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  1. Concepts of Personhood and Autonomy as They Apply to End-of-Life Decisions in Intensive Care.Paul Walker & Terence Lovat - 2015 - Medicine, Health Care and Philosophy 18 (3):309-315.
    Amongst traditionally-available frameworks within which end-of-life decisions in Intensive Care Units are situated, we favour Ordinary versus Extra-ordinary care distinctions as the most helpful. Predicated on this framework, we revisit the concepts of personhood and autonomy. We argue that a full account of personhood locates its foundation in relationships with others, rather than merely in “rationality”. A full account of autonomy also recognises relationships with others, as well as the actual reality of the patient’s situation-in-the-world. The fact that, when critically (...)
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  • Relational Autonomy in End-of-Life Care Ethics: A Contextualized Approach to Real-Life Complexities.Carlos Gómez-Vírseda, Yves de Maeseneer & Chris Gastmans - 2020 - BMC Medical Ethics 21 (1):1-14.
    BackgroundRespect for autonomy is a paramount principle in end-of-life ethics. Nevertheless, empirical studies show that decision-making, exclusively focused on the individual exercise of autonomy fails to align well with patients’ preferences at the end of life. The need for a more contextualized approach that meets real-life complexities experienced in end-of-life practices has been repeatedly advocated. In this regard, the notion of ‘relational autonomy’ may be a suitable alternative approach. Relational autonomy has even been advanced as a foundational notion of palliative (...)
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  • Nature's Relations: Ontology, Vulnerability, Agency.Didier Zúñiga - 2020 - Hypatia 35 (2):298-316.
    Political theory and philosophy need to widen their view of the space in which what matters politically takes place, and I suggest that integrating the conditions of sustainability of all affected—that is, all participants in nature's relations—is a necessary first step in this direction. New materialists and posthumanists have challenged how nature and politics have traditionally been construed. While acknowledging the significance of their contributions, I critically examine the ethical and political implications of their ontological project. I focus particularly on (...)
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  • Fertility Preservation Technologies for Women: A Feminist Ethical Analysis.Petropanagos Angel - unknown
    In this dissertation I examine ethical issues that concern fertility preservation technologies for women from a feminist perspective. FP technologies involve the removal, cryopreservation and subsequent storage of reproductive materials for future use. The aim of these technologies is to preserve the option of future genetic reproduction. FP technologies have been developed in the cancer context because infertility is one of the long-term side-effects of many cancers or cancer therapies. Many FP technologies are still experimental, but some technologies are becoming (...)
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  • Ethical Conflicts in Patient Relationships: Experiences of Ambulance Nursing Students.Anders Bremer & Mats Holmberg - forthcoming - Nursing Ethics:096973302091107.
    Background: Working as an ambulance nurse involves facing ethically problematic situations with multi-dimensional suffering, requiring the ability to create a trustful relationship. This entails a need to be clinically trained in order to identify ethical conflicts. Aim: To describe ethical conflicts in patient relationships as experienced by ambulance nursing students during clinical studies. Research design: An exploratory and interpretative design was used to inductively analyse textual data from examinations in clinical placement courses. Participants: The 69 participants attended a 1-year educational (...)
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  • Feminism, Liberalism, and Relational Autonomy.Emily Catherine McGill-Rutherford - unknown
    In this dissertation, I respond to the feminist critique of traditional theories of autonomy, which revolves around the charge that such theories are too individualistic. Feminists argue against the liberal atomism that they see at the center of traditional autonomy theories. Their resulting theory of relational autonomy is meant to remedy that traditional theories of autonomy posit an individualistic conception of both the self and autonomy. Instead, feminists have argued for a theory of autonomy that takes account of the ways (...)
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  • Closing the Gap Between Need and Uptake: A Case for Proactive Contraception Provision to Adolescents.Rebecca Duncan, Lynley Anderson & Neil Pickering - 2019 - Asian Bioethics Review 11 (1):95-109.
