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Defining Paternalism

In Thomas Schramme (ed.), New Perspectives on Paternalism and Health Care. Cham: Springer Verlag (2015)

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  1. Sexualisierte Gewalt gegen Minderjährige im medizinischen Ambiente und das Problem von Paternalismus und Täuschung.Mathias Wirth & Heinz-Peter Schmiedebach - 2019 - Ethik in der Medizin 31 (1):7-22.
    ZusammenfassungEs ist ein Standard-Verfahren der Medizinethik, auf die Möglichkeit des Missbrauchs solcher Instrumente hinzuweisen, die im lege-artis-Gebrauch legitim sein können. Ein etabliertes Instrument der medizinischen Praxis sind paternalistische Handlungen, die bei geringer Reichweite individueller Entscheidungskompetenz, etwa bei Minderjährigen, verantwortliches Handeln absichern sollen. In der bisherigen Debatte wird Paternalismus als Problem eines ungerechtfertigten oder übermäßigen Gebrauchs diskutiert. Bislang erscheint in der medizinethischen Paternalismus-Debatte das Problem des scheinbaren Paternalismus zu wenig reflektiert. Auch die Thematik der sexualisierten Gewalt gegen Minderjährige im medizinischen Setting (...)
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  • Paternalism and Populations.Tom Walker - 2016 - Public Health Ethics 9 (1):46-54.
    It is relatively uncontroversial that some public health policies are paternalistic. Furthermore, that they are paternalistic is often taken to show that they are morally wrong. In this article I challenge this position. The article starts by arguing that given standard definitions of paternalism it is unclear why such policies count as paternalistic. Whilst it might appear that they impose restrictions on what individuals can, or cannot, do for their own good, this is not the case. The reason for this (...)
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  • Doing Away with the Agential Bias: Agency and Patiency in Health Monitoring Applications.Nils-Frederic Wagner - 2019 - Philosophy and Technology 32 (1):135-154.
    Mobile health devices pose novel questions at the intersection of philosophy and technology. Many such applications not only collect sensitive data, but also aim at persuading users to change their lifestyle for the better. A major concern is that persuasion is paternalistic as it intentionally aims at changing the agent’s actions, chipping away at their autonomy. This worry roots in the philosophical conviction that perhaps the most salient feature of living autonomous lives is displayed via agency as opposed to patiency—our (...)
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  • Digital Wellness and Persuasive Technologies.Laura Specker Sullivan & Peter Reiner - 2019 - Philosophy and Technology 34 (3):413-424.
    The development of personal technologies has recently shifted from devices that seek to capture user attention to those that aim to improve user well-being. Digital wellness technologies use the same attractive qualities of other persuasive apps to motivate users towards behaviors that are personally and socially valuable, such as exercise, wealth-management, and meaningful communication. While these aims are certainly an improvement over the market-driven motivations of earlier technologies, they retain their predecessors’ focus on influencing user behavior as a primary metric (...)
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  • Suicide Risk Assessments: A Scientific and Ethical Critique.Mike Smith - 2022 - Journal of Bioethical Inquiry 19 (3):481-493.
    There are widely held premises that suicide is almost exclusively the result of mental illness and there is “strong evidence for successfully detecting and managing suicidality in healthcare”. In this context, ‘zero-suicide’ policies have emerged, and suicide risk assessment tools have become a normative component of psychiatric practice. This essay discusses how suicide evolved from a moral to a medical problem and how, in an effort to reduce suicide, a paternalistic healthcare response emerged to predict those at high risk. The (...)
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  • Social Nudges: Their Mechanisms and Justification.Michiru Nagatsu - 2015 - Review of Philosophy and Psychology 6 (3):481-494.
    In this paper I argue that the use of social nudges, policy interventions to induce voluntary cooperation in social dilemma situations, can be defended against two ethical objections which I call objections from coherence and autonomy. Specifically I argue that the kind of preference change caused by social nudges is not a threat to agents’ coherent preference structure, and that there is a way in which social nudges influence behavior while respecting agents’ capacity to reason. I base my arguments on (...)
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  • Getting People into Work: What (if Anything) Can Justify Mandatory Activation of Welfare Recipients?Anders Molander & Gaute Torsvik - 2015 - Journal of Applied Philosophy 32 (4):373-392.
    So-called activation policies aiming at bringing jobless people into work have been a central component of welfare reforms across OECD countries during the last decades. Such policies combine restrictive and enabling programs, but their characteristic feature is that enabling programs are also mandatory, and non-compliers are sanctioned. There are four main arguments that can be used to defend mandatory activation of benefit recipients. We label them efficiency, sustainability, paternalism, and justice. Each argument is analysed in turn. First we clarify which (...)
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  • Basic Income, Cash Transfers, and Welfare State Paternalism.Douglas MacKay - 2019 - Journal of Political Philosophy 27 (4):422-447.
    Journal of Political Philosophy, EarlyView.
