Health Care Analysis 9 (3):283-297 (2001)

The challenge in maintaining patient autonomy regarding medical decision-making and confidentiality lies not only in control over information transferred to and regarding patients, but in the ambiguity of autonomy itself. post-modernity is characterized by the recognition of not just numerous accounts of autonomy, but by the inability in a principled fashion to select one as canonical. Autonomy is understood as a good, a right-making condition, and an element of human flourishing. In each case, it can have a different content, depending in part on whether it is given a nomological or a volitional construal. Different accounts of autonomy can lead to strikingly different understandings of appropriate behavior, including the argument that one ought on behalf of autonomy to liberate individuals from the sense of autonomy they themselves affirm. In the face of competing accounts of moral probity, autonomy in a secular morality and bioethics must by default be understood in terms of the permission of patients, which makes space for numerous moral accounts and different communal construals of free choice, which in turn will legitimate different practices of informing patients and maintaining confidentiality
Keywords autonomy  bioethics  confidentiality  paternalism  post-modernity
Categories (categorize this paper)
DOI 10.1023/A:1012949730926
Edit this record
Mark as duplicate
Export citation
Find it on Scholar
Request removal from index
Revision history

Download options

PhilArchive copy

Upload a copy of this paper     Check publisher's policy     Papers currently archived: 69,979
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 Frankfurt - 1971 - Journal of Philosophy 68 (1):5-20.
After Virtue.A. MacIntyre - 1981 - Tijdschrift Voor Filosofie 46 (1):169-171.
Creating the Kingdom of Ends.Christine M. Korsgaard - 1996 - Cambridge University Press.
Freedom of the Will and the Concept of a Person.Harry Frankfurt - 2004 - In Tim Crane & Katalin Farkas (eds.), Metaphysics: A Guide and Anthology. Oxford University Press.

View all 16 references / Add more references

Citations of this work BETA

Add more citations

Similar books and articles

Autonomy, Consent and the Law.Sheila McLean - 2009 - Routledge-Cavendish.
Raz on the Right to Autonomy.Nicole Hassoun - 2014 - European Journal of Philosophy 22 (1):96-109.
Shared Decision-Making and Patient Autonomy.Lars Sandman & Christian Munthe - 2009 - Theoretical Medicine and Bioethics 30 (4):289-310.
Autonomy Within Subservient Careers.James Rocha - 2011 - Ethical Theory and Moral Practice 14 (3):313-328.
Informed Consent and Relational Conceptions of Autonomy.N. Stoljar - 2011 - Journal of Medicine and Philosophy 36 (4):375-384.


Added to PP index

Total views
30 ( #380,806 of 2,505,136 )

Recent downloads (6 months)
1 ( #417,030 of 2,505,136 )

How can I increase my downloads?


My notes