Public Health Ethics 8 (1):50-62 (2015)

Alistair James Bruce Wardrope
University of Sheffield
Recent articles published in this journal have highlighted the shortcomings of individualistic approaches to health promotion, and the potential contributions of relational analyses of autonomy to public health ethics. I argue that the latter helps to elucidate the former, by showing that an inadequate analysis of autonomy leads to misassignment of both forward-looking and backward-looking responsibility for health outcomes. Health promotion programmes predicated on such inadequate analyses are then ineffective, because they assign responsibility to agents whose social environment inhibits their ability to act on such responsibilities; inequitable, because the social barriers to autonomous agency display a socio-economic gradient; and stigmatizing, because they license blaming of individuals for their own poor health without taking into account how reasonable it is to hold these individuals responsible, given the social barriers to autonomy they face. I further sketch how incorporating a relational understanding of autonomy could help to produce health promotion programmes that do not succumb to these difficulties, while avoiding coercive paternalism, exploring potential applications in ecological approaches to health promotion
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DOI 10.1093/phe/phu025
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References found in this work BETA

Just Health Care.Norman Daniels - 1985 - Cambridge University Press.
Sour Grapes: Studies in the Subversion of Rationality.Jon Elster - 1983 - Editions De La Maison des Sciences De L'Homme.
Disadvantage.Jonathan Wolff & Avner de-Shalit - 2007 - Oxford University Press.

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Citations of this work BETA

Empowerment or Engagement? Digital Health Technologies for Mental Healthcare.Christopher Burr & Jessica Morley - 2020 - In Christopher Burr & Silvia Milano (eds.), The 2019 Yearbook of the Digital Ethics Lab. pp. 67-88.
Food Choices and Gut Issues.Jane Dryden - 2021 - Feminist Philosophy Quarterly 7 (3).

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