David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Jack Alan Reynolds
Learn more about PhilPapers
Journal of Medical Ethics 35 (4):245-250 (2009)
Respect for autonomy is an important moral principle within medical ethics. However, the question of whether the normative importance of respect for autonomy is derived from other moral principles (such as welfare) or has independent moral value is debatable. In this paper it is argued that the normative importance of autonomy is derived from both welfare and non-welfare considerations. Welfare considerations provide two types of reason to respect autonomy, one related to the role of autonomy in creating welfare and one related to its role in constituting welfare. In addition, autonomy seems to have normative importance that is unrelated to welfare considerations. This type of normative role is difficult to defend within medical ethics, because most non-welfare justifications of autonomy work for only a proportion of the autonomous decisions that patients make and give no clear guidance on how to respond to autonomous yet welfare-reducing treatment requests. A recent account of autonomy (Stephen Darwall’s “demand” account) provides a nuanced defence of autonomy that does not rely on welfare considerations. Darwall’s approach seems to work well within medical ethics and provides a principled explanation of how to respond to autonomous patient requests for treatment options that may not be in their best medical interests. It is argued that to fully respect autonomy within a medical consultation, practitioners must consider non-welfare autonomy as well as instrumental and intrinsic welfare-related autonomy
|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
No citations found.
Similar books and articles
M. Therese Lysaught (2004). Respect: Or, How Respect for Persons Became Respect for Autonomy. Journal of Medicine and Philosophy 29 (6):665 – 680.
William Kline (2010). Do No Harm: A Defense of Markets in Healthcare. [REVIEW] HEC Forum 22 (3):241-251.
Sabine Müller & Henrik Walter (2010). Reviewing Autonomy: Implications of the Neurosciences and the Free Will Debate for the Principle of Respect for the Patient's Autonomy. Cambridge Quarterly of Healthcare Ethics 19 (02):205-.
Michael Davis (1996). Professional Autonomy. Business Ethics Quarterly 6 (4):441-460.
Iain Law (2011). Respect for Autonomy: Its Demands and Limits in Biobanking. [REVIEW] Health Care Analysis 19 (3):259-268.
Yvonne Lau & Chrystal Jaye (2009). The 'Obligation' to Screen and its Effect on Autonomy. Journal of Bioethical Inquiry 6 (4):495-505.
Bernice Elger & David Shaw (forthcoming). Confidentiality in Prison Health Care – A Practical Guide. In Bernice Elger, Catherine Ritter & Heino Stöver (eds.), Emerging Issues in Prison Health. Springer.
John K. Davis (2004). Precedent Autonomy and Subsequent Consent. Ethical Theory and Moral Practice 7 (3):267-291.
Henk Ten Have (2000). Re-Evaluating Professional Autonomy in Health Care. Theoretical Medicine and Bioethics 21 (5).
Friedrich Heubel (1992). Healthcare Professionals, Roles and Virtue. Cambridge Quarterly of Healthcare Ethics 1 (03):197-.
Wendy Austin (2012). Moral Distress and the Contemporary Plight of Health Professionals. HEC Forum 24 (1):27-38.
Ho Mun Chan & Sam Pang (2007). Long-Term Care: Dignity, Autonomy, Family Integrity, and Social Sustainability: The Hong Kong Experience. Journal of Medicine and Philosophy 32 (5):401 – 424.
Added to index2010-09-13
Total downloads7 ( #195,012 of 1,101,953 )
Recent downloads (6 months)1 ( #306,569 of 1,101,953 )
How can I increase my downloads?