    In New Zealand, there are adolescents who are at risk of pregnancy and who do not want to become pregnant, but are not using contraception. Cost and other barriers limit access to contraception. To address the gap between contraceptive need and contraceptive access, this paper puts forward the concept of proactive contraception provision, where adolescents are offered contraceptives directly. To strengthen the case for proactive contraception provision, this paper addresses a series of potential objections. One is that such a programme (...)
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  • Some Unresolved Ethical Challenges in Healthcare Decision-Making: Navigating Family Involvement.Sumytra Menon, Vikki A. Entwistle, Alastair V. Campbell & Johannes J. M. van Delden - 2020 - Asian Bioethics Review 12 (1):27-36.
    Family involvement in healthcare decision-making for competent patients occurs to varying degrees in many communities around the world. There are different attitudes about who should make treatment decisions, how and why. Legal and professional ethics codes in most jurisdictions reflect and support the idea that competent patients should be enabled to make their own treatment decisions, even if others, including their healthcare professionals, disagree with them. This way of thinking contrasts with some cultural norms that put more emphasis on the (...)
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  • Recognition, Respect and Athletic Excellence.Sylvia Burrow - 2018 - Sport, Ethics and Philosophy 14 (1):76-91.
    Scholars across disciplines recognize sport as an institution perpetuating sexism and bias against women in light of its masculine ideals. However, little philosophical research identifies how a masculine environment impacts women’s possibilities in sport. This paper shows that socially structured masculine ideals of athletic excellence impact recognition of women’s athletic achievements while contributing to contexts endangering respect and self-respect. Exploring athletic disrespect reveals connections to more broadly harmful sport practices that include physical and sexual violence. Thus, the practical concern is (...)
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  • Ethical Implications of Digital Communication for the Patient-Clinician Relationship: Analysis of Interviews with Clinicians and Young Adults with Long Term Conditions.Agnieszka Ignatowicz, Anne-Marie Slowther, Patrick Elder, Carol Bryce, Kathryn Hamilton, Caroline Huxley, Vera Forjaz, Jackie Sturt & Frances Griffiths - 2018 - BMC Medical Ethics 19 (1):11.
    Digital communication between a patient and their clinician offers the potential for improved patient care, particularly for young people with long term conditions who are at risk of service disengagement. However, its use raises a number of ethical questions which have not been explored in empirical studies. The objective of this study was to examine, from the patient and clinician perspective, the ethical implications of the use of digital clinical communication in the context of young people living with long-term conditions. (...)
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  • Freedom as Non-Domination in Behavioral and Biomedical Research.Aidan Kestigian - 2017 - Research Ethics 14 (3):1-15.
    In the biomedical and behavioral sciences, it is widely recognized that researchers conducting studies involving human participants must respect the autonomy of research subjects. There is significant debate in the clinical research ethics and bioethics literatures about what it means for an individual to be autonomous. According to proponents of the Liberal Conception of Autonomy, an autonomous person is an agent who has interests and opinions and the capacity to deliberate about them. In contrast, proponents of the Relational Conception of (...)
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  • Sports Medicine and Ethics.Daniela Testoni, Christoph P. Hornik, P. Brian Smith, Daniel K. Benjamin & Ross E. McKinney - 2013 - American Journal of Bioethics 13 (10):4 - 12.
    Physicians working in the world of competitive sports face unique ethical challenges, many of which center around conflicts of interest. Team-employed physicians have obligations to act in the club's best interest while caring for the individual athlete. As such, they must balance issues like protecting versus sharing health information, as well as issues regarding autonomous informed consent versus paternalistic decision making in determining whether an athlete may compete safely. Moreover, the physician has to deal with an athlete's decisions about performance (...)
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  • Authenticity and Autonomy in Deep-Brain Stimulation.Alistair Wardrope - 2014 - Journal of Medical Ethics 40 (8):563-566.
    Felicitas Kraemer draws on the experiences of patients undergoing deep-brain stimulation to propose two distinct and potentially conflicting principles of respect: for an individual's autonomy , and for their authenticity. I argue instead that, according to commonly-invoked justifications of respect for autonomy, authenticity is itself in part constitutive of an analysis of autonomy worthy of respect; Kraemer's argument thus highlights the shortcomings of practical applications of respect for autonomy that emphasise competence while neglecting other important dimensions of autonomy such as (...)
