By Onora O'Neill
Onora O'Neill means that the conceptions of person autonomy (so generally depended on in bioethics) are philosophically and ethically insufficient; they undermine instead of aid relationships in accordance with belief. Her arguments are illustrated with matters raised via such practices because the use of genetic details by way of the police, examine utilizing human tissues, new reproductive applied sciences, and media practices for reporting on medication, technology and expertise. The examine appeals to quite a lot of readers in ethics, bioethics and comparable disciplines.
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Extra resources for Autonomy and Trust in Bioethics (Gifford Lectures, 2001)
Skorupski, John Stuart Mill, ; also p. . Mill, On Liberty, . Autonomy and Trust in Bioethics character or individuality contribute pre-eminently to the wellbeing of humankind, making ‘the free development of individuality . . By adopting this distinctive view of the sources of Utility or well-being, Mill can argue plausibly that individuality, and the liberty that protects it, are essential for utility; and more speciﬁcally that liberty is necessary for each to cultivate his or her own individuality and character and so to contribute both to individual and to social well-being.
Alcibiades was splendidly autonomous, and betrayed all the trust placed in him. Once we interpret autonomy simply as independence from others, or from others’ views or their preferences, the tension between autonomy Stanley Milgram, Obedience to Authority: An Experimental View, Tavistock Publications, . Jean Piaget, The Moral Judgement of the Child, Penguin, . Lawrence Kohlberg, The Philosophy of Moral Development, Harper & Row, . , . Gaining autonomy and losing trust? and trust is unsurprising.
Of course, some patients may use this liberty to accept or refuse treatment with a high degree of reﬂection and individuality, hence (on some accounts) with a high degree of individual or personal autonomy. But this need not generally be the case. Autonomy and Trust in Bioethics Requirements for informed consent are relevant to speciﬁcally autonomous choice only because they are relevant to choice of all sorts. What passes for patient autonomy in medical practice is operationalised by practices of informed consent: the much-discussed triumph of autonomy is mostly a triumph of informed consent requirements.