The ethical and legal protection of the vulnerable individual: Current status and prospects for the application of the guardianship institution in Italy

Main Article Content

Rosagemma Ciliberti

Keywords

Legal guardianship, legal guardian, vulnerable person

Abstract

The recent judgment of the European Court of Human Rights (ECtHR, July 6, 2023) condemning Italy for abusing the institution of legal guardianship to the detriment of Mr.  C.G. provides an opportunity for reflection on the legislation itself. In the legislator's understanding, this tool was designed to address the various and specific deficiencies (and potentialities) of individuals in vulnerable conditions in compliance with ethical principles that uphold the respect for dignity, autonomous decision-making, and equality of every human being. These areas necessitate criteria of proportionality and caution in the application of measures that interfere with very personal rights, especially those of the "vulnerable" individual.


It is evident that the attention given during the construction phase of the new legal guardianship framework has yet to find equal correspondence in everyday reality raising significant implementational issues of a political, social, and ethical nature. The legal guardianship like the entire Italian judicial system, undoubtedly suffers from a chronic shortage of human and material resources, despite the concrete efforts of numerous guardianship judges and appointed support administrators. The case examined by the ECtHR prompts us to consider the necessity of ensuring greater protections for the beneficiaries, as well as respecting their right to participate in decisions concerning them. It also prompts reflection on the nature and indispensability of a relationship that finds legitimacy only in consensus, listening, and respect.

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References

1. Law 09.01.2004, n. 6 Italian OJ 19 January, n. 14, 2004. Available at: https://www.normattiva.it/uri-res/N2Ls?urn:nir:stato:legge:2004-01-09;6.
2. Bonsignore A, Smith A, De Stefano F, Molinelli A. Health management and patients who lack capacity: forms of guardianship in European health policy. Health Policy 2014; 114(2-3):246–53.
3. Testoni I, Pompele S, Venturini D, Zanca G, Maccarini AM. The role of support administration: a study on critical incidents. J. Health Hum. Serv. Adm 2019; 42(2):206–56.
4. UN General Assembly Convention on the rights of persons with disabilities, 13 December, A/RES/61/106. 2006. Available at: https://www.un.org/development/desa/disabilities/convention-on-the-rights-of-persons-with-disabilities/convention-on-the-rights-of-persons-with-disabilities-2.html
5. Dute J. Should substitute decision-making be abolished?. Eur. J. Health Law 2015; 22(4):315 –20.
6. Delbon P, Ricci G, Gandolfini M, Conti1 A. Care for the Person, Protection of Health and Respect for the will of the Patient in Italy: Support Administration as a Tool to Jointly Promote Health and Respect for Autonomy in Incompetent Patients. J Public Health Res 2014; 3(3):392.
7. Craigie J, Bach M, Gurbai S, Kanter A, Kim SYH, Lewis O, Morgan G. Legal capacity, mental capacity and supported decision-making: Report from a panel event. Int J Law Psychiatry 2019; 62:160–8.
8. Busardò FP, Bello S, Gulino M, Zaami S, Frati P. Advance health care directives and "public guardian": the Italian supreme court requests the status of current and not future inability. Biomed Res Int. 2014; 2014:576391.
9. Veshi D, Koka E, Venditti C. A New Law of Advance Directives in Italy: A Critical Legal Analysis. J Law Med. 2019; 26(3):702–10.
10. Cohen AB, Wright MS, Cooney L Jr, Fried T. Guardianship and End-of-Life Decision Making. JAMA Intern Med. 2015; 175(10):1687–91.
11. Rodotà S. Il diritto di avere diritti. Roma – Bari: GLF Laterza Editore; 2012.
12. Zagrebelsky G. Il diritto mite. Torino: Giulio Einaudi Editore; 1992.
13. Corte di Cassazione, ordinanza n. 21887/2022. Available at: https://www.ratioiuris.it/amministrazione-di-sostegno-sistema-di-deleghe-e-rete-familiare-cass-11-07-2022-n-21887/
14. Giudice Tutelare Tribunale di Vercelli del 16 ottobre 2015 Available at: https://www.assostegno.it/quando-lamministrazione-di-sostegno-risulta-superflua-se-sussiste-una-rete-familiare-sociale-e-di-solidarieta/
15. Majstorović I, Šimović I. The scope of the deprivation of legal capacity as a precondition for the protection of rights and dignity of persons with disabilities. Ljetop. Soc. Rada 2018; 25(1):65–86.
16. Burch M. Autonomy, Respect, and the Rights of Persons with Disabilities in Crisis. J Appl Philos 2017; 34:389–402.
17. European Court of Human Rights (ECtHR), first section, July 6, 2023, case of Calvi and C.G. v. Italy, application no. 46412/21.
18. Alfano L, Bandini T, Ciliberti R. Father's figure among rights, obligations and desires: Case report | La figura del padre fra diritti, doveri e desideri: Contributo casistico. Rass. Ital. Criminol 2015; 9(4):285–92.
19. Kaisa Näkki, Anna Mäki-Petäjä-Leinonen, Kaijus Ervasti, Eino Solje, Evaluating the need for legal guardianship in people with dementia: gaining insight into professionals’ assessment criteria. Int. J. Law & Fam 2024; 38(1):ebae005.
20. Chodos AH, Hooper S. Context, humility, and caution in guardianship determination. J Am Geriatr Soc 2022; 70(11):3058–60.
21. Zietlow K, Dubin L, Battles A, Vitale C. Guardianship: A medicolegal review for clinicians. J Am Geriatr Soc 2022; 70(11):3070–9.

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