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 Autonomy in the NHS: UK Midwifery Archives
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Autonomy (Ancient Greek: αυτονόμος autonomos, Modern Greek: αυτονομία autonomia, from auto "self" + nomos, "law": one who gives oneself his/her own law) is a concept found in moral, political, and bioethical philosophy. Within these contexts, it refers to the capacity of a rational individual to make an informed, un-coerced decision. In moral and political philosophy, autonomy is often used as the basis for determining moral respectibility for one's actions. One of the best known philosophical theories of autonomy was developed by Kant. In medicine, respect for the autonomy of patients is an important goal, though it can conflict with a competing ethical principle, namely beneficence. Politically, it is also used to refer to the self-governing of a people.

Contents

[edit] Sociology

In the subfield of Sociology called Sociology of knowledge, controversy over the boundaries of autonomy stopped at the concept of relative autonomy (BOURDIEU, 2001), until a typology of autonomy was created and developed within science and technology studies (MARANHÃO, 2005; 2006; 2007; SOBRAL & MARANHÃO, 2008). According to it, the contemporary form of Science's existing autonomy is the REFLEXIVE AUTONOMY: actors and structures within the scientific field are able to translate or to reflect diverse themes presented by social and political fields, as well as influence them regarding the thematic choices on research projects.

[edit] Politics

In the United States government, autonomy refers to one's own self-governance. In the past few decades, a large movement of autonomism has emerged in the form of anarchism, and the anarcho-capitalist movement.

[edit] Philosophy

The word autonomy has several things in philosophical contexts. In ethics, autonomy refers to a person's capacity for self-determination in the context of moral choices. Kant argued that autonomy is demonstrated by a person who decides on a course of action out of respect for moral duty. That is, an autonomous person acts morally solely for the sake of doing "good", independently of other incentives. In his Groundwork of the Metaphysic of Morals, Kant applied this concept to create a definition of personhood. He suggested that such compliance with moral law creates the essence of human dignity. In metaphysical philosophy, the concept of autonomy is referenced in discussions about free will, fatalism, determinism, and agency.

[edit] Medicine

In a medical context, respect for a patient's autonomy is considered a fundamental ethical principle. This belief is the central premise of the concept of informed consent and shared decision making. This idea, while considered essential to today's practice of medicine, was developed in the last 50 years. According to Beauchamp and Childress (in Principles of Biomedical Ethics), the Nuremberg trials detailed accounts of horrifyingly exploitative medical "experiments." These incidences prompted calls for safeguards in medical research. In the 1940s, the phrase "informed consent" appeared but didn't become widely used until the 1970s. Initially, discussions about informed consent focused almost exclusively on research subjects, but eventually has come to apply to the conventional physician-patient relationship as well. The seven elements of informed consent (as defined by Beauchamp) include threshold elements (Competence and Voluntariness), information elements (Disclosure, Recommendation, and Understanding) and consent elements (Decision and Authorization).

[edit] Restrictions on autonomy

Autonomy can be, and usually is to one extent or another, waived to another authority, such as by agreeing to follow governing laws. The actions available to an autonomous unit can be restricted by a more powerful authority, such as when a cattleman sets a fence around his herd, or a court sentences a criminal to prison. The decisions of an autonomous unit can be coerced, and its actions forced. Autonomy can be restricted through the aspect of the ability to act, as in the case of a newborn or through the aspect of the ability to decide as in the case of a person in a coma.

[edit] Space systems

Autonomy is an increasing feature of space systems with two objectives

  • Mandatory for new functions:
e.g. several spacecraft in formation flight adjust their relative positions so that interferometric measurements with wide basis can be performed
  • Cost reduction:
e.g. failure detection and recovery by spacecraft system without ground station involvement reduces Up-/Downlink usage and reduces operational costs on ground.

[edit] Various uses

  • In computing, an autonomous peripheral is one that can be used with the computer turned off
  • Within self-determination theory in psychology, autonomy refers to 'autonomy support versus control', "hypothesizing that autonomy-supportive social contexts tend to facilitate self-determined motivation, healthy development, and optimal functioning."
  • In mathematical analysis, an ordinary differential equation is said to be autonomous if it is time-independent.
  • In linguistics, an autonomous language is one which is independent of other languages, for example has a standard, grammar books, dictionaries or literature etc.
  • In robotics "autonomy means independence of control. This characterization implies that autonomy is a property of the relation between two agents, in the case of robotics, of the relations between the designer and the autonomous robot. Self-sufficiency, situatedness, learning or development, and evolution increase an agent’s degree of autonomy.", according to Rolf Pfeifer.
  • In economics, autonomous consumption is consumption expenditure when income levels are zero, making spending autonomous to income.

[edit] See also




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