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The Concept of Autonomy and Its Role in Kantian Ethics

Published online by Cambridge University Press:  29 February 2012

Extract

Among bioethicists, and perhaps ethicists generally, the idea that we are obliged to respect autonomy is something of a shibboleth. Appeals to autonomy are commonly put to work to support legal and moral claims about the importance of consent, but they also feed a wider discourse in which the patient’s desires are granted a very high importance and medical paternalism is regarded as almost self-evidently indefensible.

Type
Special Section: Kant, Habermas, and Bioethics
Copyright
Copyright © Cambridge University Press 2012

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References

1. Beauchamp, T, Childress, J.Principles of Biomedical Ethics. 6th ed.New York: Oxford University Press; 2009:99.Google Scholar

2. Gillon, R.Ethics needs principles. Journal of Medical Ethics 2003;29(10):307–12, passim.CrossRefGoogle ScholarPubMed

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5. Kant, I.Grounding for the Metaphysics of Morals. Indianapolis: Hackett;1993:4:412Google Scholar. Where possible, I shall give pagination as it appears in the Prussian Academy edition of Kant’s work.

6. See note 5, Kant 1993, at 4:427; emphasis mine.

7. Ibid., at 4:412; emphasis mine.

8. Ibid., at 4:390.

9. Ibid., at 4:440; emphasis mine.

10. Kant, I. The conflict of the faculties. In: Kant, I.Religion and Rational Theology. Cambridge: Cambridge University Press; 1996CrossRefGoogle Scholar, at 7:27.

11. O’Neill, O.Autonomy and Trust in Bioethics. Cambridge: Cambridge University Press; 2005Google Scholar, at 85; emphasis mine.

12. Kant, I.The Metaphysics of Morals. Cambridge: Cambridge University Press; 1996CrossRefGoogle Scholar, at 6:207.

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14. Norman, R.The Moral Philosophers. New York: Oxford University Press; 1998Google Scholar, at §6.

15. See note 5, Kant 1993, passim.

16. See note 12, Kant 1996, at 6:462; emphasis mine.

17. See note 5, Kant 1993, at 4:429.

18. Ibid., 4:436.

19. See note 12, Kant 1996, at 6:462.

20. See note 5, Kant 1993, at 4:390, 397–9.

21. See note 12, Kant 1996, at 6:443.

22. Kant, I. On a supposed right to lie because of philanthropic concerns. In: Kant, I.Grounding for the Metaphysics of Morals. Indianapolis: Hackett; 1993Google Scholar, passim.

23. See note 13, Kant 1997, at 5:33.

24. See note 5, Kant 1993, at 4:427–8.

25. See note 13, Kant 1997, at 5:61, emphasis added.

26. Although cf. Law, I.Autonomy, sanity and moral theory. Res Publica 2003;9(1):3956CrossRefGoogle ScholarPubMed, passim, although esp. 51, para 2.

27. See note 12, Kant 1996, at 6:237.

28. See note 12, Kant 1996, at 6:454.

29. See note 5, Kant 1993, at 4:452–3.

30. Walker M. How Kant should have justified his categorical imperative. Unpublished, 2007.

31. Rousseau, JJ. The Social Contract. In: Barker, E, ed. Social Contract. London: Oxford University Press; 1960:167307Google Scholar, at 184.

32. Ibid., at 185.

33. Kant, I. An answer to the question: What is enlightenment? In: Reiss, H, ed. Kant: Political Writings. Cambridge: Cambridge University Press; 1991:5460Google Scholar, at 55, 59.

34. Schopenhauer, A.On the Basis of Morality. Indianapolis: Hackett; 1995Google Scholar, at §§ III and IV.

35. See note 34, Schopenhauer 1995, at 211.

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