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  • Beyond Individualism: Is There a Place for Relational Autonomy in Clinical Practice and Research?Edward S. Dove, Susan E. Kelly, Federica Lucivero, Mavis Machirori, Sandi Dheensa & Barbara Prainsack - 2017 - Clinical Ethics 12 (3):150-165.
    The dominant, individualistic understanding of autonomy that features in clinical practice and research is underpinned by the idea that people are, in their ideal form, independent, self-interested and rational gain-maximising decision-makers. In recent decades, this paradigm has been challenged from various disciplinary and intellectual directions. Proponents of ‘relational autonomy’ in particular have argued that people’s identities, needs, interests – and indeed autonomy – are always also shaped by their relations to others. Yet, despite the pronounced and nuanced critique directed at (...)
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  • Advance Care Planning with Chronically Ill Patients: A Relational Autonomy Approach.Tieghan Killackey, Elizabeth Peter, Jane Maciver & Shan Mohammed - forthcoming - Nursing Ethics:096973301984803.
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  • Why Worry About Autonomy?Mary Twomey - 2015 - Ethics and Social Welfare 9 (3):255-268.
  • Family Involvement in the End-of-Life Decisions of Competent Intensive Care Patients.R. Lind, P. Nortvedt, G. Lorem & O. Hevroy - 2013 - Nursing Ethics 20 (1):0969733012448969.
    In this article, we report the findings from a qualitative study that explored how relatives of terminally ill, alert and competent intensive care patients perceived their involvement in the end-of-life decision-making process. Eleven family members of six deceased patients were interviewed. Our findings reveal that relatives narrate about a strong intertwinement with the patient. They experienced the patients’ personal individuality as a fragile achievement. Therefore, they viewed their presence as crucial with their primary role to support and protect the patient, (...)
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  • Patients as Rights Holders.Johan Brännmark - 2017 - Hastings Center Report 47 (4):32-39.
    Autonomy and consent have been central values in Western moral and political thought for centuries. One way of understanding the bioethical models that started to develop, especially in the 1970s, is that they were about the fusion of a long-standing professional ethics with the core values underpinning modern political institutions. That there was a need for this kind of fusion is difficult to dispute, especially since the provision of health care has in most developed countries become an ever more important (...)
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  • Relational Autonomy, Paternalism, and Maternalism.Laura Specker Sullivan & Fay Niker - 2018 - Ethical Theory and Moral Practice 21 (3):649-667.
    The concept of paternalism is intricately tied to the concept of autonomy. It is commonly assumed that when paternalistic interventions are wrong, they are wrong because they impede individuals’ autonomy. Our aim in this paper is to show that the recent shift towards conceiving of autonomy relationally highlights a separate conceptual space for a nonpaternalistic kind of interpersonal intervention termed maternalism. We argue that maternalism makes a twofold contribution to the debate over the ethics of interpersonal action and decision-making. Descriptively, (...)
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  • Patient Autonomy and Quality of Care in Telehealthcare.Giovanni Rubeis, Maximilian Schochow & Florian Steger - 2018 - Science and Engineering Ethics 24 (1):93-107.
    Telemedicine is a complex field including various applications and target groups. Especially telehealthcare is seen by many as a means to revolutionize medicine. It gives patients the opportunity to take charge of their own health by using self-tracking devices and allows health professionals to treat patients from a distance. To some, this means an empowerment of patient autonomy as well as an improvement in the quality of care. Others state the dangers of depersonalization of medicine and the pathologization of daily (...)
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  • Is Incarceration Better Than Neurointervention? On the Intended Harms of Prison.James Edgar Lim - 2018 - American Journal of Bioethics Neuroscience 9 (3):168-170.
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  • Autonomy and Reason: Treatment Choice in Breast Cancer.Mary Twomey - 2012 - Journal of Evaluation in Clinical Practice 18 (5):1045-1050.