Autonomy, Competence and Non-interference

In light of the variety of uses of the term autonomy in recent bioethics literature, in this paper, I suggest that competence, not being as contested, is better placed to play the anti-paternalistic role currently assigned to autonomy. The demonstration of competence, I will argue, can provide indiv...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:HEC forum 2018-09, Vol.30 (3), p.235-252
1. Verfasser: Roberts, Joseph T. F.
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 252
container_issue 3
container_start_page 235
container_title HEC forum
container_volume 30
creator Roberts, Joseph T. F.
description In light of the variety of uses of the term autonomy in recent bioethics literature, in this paper, I suggest that competence, not being as contested, is better placed to play the anti-paternalistic role currently assigned to autonomy. The demonstration of competence, I will argue, can provide individuals with robust spheres of non-interference in which they can pursue their lives in accordance with their own values. This protection from paternalism is achieved by granting individuals rights to non-interference upon demonstration of competence. In this paper, I present a risk-sensitive account of competence as a means of grounding rights to non-interference. On a risk-sensitive account of competence individuals demonstrate their competence by exercising three capacities to the extent necessary to meet a threshold determined by the riskiness of the decision. These three capacities are the capacity to (i) acquire knowledge, (ii) use instrumental rationality, and (iii) form and revise a life plan.
doi_str_mv 10.1007/s10730-017-9344-1
format Article
fullrecord <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_6133023</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1983255831</sourcerecordid><originalsourceid>FETCH-LOGICAL-c470t-55d90ddb937cc2c46451ce77609f682bbc0dc85e7710f15f2ed4cfccd4a1ef4d3</originalsourceid><addsrcrecordid>eNp1kctKAzEUhoMoWi8P4EYKbhSMntwmk41QijcoutF1mCYZHekkNZkRfHsztIoKrkLO-fIlJz9ChwTOCYC8SAQkAwxEYsU4x2QDjYiQFJdclZtoBEoUmEomd9BuSq8AwAXwbbRDFVV5J0bodNJ3wYf242w8De3Sdc4bN668Hd8HjxvfuVi7OBT30VZdLZI7WK976On66nF6i2cPN3fTyQwbLqHDQlgF1s4Vk8ZQwwsuiHFSFqDqoqTzuQFrSpErBGoiauosN7UxllfE1dyyPXS58i77eeuscb6L1UIvY9NW8UOHqtG_O7550c_hXReEMaAsC07Wghjeepc63TbJuMWi8i70SRNVMipEyUhGj_-gr6GPPo83UFQwIKAyRVaUiSGl6OrvxxDQQxB6FYTOQeghCD2Yj35O8X3i6-czQFdAyi3_7OKPq_-1fgLZkJMM</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1982530109</pqid></control><display><type>article</type><title>Autonomy, Competence and Non-interference</title><source>MEDLINE</source><source>HeinOnline Law Journal Library</source><source>SpringerLink Journals - AutoHoldings</source><creator>Roberts, Joseph T. F.</creator><creatorcontrib>Roberts, Joseph T. F.</creatorcontrib><description>In light of the variety of uses of the term autonomy in recent bioethics literature, in this paper, I suggest that competence, not being as contested, is better placed to play the anti-paternalistic role currently assigned to autonomy. The demonstration of competence, I will argue, can provide individuals with robust spheres of non-interference in which they can pursue their lives in accordance with their own values. This protection from paternalism is achieved by granting individuals rights to non-interference upon demonstration of competence. In this paper, I present a risk-sensitive account of competence as a means of grounding rights to non-interference. On a risk-sensitive account of competence individuals demonstrate their competence by exercising three capacities to the extent necessary to meet a threshold determined by the riskiness of the decision. These three capacities are the capacity to (i) acquire knowledge, (ii) use instrumental rationality, and (iii) form and revise a life plan.</description><identifier>ISSN: 0956-2737</identifier><identifier>EISSN: 1572-8498</identifier><identifier>DOI: 10.1007/s10730-017-9344-1</identifier><identifier>PMID: 29290005</identifier><language>eng</language><publisher>Dordrecht: Springer Netherlands</publisher><subject>Clinical Competence - standards ; Decision Making ; Education ; Ethics ; Health administration ; Humans ; Medical ethics ; Medical Law ; Paternalism ; Pharmaceuticals ; Philosophy ; Philosophy of Medicine ; Politics ; Practice Patterns, Physicians' - ethics ; Practice Patterns, Physicians' - standards ; Practice Patterns, Physicians' - trends ; Professional Autonomy ; Theory of Medicine/Bioethics</subject><ispartof>HEC forum, 2018-09, Vol.30 (3), p.235-252</ispartof><rights>The Author(s) 2017</rights><rights>HEC Forum is a copyright of Springer, (2017). All Rights Reserved. © 2017. