Essays on Privilege and its Implications for Relational Autonomy and Vaccine Hesitancy

Dissertation, Western University (2022)
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Abstract

One goal of feminist philosophy is to challenge unjust systems of power like patriarchy, which privilege some social groups while oppressing others. In this three-chapter dissertation, I argue that to achieve this goal, we need a better understanding of privilege and its implications. In chapter one, I raise objections to some existing philosophical accounts of privilege. These accounts are either too broad in defining privilege as always advantageous or they are vague regarding what privilege comprises. I provide an account of privilege which clarifies that privilege is generally advantageous and that privilege includes tangible resources and options to do certain things or be a certain way. In chapter two, I utilize my account of privilege in the context of feminist debates on relational autonomy. Recently, strong substantive and constitutive accounts of relational autonomy have come under criticism. Critics argue these accounts generate perverse conclusions about oppressed agents. I show these accounts generate the same perverse conclusions about privileged agents. Critics also argue these accounts are poorly suited to achieve feminist goals, which are to combat systems of power and to offer an account for how autonomy is influenced by oppression and privilege. I defend an alternative account of relational autonomy given by Andrea Westlund and explain how it avoids the perverse conclusions while still achieving the second goal, as it can explain how oppression and privilege can influence autonomy. However, I argue that autonomy alone is not enough to achieve the first goal of combatting systems of power. In chapter three, I investigate the issue of vaccine hesitancy, where parents delay or refuse routine vaccinations for their children. Some empirical literature suggests a proportion of these parents are privileged. However, this literature lacks a clear definition of privilege. I supplement and strengthen this research with my account of privilege. I demonstrate how my account of privilege captures additional elements of parents’ privilege. Using my account of privilege, I show how privilege can potentially influence some of the reasons parents have for delaying or refusing vaccines. I also clarify how my discussion impacts public health policies aimed at addressing vaccine hesitancy.

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Nicole Fice
University of Western Ontario

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