Beyond individualism: Is there a place for relational autonomy in clinical practice and research?:

摘要: The dominant, individualistic understanding of autonomy that features in clinical practice and research is underpinned by the idea people are, their ideal form, independent, self-interested rational gain-maximising decision-makers. In recent decades, this paradigm has been challenged from various disciplinary intellectual directions. Proponents 'relational autonomy' particular have argued people's identities, needs, interests - indeed are always also shaped relations to others. Yet, despite pronounced nuanced critique directed at an autonomy, had very little effect on ethical legal instruments so far. article, we use four case studies explore what extent, if all, relational can provide solutions practical problems research. We conclude certain forms a tangible positive impact These leave ultimate decision person most affected, but encourage facilitate consideration person's care responsibility for connected