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Göteborgs universitets publikationer

Promotion of Autonomy as a Goal of Medicine: Prospects and Problems

Författare och institution:
Christian Munthe (Filosofiska institutionen)
Publicerad i:
6th World Congress of the International Association of Bioethics, Brasilia, 31 october - 3 november 2002,
Konferensbidrag, övrigt
Sammanfattning (abstract):
The goals of medicine are positive values defining what makes health care better - to what ends medicine should strive. Such goals form the basis for determinations of what medical procedures should be offered, what forms such offers should take, how they should be distributed, etc. Normative restrictions and principles also come into play in this and may spark well-known disagreements in bioethics. Although sometimes marginally questioned, however, traditional goals of releaving suffering and prolonging life enjoy strong support. However, an increasing trend is to suggest that these goals should be amended by a further one: the promotion of autonomy. This suggestion emerges when pondering the introduction of medical procedures in demand that cannot be shown to clearly promote traditional medical goals, most notably in assisted reproduction and genetic testing. Going beyond the idea of respect for autonomy, this suggestion claims autonomy to be a positive value, whose promotion can by itself motivate the use of medical procedures. Having emerged in the fields of genetic counselling and assisted reproduction, these areas will be taken as points of departure for an exploration of both theoretical and practical issues raised by this suggestion. Initially, I will argue that its basic idea is sound. However, it also creates theoretical problems of resolving interpersonal autonomy-conflicts and determining degrees of autonomy. Practical implications, such as the issue of whether or not the suggestion leaves any room for reasons to deny access to medical procedures although they are in demand, will be dealt with as well.
Ämne (baseras på Högskoleverkets indelning av forskningsämnen):
Hälsovetenskaper ->
Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi
Hälsovetenskaper ->
Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi
Filosofi, etik och religion ->
Filosofi ->
Praktisk filosofi
autonomy, ethics, medicine, goals of medicine, health policy
Postens nummer:
Posten skapad:
2007-05-21 11:26

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