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Autonomy, Trust, and Respect.

Thomas Nys1

  • 1University of Amsterdam, Amsterdam, The Netherlands T.R.V.Nys@uva.nl.

The Journal of Medicine and Philosophy
|December 16, 2015
PubMed
Summary

This study examines autonomy and trust in medical ethics, finding neither relational autonomy nor Hardin's Encapsulated Interest Account fully addresses healthcare's vulnerabilities. Love-based trust also has limitations, suggesting a combined approach is needed for ethical healthcare.

Area of Science:

  • Medical Ethics
  • Philosophy of Medicine
  • Social Psychology

Background:

  • Existing relational autonomy theories inadequately link autonomy and trust.
  • Healthcare settings involve significant patient vulnerability, necessitating robust trust models.

Purpose of the Study:

  • To analyze the relationship between autonomy and trust in the context of medical ethics.
  • To evaluate the adequacy of existing trust models (relational autonomy, Encapsulated Interest Account, love-based trust) for healthcare.
  • To propose a more comprehensive approach to trust in healthcare.

Main Methods:

  • Philosophical analysis of autonomy and trust theories.
  • Critical evaluation of Russell Hardin's Encapsulated Interest Account.
  • Examination of love as a basis for trust in vulnerable situations.
Keywords:
autonomycareloverespecttrust

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Main Results:

  • Relational autonomy theories offer an incomplete account of trust in healthcare.
  • Hardin's Encapsulated Interest Account is insufficiently robust for healthcare contexts.
  • Trust based on love, while seemingly suitable for vulnerability, presents its own challenges.

Conclusions:

  • Neither existing models of trust nor autonomy fully capture the complexities of healthcare relationships.
  • A nuanced approach integrating elements from different trust models is essential for ethical healthcare.
  • Future research should focus on developing practical frameworks for building trust in diverse healthcare scenarios.