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At least 973 records · Page 54Linked to original sources
PubMed2001

The care perspective and autonomy.

In this article I wish to show how care ethics puts forward a fundamental critique on the ideal of independency in human life without thereby discounting autonomy as a moral value altogether. In care ethics, a relational account of autonomy is developed instead. Because care ethics is sometimes criticized in the literature as hopelessly vague and ambiguous, I shall begin by elaborating on how care ethics and its place in ethical theory can be understood. I shall stipulate a definition of care ethics as a moral perspective or orientation from which ethical theorizing can take place. This will mean that care ethics is more a stance from which we can theorize ethically, than ready-made theory in itself. In conceiving care ethics in this way, it becomes possible to make clear that, for instance, a moral concept of autonomy is not abandoned, but instead is given a particular place and interpretation. In the final part of this article I will show how 'relational autonomy' can be applied fruitfully in the practice of psychiatric care.

Empathy↗
PubMed1996

The Catholic physician and the teachings of Roman Catholicism.

The relationship between Catholic physicians and the teaching authority of the Church is inquired into through an exploration of the special relationship which exists between medicine and religion. Evolution of the relationship between Church subject and Church authority, with a view to a correct interpretation of the relationship between the Catholic physician and the Church, is characterized by the healthy, moderate autonomy recognized by the Second Vatican Council.

Catholicism↗
PubMedDate not supplied

Autonomy and adolescence: a concept analysis.

During the developmental stage of adolescence, young people strive for independence and begin to make decisions that impact them for the rest of their lives. The purpose of this descriptive study was to examine the literature over the past 15 years to analyze the concept of autonomy in adolescence and to identify possible relationships between autonomy and health behavior. The findings indicate that few studies have been carried out that address the issue of autonomy as it relates to adolescent lifestyles or "ways of living," particularly related to health behaviors. Additional study is warranted to develop more defined theoretical and operational definitions of the concept of autonomy, which will be of value for the development of instruments for measurement and continued research. Furthermore, understanding the antecedents and consequences of adolescent autonomy will facilitate the development of more appropriate health-promoting interventions based on developmental needs.

Adolescent↗
PubMed2005

Respect for patient autonomy in forensic psychiatric nursing.

A fundamental issue that forensic psychiatric nurses struggle with is respect for patient autonomy, as the two liberal prerequisites for autonomy, liberty and rationality, are either absent or compromised in forensic psychiatric settings. In this paper, a contemporary feminist perspective of autonomy, relational autonomy, will be advanced as an alternative approach to the traditional liberalist, Kantian, perspective of autonomy. The concepts of autonomy, paternalism, and justice will be discussed in relation to forensic psychiatric nursing.

Forensic Psychiatry↗
PubMed1999

Ancient Chinese medical ethics and the four principles of biomedical ethics.

The four principles approach to biomedical ethics (4PBE) has, since the 1970s, been increasingly developed as a universal bioethics method. Despite its wide acceptance and popularity, the 4PBE has received many challenges to its cross-cultural plausibility. This paper first specifies the principles and characteristics of ancient Chinese medical ethics (ACME), then makes a comparison between ACME and the 4PBE with a view to testing out the 4PBE's cross-cultural plausibility when applied to one particular but very extensive and prominent cultural context. The result shows that the concepts of respect for autonomy, non-maleficence, beneficence and justice are clearly identifiable in ACME. Yet, being influenced by certain socio-cultural factors, those applying the 4PBE in Chinese society may tend to adopt a "beneficence-oriented", rather than an "autonomy-oriented" approach, which, in general, is dissimilar to the practice of contemporary Western bioethics, where "autonomy often triumphs".

Adult Children↗
PubMed2004

The student and the ovum: the lack of autonomy and informed consent in trading genes for tuition.

Rising tuition costs have forced university students to become creative in finding ways to fund their education. Some female university students have decided that ova donation may be an acceptable alternative in which to pay for their tuition. This alternative presents itself because of the insufficient number of ova available for assisted reproduction and emerging stem cell technologies. Young female university students are encouraged by Internet sources and respectable electronic and print media to donate their ova in the cause of assisted reproduction for monetary compensation. While university students generally exhibit autonomy, the constraining influence of their financial predicament compromises the elements of informed consent (voluntariness, competence, capacity, understanding, and disclosure) as to their making an autonomous decision in regard to egg donation. Thus, any moral possibility of giving informed consent is negated. Informed consent can only occur through autonomy. A female university student in need of financial resources to pay for her education cannot make an autonomous choice to trade her genes for tuition. Donated ova are not only needed for assisted reproduction, but for stem cell technologies. While the long-term health of women who donate their ova is of concern (a potential risk of cancer after long term use of ovulation induction), of equal concern is the possibility of a growth in the trade of ova targeting third world and Eastern European women where the precedence for autonomy and informed consent is not well established.

Disclosure↗
PubMed2000

Moral responsibility and respect for autonomy: meeting the communitarian challenge.

The principle of respect for autonomy has come under increasing attack both within health care ethics, specifically, and as part of the more general communitarian challenge to predominantly liberal values. This paper will demonstrate the importance of respect for autonomy for the social practice of assigning moral responsibility and for the development of moral responsibility as a virtue. Guided by this virtue, the responsible exercise of autonomy may provide a much-needed connection between the individual and the community.

Bioethics↗
PubMed2002

Antecedents and consequences of mothers' autonomy support: an experimental investigation.

This study examined the effects of contextual and individual differences on mothers' autonomy support versus control on homeworklike tasks. Sixty mothers and their third-grade children worked on map and poem tasks, with mothers in either an ego-involving (high pressure) or a non-ego-involving (low pressure) condition. Later, children worked on similar tasks themselves. Mothers in the high-pressure condition were more controlling on the poem task. For the map task, mothers who came in with controlling styles and received the high-pressure manipulation were most controlling. Children whose mothers interacted in a more controlling manner wrote less creative poems when alone. Results suggest the importance of context, children's competence levels, and mothers' styles in determining levels of autonomy support.

Child↗
PubMed1990

The inadequacy of incompetence.

Patients' competence to make medical decisions, analysts frequently hold, is the key concept for determining whether those decisions may be overruled. Competence, however, is neither a necessary nor a sufficient condition for concluding when it is morally admissible to supersede refusals of treatment. People may be able to reach kinds of decisions involving immediate medical consequences, but not ones entailing long-term outcomes. Open recognition of the limited but important exceptions to the principle of never overruling competent patients' refusal of care would better preserve their autonomy than unduly accepting the absoluteness of the principle.

Beneficence↗
PubMed1985

Keeping Elizabeth Bouvia alive for the public good.

The case of Elizabeth Bouvia, a handicapped woman who wanted doctors to assist her in dying, reveals that autonomy is insufficient as the sole or even the most important public policy principle. Where the community is asked to endorse a course of action by granting medical and financial assistance, considerations of autonomy must give way to the broader notion of the public good, which gives primacy to the respect for life.

Persons with Disabilities↗