A Non-Ideal Authenticity-Based Conceptualization of Personal Autonomy

Medicine, Health Care and Philosophy 22 (3):387-395 (2019)

Authors
Jesper Ahlin Marceta
Royal Institute of Technology, Stockholm
Abstract
Respect for autonomy is a central moral principle in bioethics. The concept of autonomy can be construed in various ways. Under the non-ideal conceptualization proposed by Beauchamp and Childress, everyday choices of generally competent persons are autonomous to the extent that they are intentional and are made with understanding and without controlling influences. It is sometimes suggested that authenticity is important to personal autonomy, so that inauthenticity prevents otherwise autonomous persons from making autonomous decisions. Building from Beauchamp and Childress’s theory, this article develops a non-ideal authenticity-based conceptualization of personal autonomy. Factors that indicate inauthentic decision-making are explicated, and the full concept is defended from three expected objections. The theory is then tested on a paradigm case which has concerned theorists and practitioners for some time, namely the possible inauthenticity of anorexia nervosa patients’ decision-making. It is concluded that the theory seems to be fruitful in analyses of the degree of autonomy of patients’ decision-making, and that it succeeds in providing reliable action-guidance in practical contexts.
Keywords Autonomy  Authenticity  Anorexia nervosa  Healthcare  Bioethics
Categories (categorize this paper)
ISBN(s)
DOI 10.1007/s11019-018-9879-1
Options
Edit this record
Mark as duplicate
Export citation
Find it on Scholar
Request removal from index
Revision history

Download options

Our Archive
External links

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

Freedom of the Will and the Concept of a Person.Harry G. Frankfurt - 1971 - Journal of Philosophy 68 (1):5-20.
Ideal Vs. Non‐Ideal Theory: A Conceptual Map.Laura Valentini - 2012 - Philosophy Compass 7 (9):654-664.
The Theory and Practice of Autonomy.Gerald Dworkin - 1988 - Philosophy 64 (250):571-572.

View all 13 references / Add more references

Citations of this work BETA

Add more citations

Similar books and articles

Respect for Autonomy and Authenticity.Guus Timmerman - 2010 - Ethical Perspectives 17 (2):309-341.
The Paradox of Authenticity.Somogy Varga - 2011 - Télos 2011 (156):113-130.
Deep Brain Stimulation, Authenticity and Value.Pugh Jonathan, Maslen Hannah & Savulescu Julian - 2017 - Cambridge Quarterly of Healthcare Ethics 26 (4):640-657.
Authenticity Naturalized.Bruce N. Waller - 1995 - Behavior and Philosophy 23 (1):21 - 28.
Personal Autonomy and Informed Consent.Lars Øystein Ursin - 2009 - Medicine, Health Care and Philosophy 12 (1):17-24.
Authenticity: Existential Virtue Or Platonic Ideal?Mindi Torrey - 2007 - Florida Philosophical Review 7 (1):16-26.

Analytics

Added to PP index
2018-11-21

Total views
39 ( #238,686 of 2,310,437 )

Recent downloads (6 months)
14 ( #50,240 of 2,310,437 )

How can I increase my downloads?

Downloads

My notes

Sign in to use this feature