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Shifting the autonomy debate to theory as ideology
1Department of Bioethics, Dalhousie University, Halifax, Nova Scotia, B3H 4H7, Canada. Carolyn.Ells@dal.ca
The Journal of Medicine and Philosophy
|August 3, 2001
Summary
Feminist critiques of dominant autonomy theories, like Beauchamp and Childress (B&C), are often dismissed. However, this paper argues that feminist concerns reveal deeper ideological flaws in B&C
Area of Science:
- Bioethics
- Moral Philosophy
- Feminist Theory
Background:
- Dominant conceptions of autonomy, particularly those by Beauchamp and Childress (B&C), face feminist critiques regarding their understanding of personhood.
- B&C believe their theory of autonomy is misunderstood by feminists and immune to their criticisms.
- Feminist critics argue that B&C's responses to their concerns are dismissive and inadequate.
Purpose of the Study:
- To review the ongoing debate surrounding feminist critiques of B&C's theory of autonomy.
- To examine B&C's rejoinders to feminist objections, which focus on logical consistency.
- To demonstrate that feminist criticisms target ideological underpinnings, not just logical implications, of B&C's autonomy theory.
Main Methods:
- Analysis of the existing literature on autonomy and feminist critiques.
- Evaluation of Beauchamp and Childress's responses to feminist objections.
- Application of Cheshire Calhoun's insights on the influence of non-epistemic considerations in moral reasoning.
Main Results:
- B&C's rejoinders, focusing on logical entailment, fail to address the core of feminist concerns.
- Cheshire Calhoun's framework highlights how moral traditions shape narrow views of persons and the human condition.
- B&C's conception of autonomy reinforces limiting ideologies of moral life.
Conclusions:
- Feminist critiques, when understood through Calhoun's lens, expose damaging ideological flaws in B&C's theory of autonomy.
- These criticisms are more profound than mere logical inconsistencies and lack easy rejoinders.
- The dominant theory of autonomy perpetuates a narrow understanding of moral life, which feminist critiques effectively challenge.