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Related Experiment Videos

Is respect for autonomy defensible?

James Wilson1

  • 1Centre for Professional Ethics (PEAK), Keele Hall, Keele University, Staffordshire ST5 5BG, UK. j.g.wilson@peak.keele.ac.uk

Journal of Medical Ethics
|May 29, 2007
PubMed
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This paper critiques medical ethics' views on autonomy and informed consent, arguing current approaches are flawed. It proposes a new framework prioritizing respect for persons and individual decision-making over traditional autonomy concepts.

Area of Science:

  • Bioethics
  • Medical Ethics
  • Philosophy of Medicine

Background:

  • Medical ethicists traditionally link respect for autonomy with informed consent procedures.
  • Onora O'Neill identifies significant issues with this established perspective.
  • Existing frameworks may not adequately address the complexities of patient autonomy.

Purpose of the Study:

  • To critically evaluate Onora O'Neill's critique of autonomy and informed consent in medical ethics.
  • To assess the adequacy of O'Neill's proposed solution, "principled autonomy."
  • To propose an alternative framework for understanding autonomy and informed consent.

Main Methods:

  • Philosophical analysis of ethical theories concerning autonomy and informed consent.
  • Critique of O'Neill's arguments regarding deception, coercion, and principled autonomy.

Related Experiment Videos

  • Development of an alternative ethical framework based on respecting persons as ends.

    • Main Results:

    • O'Neill's critique of the traditional view of autonomy and informed consent is found to be compelling.
    • O'Neill's proposed solution, "principled autonomy," is deemed insufficient to justify informed consent procedures.
    • The ethical justification for avoiding coercion cannot be solely derived from principled autonomy.

    Conclusions:

    • Rethinking autonomy and informed consent requires moving beyond current models.
    • A framework emphasizing respect for persons as ends in themselves offers a stronger foundation.
    • Liberal commitments to individual decision-making should be central to informed consent discussions.