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Autonomy and Adaptive Preferences

Utilitas 23 (1):52-71 (2011)

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  1. Autonomy in HIV Testing: A Call for a Rethink of Personal Autonomy in the HIV Response in Sub-Saharan Africa.Kasoka Kasoka - 2020 - Medicine, Health Care and Philosophy 23 (3):519-536.
    The author reviews various conceptions of autonomy to show that humans are actually not autonomous, strictly speaking. He argues for a need to rethink the personal autonomy approaches to HIV testing in sub-Saharan Africa countries. HIV/aids has remained a leading cause of disease burden in SSA. It is important to bring this disease burden under control, especially given the availability of current effective antiretroviral regimens in low- and middle-income countries. In most SSA countries the ethic or value of personal autonomy (...)
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  • Authenticity and Psychiatric Disorder: Does Autonomy of Personal Preferences Matter? [REVIEW]Manne Sjöstrand & Niklas Juth - 2014 - Medicine, Health Care and Philosophy 17 (1):115-122.
    In healthcare ethics there is a discussion regarding whether autonomy of personal preferences, what sometimes is referred to as authenticity, is necessary for autonomous decision-making. It has been argued that patients’ decisions that lack sufficient authenticity could be deemed as non-autonomous and be justifiably overruled by healthcare staff. The present paper discusses this issue in relation certain psychiatric disorders. It takes its starting point in recent qualitative studies of the experiences and thoughts of patients’ with anorexia nervosa where issues related (...)
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  • Autonomy and Ulysses Arrangements.Lubomira V. Radoilska - 2012 - In Lubomira Radoilska (ed.), Autonomy and Mental Disorder. Oxford University Press. pp. 252-280.
    In this chapter, I articulate the structure of a general concept of autonomy and then reply to possible objections with reference to Ulysses arrangements in psychiatry. The line of argument is as follows. Firstly, I examine three alternative conceptions of autonomy: value-neutral, value-laden, and relational. Secondly, I identify two paradigm cases of autonomy and offer a sketch of its concept as opposed to the closely related freedom of action and intentional agency. Finally, I explain away the autonomy paradox, to which (...)
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  • Autonomy, Rationality, and Contemporary Bioethics.Jonathan Pugh - 2020 - Oxford, UK: Oxford University Press.
    Personal autonomy is often lauded as a key value in contemporary Western bioethics. Though the claim that there is an important relationship between autonomy and rationality is often treated as uncontroversial in this sphere, there is also considerable disagreement about how we should cash out the relationship. In particular, it is unclear whether a rationalist view of autonomy can be compatible with legal judgments that enshrine a patient's right to refuse medical treatment, regardless of whether the reasons underpinning the choice (...)
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  • The Preference Satisfaction Model of Linguistic Advantage.Brian Carey - 2019 - Critical Review of International Social and Political Philosophy 22 (2):134-154.
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  • Towards a ‘Sociorelational’ Approach to Conceptualizing and Managing Addiction.Yvette van der Eijk & Susanne Uusitalo - 2016 - Public Health Ethics 9 (2):198-207.
    This article looks at how and why addiction should be understood as a ‘sociorelational’ disorder, and what this implies on a policy level in terms of the treatment and prevention of addiction. In light of scientific research, we argue that the neurobiological changes that underlie addiction are heavily influenced by sociorelational processes. We thereby advocate for a conceptual approach in which autonomy in addiction is a sociorelational concept, and social environments are considered autonomy undermining or autonomy promoting. We then discuss (...)
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  • The Dead Donor Rule: A Defense.Samuel C. M. Birch - 2013 - Journal of Medicine and Philosophy 38 (4):426-440.
    Miller, Truog, and Brock have recently argued that the “dead donor rule,” the requirement that donors be determined to be dead before vital organs are procured for transplantation, cannot withstand ethical scrutiny. In their view, the dead donor rule is inconsistent with existing life-saving practices of organ transplantation, lacks a cogent ethical rationale, and is not necessary for maintenance of public trust in organ transplantation. In this paper, the second of these claims will be evaluated. (The first and third are (...)
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  • Self-Censorship for Democrats.Matthew Festenstein - 2018 - European Journal of Political Theory 17 (3):324-342.
    On the face of it, self-censorship is profoundly subversive of democracy, particularly in its talk-centric forms, and undermines the culture of openness and publicity on which it relies. This paper has two purposes. The first is to develop a conception of self-censorship that allows us to capture what is distinctive about the concept from a political perspective and which allows us to understand the democratic anxiety about self-censorship: if it is not obvious that biting our tongues is always wrong, we (...)
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  • Relational Autonomy and the Ethics of Health Promotion.A. Wardrope - 2015 - Public Health Ethics 8 (1):50-62.
    Recent articles published in this journal have highlighted the shortcomings of individualistic approaches to health promotion, and the potential contributions of relational analyses of autonomy to public health ethics. I argue that the latter helps to elucidate the former, by showing that an inadequate analysis of autonomy leads to misassignment of both forward-looking and backward-looking responsibility for health outcomes. Health promotion programmes predicated on such inadequate analyses are then ineffective, because they assign responsibility to agents whose social environment inhibits their (...)
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  • Adaptation, Autonomy, and Authority.Dale Dorsey - 2013 - In Juha Räikkä & Jukka Varelius (eds.), Adaptation and Autonomy: Adaptive Preferences in Enhancing and Ending Life. Springer. pp. 27--47.
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  • Should the Homeless Be Forcibly Helped?Bart van Leeuwen & Michael S. Merry - 2019 - Public Health Ethics 12 (1):30-43.
