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Autonomy and the Situated Self - A Challenge to Bioethics (Paperback)
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Autonomy and the Situated Self - A Challenge to Bioethics (Paperback)
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Bioethics tells a heroic story about its origins and purpose. The
impetus for its contemporary development can be traced to concern
about widespread paternalism in medicine, mistreatment of research
subjects used in medical experimentation, and questions about the
implication of technological developments in medical practice.
Bioethics, then, began as a defender of the interests of patients
and the rights of research participants, and understood itself to
play an important role as a critic of powerful interests in
medicine and medical practice. Autonomy and the Situated Self
argues that, as bioethics has become successful, it no longer
clearly lives up to these founding ideals, and it offers a critique
of the way in which contemporary bioethics has been co-opted by the
very institutions it once sought (with good reason) to criticize
and transform. In the process, it has become mainstream, moved from
occupying the perspective of a critical outsider to enjoying the
status of a respected insider, whose primary role is to defend
existing institutional arrangements and its own privileged
position. The mainstreaming of bioethics has resulted in its
domestication: it is at home in the institutions it would once have
viewed with skepticism, and a central part of practices it would
once have challenged. Contemporary bioethics is increasingly
dominated by a conception of autonomy that detaches the value of
choice from the value of the things chosen, and the central role
occupied by this conception makes it difficult for the bioethicist
to make ethical judgments. Consequently, despite its very public
successes, contemporary bioethics is largely failing to offer the
ethical guidance it purports to be able to provide. In addition to
providing a critique, this book offers an alternative framework
that is designed to allow bioethicists to address the concerns that
led to the creation of bioethics in the first place. This
alternative framework is oriented around a conception of autonomy
that works within the ethical guidelines provided by a contemporary
form of virtue ethics, and which connects the value of autonomous
choice to a conception of human flourishing.
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