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Precedent autonomy and subsequent consent.

John K Davis1

  • 1Department of Philosophy, University of Tennessee, 816 McClung Tower, Knoxville, TN 37996-0480, USA. jdavis95@utk.edu

Ethical Theory and Moral Practice : an International Forum
|September 24, 2005
PubMed
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Respecting autonomy involves honoring past or future wishes, not just current preferences. This applies to precedent autonomy and subsequent consent, especially when individuals have conflicting desires and a preference for resolution.

Area of Science:

  • Bioethics
  • Philosophy of Autonomy
  • Medical Decision-Making

Background:

  • Current ethical frameworks for respecting autonomy often prioritize an individual's present preferences.
  • Challenges arise in honoring "precedent autonomy" (past wishes of incompetent patients) and "subsequent consent" (future agreement to current interference).
  • These challenges stem from the assumption that only current preferences can be respected.

Purpose of the Study:

  • To challenge the assumption that only current preferences are relevant for respecting autonomy.
  • To propose a framework for respecting "precedent autonomy" and "subsequent consent" by considering former or later preferences.
  • To explore how resolution preferences guide respecting autonomy in cases of conflicting desires.

Main Methods:

Keywords:
Analytical ApproachDeath and EuthanasiaPhilosophical ApproachProfessional Patient Relationship

Related Experiment Videos

  • Philosophical argumentation and conceptual analysis.
  • Examination of autonomy in contexts of declining and rising competence.
  • Analysis of conflicting preferences and the role of resolution preferences.

    • Main Results:

    • Respecting autonomy does not always require adherence to an individual's current preferences.
    • Former or later preferences, particularly resolution preferences, can and should be respected.
    • Precedent autonomy involves respecting an earlier preference, while subsequent consent involves respecting a later one.

    Conclusions:

    • Autonomy can be respected by honoring preferences that are not current, including those from the past or future.
    • Resolution preferences are key to navigating conflicts and respecting autonomy in cases of changing competence.
    • A broader understanding of respecting autonomy is needed to encompass precedent autonomy and subsequent consent.