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Autonomy, discourse, and power: a postmodern reflection on principlism and bioethics.

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  • المؤلفون: McGrath P;McGrath P
  • المصدر:
    The Journal of medicine and philosophy [J Med Philos] 1998 Aug; Vol. 23 (5), pp. 516-32.
  • نوع النشر :
    Journal Article
  • اللغة:
    English
  • معلومة اضافية
    • المصدر:
      Publisher: Oxford University Press Country of Publication: United States NLM ID: 7610512 Publication Model: Print Cited Medium: Print ISSN: 0360-5310 (Print) Linking ISSN: 03605310 NLM ISO Abbreviation: J Med Philos Subsets: MEDLINE
    • بيانات النشر:
      Publication: 2008- : Cary, NC : Oxford University Press
      Original Publication: Chicago, Published for the Society for Health and Human Values by the Univ. of Chicago Press.
    • الموضوع:
      Bioethics* ; Home Care Services* ; Patient Advocacy* ; Personal Autonomy* ; Philosophy* ; Philosophy, Medical* ; Postmodernism* ; Principle-Based Ethics*; Ethicists ; Hospice Care ; Humans
    • نبذة مختصرة :
      In recent years there has been an increasing critique of the philosophically based reasoning in bioethics which is known as principlism. This article seeks to make a postmodern contribution to this emerging debate by using notions of power and discourse to highlight the limits and superficiality of this abstract, rationalistic mode of reflection. The focus of the discussion will be on the principle of autonomy. Recent doctoral research on a hospice organization (Karuna Hospice Service) will be used to contextualize the debate to end-of life ethical dilemmas. The conclusion will be reached that the discursive richness of this organization's notion of autonomy or choice, which incorporates a holistic respect for the individual and the active creation of alternatives, can provide important insights to our understanding of autonomy in bioethics. The concern is raised that if autonomy is reified as a principle outside of the context of discourse, it may only complement the hegemonic power of biomedicine.
    • Contributed Indexing:
      Indexing Agency: KIE Local ID #: 62116.
      Keywords: Analytical Approach; Bioethics and Professional Ethics; Death and Euthanasia; Karuna Hospice Service (Brisbane, QLD); Philosophical Approach
      Note: Note: the journal issue cover shows a date of August 1998, which is incorrect. Note: 2 fn. Note: KIE BoB Subject Heading: bioethics Note: KIE BoB Subject Heading: terminal care/hospices Note: Full author name: McGrath, Pam
    • الموضوع:
      Date Created: 19990119 Date Completed: 19990324 Latest Revision: 20041117
    • الموضوع:
      20240829
    • الرقم المعرف:
      10.1076/jmep.23.5.516.2568
    • الرقم المعرف:
      9892038