PT - JOURNAL ARTICLE AU - P Baines TI - Medical ethics for children: applying the four principles to paediatrics AID - 10.1136/jme.2006.018747 DP - 2008 Mar 01 TA - Journal of Medical Ethics PG - 141--145 VI - 34 IP - 3 4099 - http://jme.bmj.com/content/34/3/141.short 4100 - http://jme.bmj.com/content/34/3/141.full SO - J Med Ethics2008 Mar 01; 34 AB - I will argue that there are difficulties with the application of the four principles approach to incompetent children. The most important principle – respect for autonomy – is not directly applicable to incompetent children and the most appropriate modification of the principle for them is not clear. The principle of beneficence – that one should act in the child’s interests – is complicated by difficulties in assessing what a child’s interests are and to which standard of interests those choosing for children should be held. A further problem with the four principles approach is that parental authority does not follow clearly from the four principles.