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  1. Varied and Principled Understandings of Autonomy in English Law: Justifiable Inconsistency or Blinkered Moralism? [REVIEW]John Coggon - 2007 - Health Care Analysis 15 (3):235-255.
    Autonomy is a concept that holds much appeal to social and legal philosophers. Within a medical context, it is often argued that it should be afforded supremacy over other concepts and interests. When respect for autonomy merely requires non-intervention, an adult’s right to refuse treatment is held at law to be absolute. This apparently simple statement of principle does not hold true in practice. This is in part because an individual must be found to be competent to make a valid (...)
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  • Autonomy, Wellbeing, and the Case of the Refusing Patient.Jukka Varelius - 2005 - Medicine, Health Care and Philosophy 9 (1):117-125.
    A moral problem arises when a patient refuses a treatment that would save her life. Should the patient be treated against her will? According to an influential approach to questions of biomedical ethics, certain considerations pertaining to individual autonomy provide a solution to this problem. According to this approach, we should respect the patient’s autonomy and, since she has made an autonomous decision against accepting the treatment, she should not be treated. This article argues against the view that our answer (...)
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  • The rationality of eating disorders.Stephen Gadsby - 2023 - Mind and Language 38 (3):732-749.
    Sufferers of eating disorders often hold false beliefs about their own body size. Such beliefs appear to violate norms of rationality, being neither grounded by nor responsive to appropriate forms of evidence. I defend the rationality of these beliefs. I argue that they are in fact supported by appropriate evidence, emanating from proprioceptive misperception of bodily boundaries. This argument has far‐reaching implications for the explanation and treatment of eating disorders, as well as debates over the relationship between rationality and human (...)
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  • The Value of Autonomy in Medical Ethics.Jukka Varelius - 2006 - Medicine, Health Care and Philosophy 9 (3):377-388.
    This articles assesses the arguments that bioethicists have presented for the view that patient’ autonomy has value over and beyond its instrumental value in promoting the patients’ wellbeing. It argues that this view should be rejected and concludes that patients’ autonomy should be taken to have only instrumental value in medicine.
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  • Ethical research in delirium: Arguments for including decisionally incapacitated subjects.Dimitrios Adamis, Adrian Treloar, Finbarr C. Martin & Alastair J. D. Macdonald - 2010 - Science and Engineering Ethics 16 (1):169-174.
    Here we describe how more important findings were obtained in a delirium study by using an informal assessment of mental capacity, and, in those who lacked capacity, obtaining consent later when or if capacity returned or a proxy was found. From a total of 233 patients 23 patients lacked capacity as judged by our informal capacity judgment and 210 did not. Of those who lacked capacity, 13 agreed to enter in the study. Six of them regained capacity later. When these (...)
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  • Coercive treatment and autonomy in psychiatry.Manne Sjöstrand & Gert Helgesson - 2008 - Bioethics 22 (2):113–120.
    There are three lines of argument in defence of coercive treatment of patients with mental disorders: arguments regarding (1) societal interests to protect others, (2) the patients' own health interests, and (3) patient autonomy. In this paper, we analyse these arguments in relation to an idealized case, where a person with a mental disorder claims not to want medical treatment for religious reasons. We also discuss who should decide what in situations where patients with mental disorders deny treatment on seemingly (...)
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  • Ethical deliberations about involuntary treatment: interviews with Swedish psychiatrists.Manne Sjöstrand, Lars Sandman, Petter Karlsson, Gert Helgesson, Stefan Eriksson & Niklas Juth - 2015 - BMC Medical Ethics 16 (1):1-12.
    BackgroundInvoluntary treatment is a key issue in healthcare ethics. In this study, ethical issues relating to involuntary psychiatric treatment are investigated through interviews with Swedish psychiatrists.MethodsIn-depth interviews were conducted with eight Swedish psychiatrists, focusing on their experiences of and views on compulsory treatment. In relation to this, issues about patient autonomy were also discussed. The interviews were analysed using a descriptive qualitative approach.ResultsThe answers focus on two main aspects of compulsory treatment. Firstly, deliberations about when and why it was justifiable (...)
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  • Execution by Lethal Injection, Euthanasia, Organ‐Donation and the Proper Goals of Medicine.Jukka Varelius - 2007 - Bioethics 21 (3):140-149.
    ABSTRACT In a recent issue of this journal, David Silver and Gerald Dworkin discuss the physicians' role in execution by lethal injection. Dworkin concludes that discussion by stating that, at that point, he is unable to think of an acceptable set of moral principles to support the view that it is illegitimate for physicians to participate in execution by lethal injection that would not rule out certain other plausible moral judgements, namely that euthanasia is under certain conditions legitimate and that (...)
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  • Autonomy integrity: Another way to understand autonomy in psychiatry?Nicolas Foureur & Perrine Galmiche - 2019 - Clinical Ethics 14 (4):178-186.
    The decision to involuntary hospitalize a patient underlines an inherent contradiction in psychiatry between the need for care and the lack of consent to care. The growing importance of respect for...
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