David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Ezio Di Nucci
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
Tom L. Beauchamp (2009). Principles of Biomedical Ethics. Oxford University Press.
Christine M. Korsgaard (1996). The Sources of Normativity. Cambridge University Press.
Harry G. Frankfurt (1988). The Importance of What We Care About: Philosophical Essays. Cambridge University Press.
David Velleman (2000). The Possibility of Practical Reason. Oxford University Press.
Jon Elster (ed.) (1984). Ulysses and the Sirens: Studies in Rationality and Irrationality. Editions De La Maison des Sciences De L'Homme.
Citations of this work BETA
Manne Sjöstrand & Gert Helgesson (2008). Coercive Treatment and Autonomy in Psychiatry. Bioethics 22 (2):113–120.
B. Andrew Lustig (2005). Challenging "Common-Sense" Assumptions in Bioethics. Journal of Medicine and Philosophy 30 (4):325 – 329.
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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