Autonomy and Patients' Decisions

Front Cover
Lexington Books, 2005 - Health & Fitness - 273 pages
Patient autonomy is an important concept in the clinical context, but the idea in contemporary bioethics discussions is often muddled. By looking closely at the ideas of Rosseau, Kant, and Mill, Autonomy and Patients' Decisions traces the modern concept of autonomy from its historical roots. Charting the changes in notions of autonomy in Beauchamp and Childress's seminal Principles of Biomedical Ethics to provide an overview of how autonomy has been viewed in the field, Merle Spriggs then identifies the four distinct notions of autonomy being referred to in contemporary discussion. The examination of these notions, especially the "descriptive psychological" account, in relation to case studies provides a clear concept of autonomy, compatible with both consequentialist and rights-based theories of ethics. This book provides a clear understanding of patient autonomy and will prove essential reading for health care professionals, bioethicsts, and philosophers.
 

Contents

KANTS IDEA OF AUTONOMY
3
MILLIAN IDEAS IN CONTEMPORARY INTERPRETATIONS OF AUTONOMY
27
THE DEVELOPMENT OF THE CONTEMPORARY IDEA OF AUTONOMY
39
DIFFERENT NOTIONS OF AUTONOMY
71
DIFFERENT NOTIONS OF AUTONOMY IDENTIFIED
73
CRITICAL ANALYSIS OF THE DIFFERENT CONCEPTIONS OF AUTONOMY
105
THE SEARCH FOR A BETTER MORE DEFENSIBLE THEORY
143
CAN A GOOD DESCRIPTIVE PSYCHOLOGICAL ACCOUNT OF AUTONOMY BE ACHIEVED?
145
SOME TEST CASES FOR THEORIES OF AUTONOMY
185
CONCLUSION PRELIMINARY IDEAS FOR A BETTER MORE USEFUL THEORY FOR THE CLINICAL CONTEXT
233
BIBLIOGRAPHY
253
INDEX
265
ABOUT THE AUTHOR
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About the author (2005)

Merle Spriggs is Ethicist at Murdoch Childrens Research Institiute, Australia.

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