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c470t-55d90ddb937cc2c46451ce77609f682bbc0dc85e7710f15f2ed4cfccd4a1ef4d3</citedby><cites>FETCH-LOGICAL-c470t-55d90ddb937cc2c46451ce77609f682bbc0dc85e7710f15f2ed4cfccd4a1ef4d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10730-017-9344-1$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10730-017-9344-1$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,776,780,881,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29290005$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Roberts, Joseph T. F.</creatorcontrib><title>Autonomy, Competence and Non-interference</title><title>HEC forum</title><addtitle>HEC Forum</addtitle><addtitle>HEC Forum</addtitle><description>In light of the variety of uses of the term autonomy in recent bioethics literature, in this paper, I suggest that competence, not being as contested, is better placed to play the anti-paternalistic role currently assigned to autonomy. The demonstration of competence, I will argue, can provide individuals with robust spheres of non-interference in which they can pursue their lives in accordance with their own values. This protection from paternalism is achieved by granting individuals rights to non-interference upon demonstration of competence. In this paper, I present a risk-sensitive account of competence as a means of grounding rights to non-interference. On a risk-sensitive account of competence individuals demonstrate their competence by exercising three capacities to the extent necessary to meet a threshold determined by the riskiness of the decision. These three capacities are the capacity to (i) acquire knowledge, (ii) use instrumental rationality, and (iii) form and revise a life plan.</description><subject>Clinical Competence - standards</subject><subject>Decision Making</subject><subject>Education</subject><subject>Ethics</subject><subject>Health administration</subject><subject>Humans</subject><subject>Medical ethics</subject><subject>Medical Law</subject><subject>Paternalism</subject><subject>Pharmaceuticals</subject><subject>Philosophy</subject><subject>Philosophy of Medicine</subject><subject>Politics</subject><subject>Practice Patterns, Physicians' - ethics</subject><subject>Practice Patterns, Physicians' - standards</subject><subject>Practice Patterns, Physicians' - trends</subject><subject>Professional Autonomy</subject><subject>Theory of Medicine/Bioethics</subject><issn>0956-2737</issn><issn>1572-8498</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>AVQMV</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>K50</sourceid><sourceid>M1D</sourceid><sourceid>M2O</sourceid><recordid>eNp1kctKAzEUhoMoWi8P4EYKbhSMntwmk41QijcoutF1mCYZHekkNZkRfHsztIoKrkLO-fIlJz9ChwTOCYC8SAQkAwxEYsU4x2QDjYiQFJdclZtoBEoUmEomd9BuSq8AwAXwbbRDFVV5J0bodNJ3wYf242w8De3Sdc4bN668Hd8HjxvfuVi7OBT30VZdLZI7WK976On66nF6i2cPN3fTyQwbLqHDQlgF1s4Vk8ZQwwsuiHFSFqDqoqTzuQFrSpErBGoiauosN7UxllfE1dyyPXS58i77eeuscb6L1UIvY9NW8UOHqtG_O7550c_hXReEMaAsC07Wghjeepc63TbJuMWi8i70SRNVMipEyUhGj_-gr6GPPo83UFQwIKAyRVaUiSGl6OrvxxDQQxB6FYTOQeghCD2Yj35O8X3i6-czQFdAyi3_7OKPq_-1fgLZkJMM</recordid><startdate>20180901</startdate><enddate>20180901</enddate><creator>Roberts, Joseph T. F.</creator><general>Springer Netherlands</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7WY</scope><scope>7WZ</scope><scope>7X7</scope><scope>7XB</scope><scope>87Z</scope><scope>88C</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8FL</scope><scope>8G5</scope><scope>AABKS</scope><scope>ABSDQ</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AVQMV</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BEZIV</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FRNLG</scope><scope>FYUFA</scope><scope>F~G</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K50</scope><scope>K60</scope><scope>K6~</scope><scope>K9.</scope><scope>L.-</scope><scope>M0C</scope><scope>M0S</scope><scope>M0T</scope><scope>M1D</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>PADUT</scope><scope>PQBIZ</scope><scope>PQBZA</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PYYUZ</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20180901</creationdate><title>Autonomy, Competence and Non-interference</title><author>Roberts, Joseph T. F.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c470t-55d90ddb937cc2c46451ce77609f682bbc0dc85e7710f15f2ed4cfccd4a1ef4d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Clinical Competence - standards</topic><topic>Decision Making</topic><topic>Education</topic><topic>Ethics</topic><topic>Health administration</topic><topic>Humans</topic><topic>Medical ethics</topic><topic>Medical Law</topic><topic>Paternalism</topic><topic>Pharmaceuticals</topic><topic>Philosophy</topic><topic>Philosophy of Medicine</topic><topic>Politics</topic><topic>Practice Patterns, Physicians' - ethics</topic><topic>Practice Patterns, Physicians' - standards</topic><topic>Practice Patterns, Physicians' - trends</topic><topic>Professional Autonomy</topic><topic>Theory of Medicine/Bioethics</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Roberts, Joseph T. F.