Abstract
In a recent article in this journal, Rolf Ahlzén treats a moral problem related to physician-assisted suicide (PAS) and the notion of authenticity. The problem is whether considerations of a patient’s “true self” should be included in judgments of PAS. In this short commentary, it is argued that Ahlzén (1) neglects to attend to central contributions to the philosophy of authenticity, (2) provides an internally inconsistent theory thereof, and (3) conflates crucial distinctions in the debate.
References
Ahlin Marceta, J. 2019. Authenticity in Bioethics: Bridging the Gap between Theory and Practice (doctoral thesis). KTH Royal Institute of Technology, Stockholm, Sweden.
Ahlin Marceta, J. 2020. Resolved and unresolved bioethical authenticity problems. Monash Bioethics Review 38 (1): 1–14.
Ahlzen, R. 2020. Suffering, authenticity, and physician assisted suicide. Medicine, Health Care and Philosophy 23 (3): 353–359.
Bauer, K. 2017. To be or not to be authentic. In defence of authenticity as an ethical ideal. Ethical Theory and Moral Practice 20 (3): 567–580.
Bialystok, L. 2014. Authenticity and the Limits of Philosophy. Dialogue 53 (2): 271–298.
Buss, S., & Westlund, A. 2018. Personal Autonomy. The Stanford Encyclopedia of Philosophy. https://plato.stanford.edu/entries/personal-autonomy/. Accessed 3 Sept 2020
Christman, J. 2009. The politics of persons: Individual autonomy and socio-historical selves. Cambridge: Cambridge University Press.
Dworkin, G. 1988. The theory and practice of autonomy. Cambridge University Press.
Frankfurt, H. 1971. Freedom of the will and the concept of a person. The Journal of Philosophy 68 (1): 5–20.
Friedman, M.A. 1986. Autonomy and the split-level self. The Southern Journal of Philosophy 24 (1): 19–35.
Juth, N. 2005. Genetic Information: Values and Rights. The Morality of Presymptomatic Genetic Testing (doctoral thesis). Acta Universitatis Gothoburgensis, University of Gothenburg, Gothenburg.
Noggle, R. 2005. Autonomy and the paradox of self-creation: Infinite regresses, finite selves, and the limits of authenticity. In Personal autonomy: New essays on personal autonomy and its role in contemporary moral philosophy, ed. J.S. Taylor, 87–108. Cambridge: Cambridge University Press.
Oshana, M. 2007. Autonomy and the question of authenticity. Social Theory and Practice 33 (3): 411–429.
Quill, T. E., & Sussman, B. n.d. Physician-Assisted Death. Hastings Center Bioethics Briefings. https://www.thehastingscenter.org/briefingbook/physician-assisted-death/. Accessed 03 Sept 2020
Sjöstrand, M., and N. Juth. 2014. Authenticity and psychiatric disorder: Does autonomy of personal preferences matter? Medicine, Health Care and Philosophy 17 (1): 115–122.
Taylor, C. 1991. The ethics of authenticity. Harvard University Press.
Taylor, J.S. 2005. Introduction. In Personal autonomy: New essays on personal autonomy and its role in contemporary moral philosophy, ed. J.S. Taylor, 1–29. Cambridge: Cambridge University Press.
Villafranca, A. 2019. The Role of Authentic Choices in Medical Consent (doctoral thesis). University of Manitoba, Winnipeg, Canada.
Walker, L.R. 2009. Medical ethics needs a new view of autonomy. Journal of Medicine and Philosophy 33 (6): 594–608.
White, L. 2018. The need for authenticity-based autonomy in medical ethics. HealthCare Ethics Committee Forum 30 (3): 191–209.
Zürcher, T., B. Elger, and M. Trachsel. 2019. The notion of free will and its ethical relevance for decision-making capacity. BMC Medical Ethics 20 (1): 1–10.
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The Swedish Institute (09005/2020).
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Ahlin Marceta, J. Authenticity and physician-assisted suicide: a reply to Ahlzén. Med Health Care and Philos 24, 543–546 (2021). https://doi.org/10.1007/s11019-021-10038-z
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DOI: https://doi.org/10.1007/s11019-021-10038-z