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The Ethics of Autonomy and Dignity in Long-Term Care

  • Daryl Pullman (a1)

Abstract

Efforts to address the “paradox of autonomy in long-term care” attempt to salvage an ethic of autonomy by redefining the central concept, and then applying it to the long-term care environment. Such attempts are critiqued, and an alternative ethic of dignity for long-term care is developed. Autonomy, it is argued, is crucial to certain aspects of dignity, but should not be confused with the whole of it. Indeed, long after the capacity for autonomy has diminished or vanished, basic dignity continues to exert normative force.

Les tentatives visant à aborder le «paradoxe de l'autonomie dans le domaine des soins de longue durée» tentent de sauver une éthique de l'autonomie en donnant une nouvelle définition à cette éthique et en essayant de l'appliquer au contexte des soins de longue durée. L'auteur critique ces tentatives et propose une autre façon d'aborder ces problèmes: l'éthique de la dignité. Il est soutenu que l'autonomie est fondamentale à certains aspects de la dignité, mais qu'elle ne doit pas être confondue avec celle-ci. En effet, bien après que l'autonomie ait été compromise ou même lorsqu'elle a cessé d'exister, la dignité humaine de base maintient son pouvoir normatif.

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Agich, George J. (1993). Autonomy and long-term care. New York: Oxford.
Beauchamp, Tom L., & Childress, James F. (1989). Principles of biomedicai ethics (3rd ed.). New York: Oxford University Press.
Benner, P., & Wrubel, J. (1989). The primacy of caring: Stress and coping in health and illness. Menlo Park, CA: Addison-Wesley.
Blackhall, Leslie J. et al. (1995). Ethnicity and attitudes toward patient autonomy.
Callahan, Dan. (1984). Autonomy: A moral good, not a moral obsession. Hastings Center Report, 14(5), 4042.
Collopy, B.J. (1988). Autonomy in long term care: Some crucial distinctions. The Gerontologist, 28(Supplement), 1017.
Collopy, B.J., Dubler, N., & Jennings, B. (1990). The ethics of home care: Autonomy and accommodation. Hastings Center Report, 20(Supplement), 116.
Collopy, B.J., Boyle, P., & Jennings, B. (1991). New directions in nursing home ethics. Hastings Center Report Special Supplement, March-April, 116.
Dales, Richard C. (1979). A medieval view of human dignity. Journal of the History of Ideas, 38(4), 557572.
Dodds, Susan. (1996). Exercising restraint: autonomy, welfare and elderly patients. Journal of Medical Ethics, 22(3), 160164.
Dresser, Rebecca. (1995). Dworkin on dementia: Elegant theory, questionable policy. Hastings Center Report, November-December, 3238.
Dworkin, Ronald. (1986). Autonomy and the demented self. Milbank Quarterly, 64(Supplement 2), 416.
Dworkin, Ronald. (1993). Life's dominion. New York: Knopf.
Firlik, Andrew. (1991). Margo's logo. Journal of the American Medical Association, 265(2) (January 9), 201.
Gadow, S.A. (1985). “Nurse and patient: The caring relationship.” In Bishop, A.H. & Scudder, J.R. Jr (Eds.), Caring, curing, coping: Nurse, physician, patient relationships (pp. 3143). Birmingham, AL: University of Alabama Press.
Gamroth, Lucia M. et al. (Eds.) (1994). Enhancing autonomy in long-term care. NewYork: Springer.
Gauthier, David. (1986). Morals by agreement. Oxford: Clarendon Press.
Gaylin, Willard. (1984). In defense of the dignity of being human. Hastings Centre Report, 14(4), 1822.
Goodin, Robert E. (1981). The political theories of choice and dignity. American Philosophical Quarterly, 18(2), 91100.
Haezrahi, Pepita. (19611962). The concept of man as end-in-himself. Kant-Studien, 53, 209224.
Hendin, Herbert. (1995). Selling death and dignity. Hastings Center Report, 25(3)(May-June), 1923.
Henkin, Alice H. (1979). Human dignity: The internationalization of human rights New York: Aspen Institute for Humanities Studies.
Hofland, Brian F. (1988). Autonomy in long term care: Background issues and a programmatic response. The Gerontologist, 28(Supplement), 39.
Holm, Soren. (1995). Not just autonomy — the principles of American biomedicai ethics. Journal of Medical Ethics, 21, 332338.
Howell, M. (1984). Caretakers' views on responsibilities for the care of the demented elderly. Journal of the American Geriatrics Society, 32(9), 657660.
Jameton, Andrew. (1988). In the borderlands of autonomy: Responsibility in long term care facilities. The Gerontologist, 28(Supplement, June), 1823.
Kane, Rosalie A., & Caplan, Arthur C. (Eds.). (1990). Everyday ethics. New York: Springer.
kant, Immanuel. (1987). Fundamental principles of the metaphysics of morals (Abbott, T.K., trans.). Buffalo: Prometheus Books. Original work published 1785.
Kleinig, John. (1991). Valuing Life. Princeton: Princeton University Press.
Lidz, W., Fischer, Lynn, & Arnold, Robert M. (1992). The erosion of autonomy in long-term care. New York: Oxford University Press.
Martin, Richard J., & Post, Stephen G.. (1992). Human dignity, dementia, and the moral basis of caring. In Binstock, Robert H. et al. (Eds.), Dementia and aging: Ethics, values, and policy choices (pp. 5588). Baltimore: Johns Hopkins.
Meyer, Michael J. (1995). Dignity, death and modern virtue. American Philosophical Quarterly, 32(1), 4555.
Moody, Harry R. (1992). A critical view of ethical dilemmas in dementia. In Binstock, Robert H. et al. (Eds.) Dementia and aging: Ethics, values, and policy choices (pp. 86100). Baltimore: Johns Hopkins.
Rodriguez v. British Columbia (Attorney General) (1993), 107 D.L.R. (4th) 342 (S.C.C.)
Toulmin, Stephen (1981). The tyranny of principles. Hastings Center Report, 1(16), 3139.
Veatch, Robert M. (1984). Autonomy's temporary triumph. Hastings Center Report, 14 (5), 3840.

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The Ethics of Autonomy and Dignity in Long-Term Care

  • Daryl Pullman (a1)

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