarikat. Tesis ini mencadangkan bahawa ujian kepentingan terbaik bukan semestinya ujian yang paling baik dan ia terlalu tergantung kepada sistem nilai pembuat keputusan. Banyak faktor yang dianggap penting dalam ujian kepentingan terbaik sebenarnya tidak menpunyai asas pembandingan yang berpatututan dan ini telah menyumbang kepada penukaran banyak isu etika dan perundangan kepada isu perubatan. Dua prinsip berikut wajar digunakan untuk melindungi kepentingan orang dewasa yang sakit mental: (a) prinsip autonomi; dan (b) prinsip bahawa sterilisasi yang tidak berdasarkan faktor terapeutik tidak harus dilakukan,. Setelah mangambilkira keadaan perundangan di Malaysia, dua prinsip ini digunakan untuk mencadangkan suatu set prinsip-prinsip panduan untuk pembuat keputusan di Malaysia.
Description: Dissertation -- Faculty of Law, University of Malaya, 2009.
URI: http://dspace.fsktm.um.edu.my/handle/1812/918
Appears in Collections:Masters Dissertations: Law

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