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  • Seat Belt Mandates and Paternalism.Jessica Flanigan - 2017 - Journal of Moral Philosophy 14 (3):291-314.
    Seat belt mandates seem like a paradigmatic case of justified paternalism. Even those who generally object to paternalism often concede that seat belt laws are justified. Against this near-consensus in favor of mandates, I argue that seat belt laws are unjust and public officials should not enforce them. The most plausible exceptions to a principle of anti-paternalism do not justify seat belt mandates. Some argue that seat belt mandates are not paternalistic because unbelted riders are not fully autonomous. Others claim (...)
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  • Seat Belt Mandates and Paternalism.Jessica Flanigan - 2017 - Journal of Moral Philosophy 14 (3):291-314.
    _ Source: _Page Count 24 Seat belt mandates seem like a paradigmatic case of justified paternalism. Even those who generally object to paternalism often concede that seat belt laws are justified. Against this near-consensus in favor of mandates, I argue that seat belt laws are unjust and public officials should not enforce them. The most plausible exceptions to a principle of anti-paternalism do not justify seat belt mandates. Some argue that seat belt mandates are not paternalistic because unbelted riders are (...)
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  • II—What’s Wrong with Paternalism: Autonomy, Belief, and Action.David Enoch - 2016 - Proceedings of the Aristotelian Society 116 (1):21-48.
    Several influential characterizations of paternalism or its distinctive wrongness emphasize a belief or judgement that it typically involves—namely, 10 the judgement that the paternalized is likely to act irrationally, or some such. But it's not clear what about such a belief can be morally objectionable if it has the right epistemic credentials (if it is true, say, and is best supported by the evidence). In this paper, I elaborate on this point, placing it in the context of the relevant epistemological (...)
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  • Von kleinen Stupsern und großen Schubsern – Politik und Ethik des Libertären Paternalismus auf dem Prüfstand.Johannes Drerup & Aaron Voloj Dessauer - 2016 - Zeitschrift für Praktische Philosophie 3 (1):347-436.
    Das von Cass Sunstein und Richard Thaler ausgearbeitete Projekt eines Libertären Paternalismus stellt fraglos einen der zurzeit meistdiskutierten neopaternalistischen Theorieentwürfe dar. Als hybride Mischung zwischen Theorieprogramm, politischer Bewegung und praxis- und anwendungsorientiertem Policy-Manual, das zuweilen Züge eines populären philosophischen Lebensratgebers trägt, hat Libertärer Paternalismus viel Zuspruch, aber auch heftige Kritik auf sich gezogen, die in diesem Aufsatz auf ihre Plausibilität geprüft werden. Zu diesem Zweck geben die Autoren zunächst einen kurzen Überblick über Ausgangspunkte, Leitorientierungen und Problemvorgaben des Theorie- und Politikprogramms (...)
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  • Paternalism and our Rational Powers.Michael Cholbi - 2017 - Mind 126 (501):123-153.
    According to rational will views of paternalism, the wrongmaking feature of paternalism is that paternalists disregard or fail to respect the rational will of the paternalized, in effect substituting their own presumably superior judgments about what ends the paternalized ought to pursue or how they ought to pursue them. Here I defend a version of the rational will view appealing to three rational powers that constitute rational agency, which I call recognition, discrimination, and satisfaction. By appealing to these powers, my (...)
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  • Paternalism.Jessica Begon - 2016 - Analysis 76 (3):355-373.
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  • Analysis of the Paternalistic Justification of an Agenda Setting Public Health Policy: The Case of Tobacco Plain Packaging.Thomas Boysen Anker - 2016 - Public Health Ethics 9 (2):208-228.
    This article analyses the paternalistic justification of the world’s first mandatory tobacco plain packaging policy, which came into force in Australia in 2012. The policy is setting international precedence, with a range of developed and developing countries planning and implementing similar policies. Understanding the paternalistic dimension of the policy is therefore of imminent international importance. The policy meets important ethical benchmarks such as respect for citizens’ self-interests and protection of others against harm. However, plain packaging faces a number of ethical (...)
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  • Paternalistic Lying and Deception.Andreas Stokke - 2018 - In Kalle Grill & Jason Hanna (eds.), The Routledge Handbook of Philosophy of Paternalism. Oxford, UK: Routledge.
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  • Responsabilidad y legitimidad en las transferencias monetarias condicionadas.Facundo García Valverde - 2017 - Dianoia 62 (79):193-216.
    Resumen: Este artículo analiza la fundamentación normativa de un tipo de políticas de alivio contra la pobreza comunes durante los últimos años en Latinoamérica, a saber, las transferencias monetarias condicionadas. Se mostrará que la justificación típica de las transferencias monetarias condicionadas es ilegítima en una comunidad política democrática. A través de la indagación de las razones por las que la carga de la prueba se coloca del lado de las transferencias incondicionadas, se mostrará que se apela a una noción controvertida (...)
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