</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ABI/INFORM Collection</collection><collection>ABI/INFORM Global (PDF only)</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ABI/INFORM Global (Alumni Edition)</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ABI/INFORM Collection (Alumni Edition)</collection><collection>Research Library (Alumni Edition)</collection><collection>Philosophy Collection</collection><collection>Philosophy Database</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Arts Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Business Premium Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Business Premium Collection (Alumni)</collection><collection>Health Research Premium Collection</collection><collection>ABI/INFORM Global (Corporate)</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>Art, Design &amp; Architecture Collection</collection><collection>ProQuest Business Collection (Alumni Edition)</collection><collection>ProQuest Business Collection</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>ABI/INFORM Professional Advanced</collection><collection>ABI/INFORM Global</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Healthcare Administration Database</collection><collection>Arts &amp; Humanities Database</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Research Library China</collection><collection>ProQuest One Business</collection><collection>ProQuest One Business (Alumni)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ABI/INFORM Collection China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>HEC forum</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Roberts, Joseph T. F.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Autonomy, Competence and Non-interference</atitle><jtitle>HEC forum</jtitle><stitle>HEC Forum</stitle><addtitle>HEC Forum</addtitle><date>2018-09-01</date><risdate>2018</risdate><volume>30</volume><issue>3</issue><spage>235</spage><epage>252</epage><pages>235-252</pages><issn>0956-2737</issn><eissn>1572-8498</eissn><abstract>In light of the variety of uses of the term autonomy in recent bioethics literature, in this paper, I suggest that competence, not being as contested, is better placed to play the anti-paternalistic role currently assigned to autonomy. The demonstration of competence, I will argue, can provide individuals with robust spheres of non-interference in which they can pursue their lives in accordance with their own values. This protection from paternalism is achieved by granting individuals rights to non-interference upon demonstration of competence. In this paper, I present a risk-sensitive account of competence as a means of grounding rights to non-interference. On a risk-sensitive account of competence individuals demonstrate their competence by exercising three capacities to the extent necessary to meet a threshold determined by the riskiness of the decision. These three capacities are the capacity to (i) acquire knowledge, (ii) use instrumental rationality, and (iii) form and revise a life plan.</abstract><cop>Dordrecht</cop><pub>Springer Netherlands</pub><pmid>29290005</pmid><doi>10.1007/s10730-017-9344-1</doi><tpages>18</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 0956-2737
ispartof HEC forum, 2018-09, Vol.30 (3), p.235-252
issn 0956-2737
1572-8498
language eng
recordid cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_6133023
source MEDLINE; HeinOnline Law Journal Library; SpringerLink Journals - AutoHoldings
subjects Clinical Competence - standards
Decision Making
Education
Ethics
Health administration
Humans
Medical ethics
Medical Law
Paternalism
Pharmaceuticals
Philosophy
Philosophy of Medicine
Politics
Practice Patterns, Physicians' - ethics
Practice Patterns, Physicians' - standards
Practice Patterns, Physicians' - trends
Professional Autonomy
Theory of Medicine/Bioethics
title Autonomy, Competence and Non-interference
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-07T23%3A26%3A50IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Autonomy,%20Competence%20and%20Non-interference&rft.jtitle=HEC%20forum&rft.au=Roberts,%20Joseph%20T.%20F.&rft.date=2018-09-01&rft.volume=30&rft.issue=3&rft.spage=235&rft.epage=252&rft.pages=235-252&rft.issn=0956-2737&rft.eissn=1572-8498&rft_id=info:doi/10.1007/s10730-017-9344-1&rft_dat=%3Cproquest_pubme%3E1983255831%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1982530109&rft_id=info:pmid/29290005&rfr_iscdi=true