Theoretical Medicine and Bioethics 33 (6):387-404 (2012)

In this paper, I develop a phenomenological description of lived autonomy and describe possible alterations of lived autonomy associated with chronic depression as they relate to specific psychopathological symptoms. I will distinguish between two types of lived autonomy, a pre-reflective type and a reflective type, which differ with respect to the explicitness of the action that is willed into existence; and I will relate these types to the classical distinction between freedom of intentional action and freedom of the will. I will then describe how a chronically depressed person habitually discloses her experiential workspace with an impaired scope of perceivable action-properties, and pre-reflectively values many of these perceived action-properties as demanding or devalues these properties as well as her own abilities and drive to perform the respective actions. These alterations, typically experienced in a passive manner, imply an impairment of both types of lived autonomy. Drawing on first-hand accounts, I will then argue that small islands of lived autonomy, even of the reflective type, are possible if the afflicted identifies with at least some of her ‘depressive disabilities’. Lastly, I will compare this manner of life-conduct with the constellation of includence, as described by Tellenbach, and discuss the limitations of this study
Keywords Autonomy  Depression  Habituality  Phenomenological psychopathology  Goods of agency
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DOI 10.1007/s11017-012-9235-z
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References found in this work BETA

Action-Oriented Perception.Bence Nanay - 2012 - European Journal of Philosophy 20 (3):430-446.
The Sense of Control and the Sense of Agency.Elisabeth Pacherie - 2007 - PSYCHE: An Interdisciplinary Journal of Research On Consciousness 13:1 - 30.
Depression, Guilt and Emotional Depth.Matthew Ratcliffe - 2010 - Inquiry: An Interdisciplinary Journal of Philosophy 53 (6):602-626.
Affective Intentionality and Self-Consciousness.Jan Slaby & Achim Stephan - 2008 - Consciousness and Cognition 17 (2):506-513.
Moral Phenomenology and Moral Intentionality.John J. Drummond - 2008 - Phenomenology and the Cognitive Sciences 7 (1):35-49.

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Citations of this work BETA

Psychopathy: Morally Incapacitated Persons.Heidi Maibom - 2017 - In Thomas Schramme & Steven Edwards (eds.), Handbook of the Philosophy of Medicine. Dordrecht: Springer. pp. 1109-1129.
Is Acting on Delusions Autonomous?Jann E. Schlimme - 2013 - Philosophy, Ethics, and Humanities in Medicine 8:14.

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