Literature DB >> 22241662

The many faces of autonomy.

Diego Gracia1.   

Abstract

What does autonomy mean from a moral point of view? Throughout Western history, autonomy has had no less than four different meanings. The first is political: the capacity of old cities and modern states to give themselves their own laws. The second is metaphysical, and was introduced by Kant in the second half of the 18th century. In this meaning, autonomy is understood as an intrinsic characteristic of all rational beings. Opposed to this is the legal meaning, in which actions are called autonomous when performed with due information and competency and without coercion. This last meaning, the most frequently used in bioethics, is primarily legal instead of moral. Is there a proper moral meaning of the word autonomy? If so, this would be a fourth meaning. Acts can only be called moral when they are postconventional (using the terminology coined by Lawrence Kohlberg), inner-directed (as expressed by David Riesman), and responsible (according to Hannah Arendt). Such acts are autonomous in this new, fourth, and to my mind, the only one proper, moral meaning. The goal of ethics cannot be other than forming human beings capable of making autonomous and responsible decisions, and doing so because they think this is their duty and not because of any other nonmoral motivation, like comfort, convenience, or satisfaction. The goal of ethics is to promote postconventional and mature human beings. This was what Socrates tried to do with the young people of Athens. And it is also the objective of every course of ethics and of any process of training.

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Year:  2012        PMID: 22241662     DOI: 10.1007/s11017-012-9208-2

Source DB:  PubMed          Journal:  Theor Med Bioeth        ISSN: 1386-7415


  2 in total

1.  Autonomy and behavior control.

Authors:  G Dworkin
Journal:  Hastings Cent Rep       Date:  1976-02       Impact factor: 2.683

2.  The Belmont Report. Ethical principles and guidelines for the protection of human subjects of research.

Authors: 
Journal:  J Am Coll Dent       Date:  2014
  2 in total
  5 in total

1.  Restricting Access to ART on the Basis of Criminal Record : An Ethical Analysis of a State-Enforced "Presumption Against Treatment" With Regard to Assisted Reproductive Technologies.

Authors:  Kara Thompson; Rosalind McDougall
Journal:  J Bioeth Inq       Date:  2015-02-21       Impact factor: 1.352

2.  The history of autonomy in medicine from antiquity to principlism.

Authors:  Toni C Saad
Journal:  Med Health Care Philos       Date:  2018-03

3.  Ethical considerations surrounding the response to Ebola: the Spanish experience.

Authors:  Miguel Ángel Royo-Bordonada; Fernando J García López
Journal:  BMC Med Ethics       Date:  2016-08-18       Impact factor: 2.652

4.  The role of 'accompagnement' in the end-of-life debate in France: from solidarity to autonomy.

Authors:  Marie Gaille; Ruth Horn
Journal:  Theor Med Bioeth       Date:  2016-12

5.  Informed consent in dentistry and medicine in Spain: Practical considerations and legality.

Authors:  M Otero; N Oishi; F Martínez; M-T Ballester; J Basterra
Journal:  Med Oral Patol Oral Cir Bucal       Date:  2022-05-01
  5 in total

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