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Autonomy-based arguments against physician-assisted suicide and euthanasia: A critique
Karlolinska Institutet.
Karolinska Institutet.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Centre for Research Ethics and Bioethics.
Karolinska Institutet.
2013 (English)In: Medicine, Health care and Philosophy, ISSN 1386-7423, E-ISSN 1572-8633, Vol. 16, no 2, 225-230 p.Article in journal (Refereed) Published
Abstract [en]

Respect for autonomy is typically considered a key reason for allowing physician assisted suicide and euthanasia. However, several recent papers have claimed this to be grounded in a misconception of the normative relevance of autonomy. It has been argued that autonomy is properly conceived of as a value, and that this makes assisted suicide as well as euthanasia wrong, since they destroy the autonomy of the patient. This paper evaluates this line of reasoning by investigating the conception of valuable autonomy. Starting off from the current debate in end-of-lifecare, two different interpretations of how autonomy is valuable is discussed. According to one interpretation, autonomy is a personal prudential value, which may provide a reason why euthanasia and assisted suicide might be against a patient’s best interests. According to a second interpretation, inspired by Kantian ethics, being autonomous is unconditionally valuable, which may imply a duty to preserve autonomy. We argue that both lines of reasoning have limitations when it comes to situations relevant for end of life care. It is concluded that neither way of reasoning can be used to show that assisted suicide or euthanasia always is impermissible.

Place, publisher, year, edition, pages
2013. Vol. 16, no 2, 225-230 p.
Keyword [en]
Autonomy, Bioethics, Assisted suicide, Euthanasia, Palliative care, Palliative sedation, Paternalism, Ethical theory
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Research subject
URN: urn:nbn:se:uu:diva-191397DOI: 10.1007/s11019-011-9365-5ISI: 000317134600010OAI: oai:DiVA.org:uu-191397DiVA: diva2:585605
Available from: 2013-01-10 Created: 2013-01-10 Last updated: 2013-05-20Bibliographically approved

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Publisher's full texthttp://link.springer.com/article/10.1007%2Fs11019-011-9365-5

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Eriksson, Stefan
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