Journal of Medicine and Philosophy 30 (4):395 – 409 (2005)
Pre-commitment directives or Ulysses contracts are often defended as instruments that may strengthen the autonomous self-control of episodically disordered psychiatric patients. Autonomy is understood in this context in terms of sovereignty ("governing" or "managing" oneself). After critically analyzing this idea of autonomy in the context of various forms of self-commitment and pre-commitment, we argue that what is at stake in using Ulysses contracts in psychiatry is not autonomy as sovereignty, but autonomy as authenticity. Pre-commitment directives do not function to protect autonomous self-control. They serve in upholding the guidance that is provided by one's deepest identity conferring concerns. We elucidate this concept of autonomy as authenticity, by showing how Ulysses contracts protect the possibility of being "a self.".
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References found in this work BETA
Ulysses and the Sirens: Studies in Rationality and Irrationality.Jon Elster (ed.) - 1979 - Editions De La Maison des Sciences De L'Homme.
Self-Constitution in the Ethics of Plato and Kant.Christine M. Korsgaard - 1999 - Journal of Ethics 3 (1):1-29.
Citations of this work BETA
Coercive Treatment and Autonomy in Psychiatry.Manne Sjöstrand & Gert Helgesson - 2008 - Bioethics 22 (2):113–120.
Challenging "Common-Sense" Assumptions in Bioethics.B. Andrew Lustig - 2005 - Journal of Medicine and Philosophy 30 (4):325 – 329.
Ulysses Arrangements in Psychiatric Treatment: Towards Proposals for Their Use Based on 'Sharing' Legal Capacity. [REVIEW]Phil Bielby - 2012 - Health Care Analysis (2):1-29.
The Ethics of Deep Brain Stimulation.Marcus Unterrainer & Fuat S. Oduncu - 2015 - Medicine, Health Care and Philosophy 18 (4):475-485.
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