American Journal of Bioethics 17 (11):50-52 (2017)

Authors
Lisa Dive
University of Technology Sydney
Abstract
While this paper does not explicitly define the concept of autonomy, the way Ubel et al describe clinicians’ failures to enhance their patients’ autonomy reflects a broader understanding of autonomy than the default account as free and informed choice. In this OPC I would demonstrate that the communication strategies the authors recommend reflects a more sophisticated conception of autonomy than the understanding that typically prevails in bioethics. I will also distinguish between weak and strong forms of paternalism, and argue that a weak paternalistic approach is not only defensible but also aligns with the strategies the authors propose. Thus, by clarifying the concept of autonomy we can show how it can be enhanced in practice.
Keywords Autonomy  Bioethics  Paternalism
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DOI 10.1080/15265161.2017.1378769
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Citations of this work BETA

Getting Obligations Right: Autonomy and Shared Decision Making.Jonathan Lewis - 2020 - Journal of Applied Philosophy 37 (1):118-140.
Does Shared Decision Making Respect a Patient's Relational Autonomy?Jonathan Lewis - 2019 - Journal of Evaluation in Clinical Practice 25 (6):1063-1069.
The Ethical Dilemma of Truth-Telling in Healthcare in China.Zanhua Zhang & Xiaoyan Min - 2020 - Journal of Bioethical Inquiry 17 (3):337-344.

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