Monash Bioethics Review 38 (1):1-14 (2020)

Authors
Jesper Ahlin Marceta
No Longer In Academia
Abstract
Respect for autonomy is a central moral principle in bioethics. It is sometimes argued that authenticity, i.e., being “real,” “genuine,” “true to oneself,” or similar, is crucial to a person’s autonomy. Patients sometimes make what appears to be inauthentic decisions, such as when anorexia nervosa patients refuse treatment to avoid gaining weight, despite that the risk of harm is very high. If such decisions are inauthentic, and therefore non-autonomous, it may be the case they should be overridden for paternalist reasons. However, it is not clear what justifies the judgment that someone or something is inauthentic. This article discusses one recent theory of what justifies judgments of inauthenticity. It is argued that the theory is seriously limited, as it only provides guidance in three out of nine identified cases. There are at least six authenticity-related problems to be solved, and autonomy theorists thus have reason to engage with the topic of authenticity in practical biomedicine.
Keywords authenticity  autonomy  biomedicine  decision-making  paternalism
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DOI 10.1007/s40592-020-00108-y
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References found in this work BETA

Freedom of the Will and the Concept of a Person.Harry G. Frankfurt - 1971 - Journal of Philosophy 68 (1):5-20.
The Ethics of Authenticity.Charles Taylor - 1992 - Harvard University Press.
The Theory and Practice of Autonomy.Gerald Dworkin - 1988 - Cambridge University Press.
Sour Grapes: Studies in the Subversion of Rationality.Jon Elster - 1983 - Editions De La Maison des Sciences De L'Homme.
Freedom of the Will and the Concept of a Person.Harry Frankfurt - 2004 - In Tim Crane & Katalin Farkas (eds.), Metaphysics: A Guide and Anthology. Oxford University Press.

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Citations of this work BETA

Negotiating Authenticity in Technological Environments.Siri Beerends & Ciano Aydin - 2021 - Philosophy and Technology 34 (4):1665-1685.
Authenticity and Physician-Assisted Suicide: A Reply to Ahlzén.Jesper Ahlin Marceta - 2021 - Medicine, Health Care and Philosophy 24 (4):543-546.

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