    When are we morally obligated as a society to help the homeless, and is coercive interference justified when help is not asked for, even refused? To answer this question, we propose a comprehensive taxonomy of different types of homelessness and argue that different levels of autonomy allow for interventions with varying degrees of pressure to accept help. There are only two categories, however, where paternalism proper is allowed, be it heavily qualified. The first case is the homeless person with severely (...)
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  • Adaptive Preferences: Merging Political Accounts and Well-Being Accounts.Rosa Terlazzo - 2015 - Canadian Journal of Philosophy 45 (2):179-196.
    Accounts of adaptive preferences are of two kinds: well-being accounts fully theorized for their own sake and political accounts theorized to facilitate the political project of reducing oppression and marginalization. Given their practical role, the latter are often less fully theorized, and are therefore less robust to theoretical criticism. In this paper, I first draw on well-being accounts to identify the well-theorized elements that political accounts should want to adopt in order to strengthen their project and avoid common criticisms. Second, (...)
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  • The Perfectionism of Nussbaum's Adaptive Preferences.Rosa Terlazzo - 2014 - Journal of Global Ethics 10 (2):183-198.
    Although the problem of adaptiveness plays an important motivating role in her work on human capabilities, Martha Nussbaum never gives a clear account of the controversial concept of adaptive preferences on which she relies. In this paper, I aim both to reconstruct the most plausible account of the concept that may be attributed to Nussbaum and to provide a critical appraisal of that account. Although her broader work on the capabilities approach moves progressively towards political liberalism as time passes, I (...)
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  • The Preference Satisfaction Model of Linguistic Advantage.Brian Carey - 2017 - Critical Review of International Social and Political Philosophy 22 (2):1-21.
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  • The Importance of Disambiguating Adaptive States in Development Theory and Practice.Laura Engel - 2017 - Hypatia 32 (3):540-556.
    This article proposes a way to disambiguate the evaluative states currently identified as “adaptive preferences” in development literature. It provides a brief analysis of Serene Khader's Deliberative Perfectionist Approach, and demonstrates that distinguishing between adaptive states has important implications for the theory and practice of development intervention. Although I support Khader's general approach and consider my project to be complementary, I argue that the term preferences be replaced with four distinct terms: beliefs, choices, desires, and values. Distinguishing among adaptive states (...)
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  • Feminism, Adaptive Preferences, and Social Contract Theory.Mary Barbara Walsh - 2015 - Hypatia 30 (4):829-845.
    Feminists have long been aware of the pathology and the dangers of what are now termed “adaptive preferences.” Adaptive preferences are preferences formed in unconscious response to oppression. Thinkers from each wave of feminism continue to confront the problem of women's internalization of their own oppression, that is, the problem of women forming their preferences within the confining and deforming space that patriarchy provides. All preferences are, in fact, formed in response to a limited set of options, but not all (...)
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  • The Desire to Work as an Adaptive Preference.Michael Cholbi - 2018 - Autonomy 4.
    Many economists and social theorists hypothesize that most societies could soon face a ‘post-work’ future, one in which employment and productive labor have a dramatically reduced place in human affairs. Given the centrality of employment to individual identity and its pivotal role as the primary provider of economic and other goods, transitioning to a ‘post-work’ future could prove traumatic and disorienting to many. Policymakers are thus likely to face the difficult choice of the extent to which they ought to satisfy (...)
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  • This Paper Took Too Long to Write: A Puzzle About Overcoming Weakness of Will.Rachel McKinnon & Mathieu Doucet - 2015 - Philosophical Psychology 28 (1):49-69.
    The most discussed puzzle about weakness of will (WoW) is how it is possible: how can a person freely and intentionally perform actions that she judges she ought not perform, or that she has resolved not to perform? In this paper, we are concerned with a much less discussed puzzle about WoW?how is overcoming it possible? We explain some of the ways in which previously weak-willed agents manage to overcome their weakness. Some of these are relatively straightforward?as agents learn of (...)
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  • Authenticity and Autonomy in Deep-Brain Stimulation.Alistair Wardrope - 2014 - Journal of Medical Ethics 40 (8):563-566.
    Felicitas Kraemer draws on the experiences of patients undergoing deep-brain stimulation to propose two distinct and potentially conflicting principles of respect: for an individual's autonomy , and for their authenticity. I argue instead that, according to commonly-invoked justifications of respect for autonomy, authenticity is itself in part constitutive of an analysis of autonomy worthy of respect; Kraemer's argument thus highlights the shortcomings of practical applications of respect for autonomy that emphasise competence while neglecting other important dimensions of autonomy such as (...)
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  • Moral Bio-Enhancement, Freedom, Value and the Parity Principle.Jonathan Pugh - 2019 - Topoi 38 (1):73-86.
    A prominent objection to non-cognitive moral bio-enhancements is that they would compromise the recipient’s ‘freedom to fall’. I begin by discussing some ambiguities in this objection, before outlining an Aristotelian reading of it. I suggest that this reading may help to forestall Persson and Savulescu’s ‘God-Machine’ criticism; however, I suggest that the objection still faces the problem of explaining why the value of moral conformity is insufficient to outweigh the value of the freedom to fall itself. I also question whether (...)
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  • Adaptive Preferences Are a Red Herring.Dale Dorsey - 2017 - Journal of the American Philosophical Association 3 (4):465-484.
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  • Which Problem of Adaptation?Willem van der Deijl - 2017 - Utilitas 29 (4):474-492.
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  • Feminist Perspectives on Autonomy.Natalie Stoljar - forthcoming - Stanford Encyclopedia of Philosophy.
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