Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

What deserves our respect? Reexamination of respect for autonomy in the context of the management of chronic conditions

What deserves our respect? Reexamination of respect for autonomy in the context of the management... The global increase in patients with chronic conditions has led to increased interest in ethical issues regarding such conditions. A basic biomedical principle—respect for autonomy—is being reexamined more critically in its clinical implications. New accounts of this basic principle are being proposed. While new accounts of respect for autonomy do underpin the design of many public programs and policies worldwide, addressing both chronic disease management and health promotion, the risk of applying such new accounts to clinical setting remain understudied. However, the application of new accounts of respect for autonomy to clinical settings could support disrespectful attitudes toward or undue interference with patients with chronic conditions. Reconsidering autonomy and respect using Kantian accounts, this paper proposes respect for persons as an alternative basic bioethical principle to respect for autonomy. Unlike the principle of respect for persons in the Belmont Report, our principle involves respecting any patient’s decisions, behaviors, emotions, or life-style regardless of his or her “autonomous” capabilities. Thus, attitudes toward patients should be no different irrespective of the assessment of their decisional or executive capabilities. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png "Medicine, Health Care & Philosophy" Springer Journals

What deserves our respect? Reexamination of respect for autonomy in the context of the management of chronic conditions

Download PDF
10 pages

Loading next page...
 
/lp/springer_journal/what-deserves-our-respect-reexamination-of-respect-for-autonomy-in-the-1iI29ji4D9
Publisher
Springer Journals
Copyright
Copyright © 2018 by Springer Science+Business Media B.V., part of Springer Nature
Subject
Philosophy; Ethics; Medical Law; Theory of Medicine/Bioethics; Philosophy of Medicine; Philosophy of Biology
ISSN
1386-7423
eISSN
1572-8633
DOI
10.1007/s11019-018-9844-z
Publisher site
See Article on Publisher Site

Abstract

The global increase in patients with chronic conditions has led to increased interest in ethical issues regarding such conditions. A basic biomedical principle—respect for autonomy—is being reexamined more critically in its clinical implications. New accounts of this basic principle are being proposed. While new accounts of respect for autonomy do underpin the design of many public programs and policies worldwide, addressing both chronic disease management and health promotion, the risk of applying such new accounts to clinical setting remain understudied. However, the application of new accounts of respect for autonomy to clinical settings could support disrespectful attitudes toward or undue interference with patients with chronic conditions. Reconsidering autonomy and respect using Kantian accounts, this paper proposes respect for persons as an alternative basic bioethical principle to respect for autonomy. Unlike the principle of respect for persons in the Belmont Report, our principle involves respecting any patient’s decisions, behaviors, emotions, or life-style regardless of his or her “autonomous” capabilities. Thus, attitudes toward patients should be no different irrespective of the assessment of their decisional or executive capabilities.

Journal

"Medicine, Health Care & Philosophy" – Springer Journals

Published: May 29, 2018

References

  • Patient empowerment in theory and practice: Polysemy or cacophony?
    Aujoulat, Isabelle; d’Hoore, William; Deccache, Alain
  • Relational autonomy
    Barclay, Linda
  • Standing on principles
    Beauchamp, Tom L
  • Principles of biomedical ethics
    Beauchamp, Tom L; Childress, James F
  • The Hastings Center guidelines for decisions on life-sustaining treatment and care near the end of life: Revised and expanded second edition
    Berlinger, Nancy; Jennings, Bruce; Wolf, Susan M
  • Dependence and a Kantian conception of dignity as a value
    Byers, Philippa
  • The place of autonomy in bioethics
    Childress, James
  • The expert patient: A new approach to chronic disease management for the twenty-first century
  • Relational autonomy
    Dodds, Susan
  • Beyond individualism: Is there a place for relational autonomy in clinical practice and research?
    Dove, Edward S; Kelly, Susan E; Lucivero, Federica; Machirori, Mavis; Dheensa, Sandi; Prainsack, Barbara
  • Empowerment: From philosophy to practice
    Feste, Catherine; Anderson, Robert M
  • Relational autonomy
    Friedman, Marilyn
  • Empowerment and self-management of diabetes
    Funnell, Martha M; Anderson, Robert M
  • Ethics of patient activation: Exploring its relation to personal responsibility, autonomy and health disparities
    Gibert, Sophia H; DeGrazia, David; Danis, Marion
  • The practice of moral judgment
    Herman, Barbara
  • Reconceptualizing autonomy: A relational turn in bioethics
    Jennings, Bruce
  • The birth of bioethics
    Jonsen, Albert R
  • Autonomy and informed consent: A mistaken association?
    Kristinsson, Sigurdur
  • Conscientious autonomy: Displacing decisions in health care
    Kukla, Rebecca
  • The ethics of imperfect cures: Models of service delivery and patient vulnerability
    Lanoix, Monique
  • Relational autonomy
    Mcleod, Carolyn; Sherwin, Susan
  • Patient autonomy for the management of chronic conditions: A two-component re-conceptualization
    Naik, Aanand D; Mark, Carmel B; Kunik, Mark E; McCullough, Laurence B
  • Constructions of reason: Explorations of Kant’s practical philosophy
    O’Neill, Onora
  • Autonomy and trust in bioethics
    O’Neill, Onora
  • Enhancing autonomy by reducing impulsivity: The case of ADHD
    Pugh, Jonathan
  • Patient autonomy in chronic care: Solving a paradox
    Reach, Gérard
  • Being an autonomous person with chronic disease
    Ringstad, Øystein
  • Autonomy, competence and non-interference
    Roberts, Joseph TF
  • Humanity as an object of respect: Immanuel Kant’s anthropological approach and the foundation for morality
    Rolf, Sibylle
  • The history of autonomy in medicine from antiquity to principlism
    Saad, Toni C
  • Adherence, shared decision-making and patient autonomy
    Sandman, Lars; Granger, Bradi B; Ekman, Inger; Munthe, Christian
  • The appearance of Kant’s deontology in contemporary Kantianism: Concepts of patient autonomy in bioethics
    Secker, Barbara
  • A relational perspective on autonomy for older adults residing in nursing homes
    Sherwin, Susan; Winsby, Meghan
  • Encyclopedia of applied ethics
    Shimizu, Tetsuro
  • Siri-zu seimei-rinri: Syumatuki iryou [Decision-making process in end-of-life care. In The Japanese Bioethics Series: End-of-Life Care]
    Shimizu, Tetsuro; Aita, Kaoruko
  • Autonomy in medical ethics after O’Neill
    Stirrat, GM; Gill, R
  • Personal autonomy
  • The basics of bioethics
    Veatch, Robert M
  • The basics of bioethics
    Veatch, Robert M
  • Relational autonomy and the ethics of health promotion
    Wardrope, Alistair
  • Reinterpreting respect for relationally and biologically informed autonomy
    Wardrope, Alistair
  • Managing one’s body using self-management techniques: Practicing autonomy
    Willems, Dick
  • Patient and citizen participation in health: The need for improved ethical support
    Williamson, Laura
  • Is respect for autonomy defensible?
    Wilson, James
  • Public health and autonomy: A critical reappraisal
    Zimmerman, Frederick J