David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Jack Alan Reynolds
Learn more about PhilPapers
Journal of Medicine and Philosophy 26 (4):365 – 386 (2001)
Principle-based formulations of bioethical theory have recently come under increasing scrutiny, particularly insofar as they give prominence to personal autonomy. This essay critiques the dominant conceptualization of autonomy and urges an alternative formulation freed from the individualistic assumptions that pervade the prevailing framework. Drawing on feminist perspectives, I discuss the need for a vision of patient autonomy that joins relational experiences to individuality and acknowledges the influence of patterns of power and authority on the exercise of patient agency. Deficiencies in the current models of science and social relations guiding medical practice are analyzed, particularly (1) the tendency to disregard the patients self-knowledge and (2) failure to recognize limitations on the generalizability of medical knowledge. Models of social relations such as mothering and friendship are explored to advance a conception of autonomy better suited to the practical activities of medicine. In conclusion, I consider how acknowledgement of the specificity and complexity of social relations can contribute to reconfiguration of other principles comprising the standard framework of bioethics, particularly beneficence, justice, and equality.
|Keywords||No keywords specified (fix it)|
|Categories||categorize this paper)|
Setup an account with your affiliations in order to access resources via your University's proxy server
Configure custom proxy (use this if your affiliation does not provide a proxy)
|Through your library|
References found in this work BETA
No references found.
Citations of this work BETA
Catriona Mackenzie (2007). Feminist Bioethics and Genetic Termination. Bioethics 21 (9):515–516.
Veronique Bergeron (2007). The Ethics of Cesarean Section on Maternal Request: A Feminist Critique of the American College of Obstetricians and Gynecologists' Position on Patient-Choice Surgery. Bioethics 21 (9):478–487.
J. Rossi & M. Yudell (2012). The Use of Persuasion in Public Health Communication: An Ethical Critique. Public Health Ethics 5 (2):192-205.
Maria Gottvall, Tanja Tydén, Margareta Larsson, Christina Stenhammar & Anna T. Höglund (2013). Informed Consent for HPV Vaccination: A Relational Approach. [REVIEW] Health Care Analysis:1-13.
Caroline Zellweger, Susanne Brauer, Christopher Geth & Nikola Biller-Andorno (2008). Patientenverfügungen als Ausdruck individualistischer Selbstbestimmung? Ethik in der Medizin 20 (3):201-212.
Similar books and articles
Alfred I. Tauber (2003). Autonomy Gone Mad. Philosophy in the Contemporary World 10 (1):75-80.
Sheila McLean (2010). Autonomy, Consent and the Law. Routledge-Cavendish.
Edmund D. Pellegrino (1984). Autonomy and Coercion in Disease Prevention and Health Promotion. Theoretical Medicine and Bioethics 5 (1).
Gene H. Stollerman (1984). Promoting Patient Autonomy: Looking Back. Theoretical Medicine and Bioethics 5 (1).
N. Stoljar (2011). Informed Consent and Relational Conceptions of Autonomy. Journal of Medicine and Philosophy 36 (4):375-384.
Andrea Westlund (2009). Rethinking Relational Autonomy. Hypatia 24 (4):26 - 49.
Anita Ho (2008). The Individualist Model of Autonomy and the Challenge of Disability. Journal of Bioethical Inquiry 5 (2/3):193-207.
Jos V. M. Welie (1994). Authenticity as a Foundational Principle of Medical Ethics. Theoretical Medicine and Bioethics 15 (3).
Added to index2009-01-28
Total downloads36 ( #51,777 of 1,102,036 )
Recent downloads (6 months)2 ( #192,049 of 1,102,036 )
How can I increase my downloads?