| advertise add site services publishers database health videos | ![]() | about toolbar stats live show health store more stuff JOIN/LOGIN |
Autonomy in the NHS: UK Midwifery Archives midwifery.org.uk | E-News 1:26 - Autonomy midwiferytoday.com | Practice Autonomy and Group Independence ema-ed.com |
For other uses, see Autonomy (disambiguation).
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.
[edit] SociologyIn 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] PoliticsIn 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] PhilosophyThe 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] MedicineIn 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 autonomyAutonomy 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 systemsAutonomy is an increasing feature of space systems with two objectives
[edit] Various uses
[edit] See also
|
| ↑ top of page ↑ | about thumbshots |