ArticleThe Journal of medicine and philosophy2021
A Genealogy of Autonomy: Freedom, Paternalism, and the Future of the Doctor-Patient Relationship.
Article in The Journal of medicine and philosophy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
What it found
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Chronic kidney disease, female infertility, and medically assisted reproduction: a best practice position statement by the Kidney and Pregnancy Group of the Italian Society of Nephrology.Journal of nephrology · 2023Guideline
- Ethical challenges among registered dietitians in oral nutritional supplement prescription.Nursing ethics · 2026Article
- The repaired man or the man with extras: medical human-cyborgs.Frontiers in digital health · 2026Article
- Clinicians' Perspectives and an Ethical Analysis of Safer Supply Opioid Prescribing.Journal of bioethical inquiry · 2025Article
- How Gatekeepers Can Better Appreciate the Autonomy of Transgender Patients.Journal of general internal medicine · 2025Article
- Nudging in the nursing home: A qualitative interpretive study.International journal of nursing studies advances · 2025Article
- Ontology of doctor and patient relationship and bioethics: from Aristotle's teleology to Pellegrino's philosophy of medicine.Medicine, health care, and philosophy · 2025Article
- Free to err? Conceptualising personal autonomy in the postpandemic welfare state.Global bioethics = Problemi di bioetica · 2025Article
- Rural health dialogue for the sustainability of help-seeking behaviors among older patients: grounded theory approach.BMC geriatrics · 2023Article
- Considerations of Conscience.HEC forum : an interdisciplinary journal on hospitals' ethical and legal issues · 2021Article
- Residents' experiences of paternalism in nursing homes.Nursing ethicsArticle
Corrections and comments
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Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Although the principle of respect for personal autonomy has been the subject of debate for almost 40 years, the conversation has often suffered from lack of clarity regarding the philosophical traditions underlying this principle. In this article, I trace a genealogy of autonomy, first contrasting Kant's autonomy as moral obligation and Mill's teleological political liberty. I then show development from Mill's concept to Beauchamp and Childress' principle and to Julian Savulescu's non-teleological autonomy sketch. I argue that, although the reach for a new principle to guide choices in physician-patient relationships can rightfully be seen as important, the notion that is now called autonomy within bioethics has corollaries that undermine critical aspects of medical care. As such, there is need for a richer account of the interplay between the free choice of patients and the informed recommendations of doctors.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.