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Autonomy, Rationality, and Contemporary Bioethics (Hardcover)
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Autonomy, Rationality, and Contemporary Bioethics (Hardcover)
Series: Oxford Philosophical Monographs
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This is an open access title available under the terms of a CC
BY-NC-ND 4.0 International licence. It is free to read at Oxford
Scholarship Online and offered as a free PDF download from OUP and
selected open access locations. 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 are known
and rational, or indeed whether they even exist. Jonathan Pugh
brings recent philosophical work on the nature of rationality to
bear on the question of how we should understand personal autonomy
in contemporary bioethics. In doing so, he develops a new framework
for thinking about the concept of autonomy, one that is grounded in
an understanding of the different roles that rational beliefs and
rational desires have to play in it. Pugh's account allows for a
deeper understanding of d the relationship between our freedom to
act and our capacity to decide autonomously. His rationalist
perspective is contrasted with other prominent accounts of autonomy
in bioethics, and the revisionary implications it has for practical
questions in biomedicine are also outlined.
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