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

Medicine, Health Care and Philosophy 22 (1):85-94 (2019)
  Copy   BIBTEX


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.



    Upload a copy of this work     Papers currently archived: 91,069

External links

Setup an account with your affiliations in order to access resources via your University's proxy server

Through your library

Similar books and articles

Authenticity and autonomy in deep-brain stimulation.Alistair Wardrope - 2014 - Journal of Medical Ethics 40 (8):563-566.
Precedent autonomy and subsequent consent.John K. Davis - 2004 - Ethical Theory and Moral Practice 7 (3):267-291.
Three types of self-respect.David Middleton - 2006 - Res Publica 12 (1):59-76.
Respect: Or, how respect for persons became respect for autonomy.M. Therese Lysaught - 2004 - Journal of Medicine and Philosophy 29 (6):665 – 680.
Respect de la loi, respect de la personne: Kant.Robert Theis - 2005 - Revue Philosophique De Louvain 103 (3):331-346.


Added to PP

32 (#440,811)

6 months
5 (#284,395)

Historical graph of downloads
How can I increase my downloads?

Citations of this work

Autonomy in Japan: What does it Look Like?Akira Akabayashi & Eisuke Nakazawa - 2022 - Asian Bioethics Review 14 (4):317-336.

Add more citations

References found in this work

Principles of biomedical ethics.Tom L. Beauchamp - 1979 - New York: Oxford University Press. Edited by James F. Childress.
Autonomy and Trust in Bioethics.Onora O'Neill - 2002 - New York: Cambridge University Press.
The birth of bioethics.Albert R. Jonsen - 1998 - New York: Oxford University Press.

View all 39 references / Add more references