David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Jack Alan Reynolds
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Journal of Medicine and Philosophy 30 (4):395 – 409 (2005)
Pre-commitment directives or Ulysses contracts are often defended as instruments that may strengthen the autonomous self-control of episodically disordered psychiatric patients. Autonomy is understood in this context in terms of sovereignty ("governing" or "managing" oneself). After critically analyzing this idea of autonomy in the context of various forms of self-commitment and pre-commitment, we argue that what is at stake in using Ulysses contracts in psychiatry is not autonomy as sovereignty, but autonomy as authenticity. Pre-commitment directives do not function to protect autonomous self-control. They serve in upholding the guidance that is provided by one's deepest identity conferring concerns. We elucidate this concept of autonomy as authenticity, by showing how Ulysses contracts protect the possibility of being "a self.".
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References found in this work BETA
Christine M. Korsgaard (1999). Self-Constitution in the Ethics of Plato and Kant. Journal of Ethics 3 (1):1-29.
William Ruddick (1999). Hope and Deception. Bioethics 13 (3-4):343-357.
Theo van Willigenburg (2002). Shareability and Actual Sharing: Korsgaard's Position on the Publicity of Reasons. Philosophical Investigations 25 (2):172–189.
Citations of this work BETA
B. Andrew Lustig (2005). Challenging "Common-Sense" Assumptions in Bioethics. Journal of Medicine and Philosophy 30 (4):325 – 329.
Manne Sjöstrand & Gert Helgesson (2008). Coercive Treatment and Autonomy in Psychiatry. Bioethics 22 (2):113–120.
Phil Bielby (2012). Ulysses Arrangements in Psychiatric Treatment: Towards Proposals for Their Use Based on 'Sharing' Legal Capacity. [REVIEW] Health Care Analysis (2):1-29.
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