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Nine Cases of Possible Inauthenticity in Biomedical Contexts and What They Require from Bioethicists
Philosophy and History, KTH, School of Architecture and the Built Environment (ABE), Philosophy and History of Technology, Philosophy.ORCID iD: 0000-0003-1456-4352
(English)Manuscript (preprint) (Other academic)
Abstract [en]

Respect for autonomy is a main moral principle in bioethics. It is sometimes argued that authenticity, i.e., being "real," "genuine," "true to oneself," or similar, is crucial to a person's autonomy. This article collects nine cases in which the notion of authenticity has been or could be invoked in biomedical contexts. One recently developed theory aiming to provide normative guidance with regard to authenticity-related problems is applied when it is possible, while it is explained in detail why the theory is inept or impractical in the remaining cases. The article thus provides an overview of authenticity-related problems which may be helpful for autonomy theorists. Furthermore, it is argued that there is no universal problem of authenticity, but many problems, and that they may require various particular solutions rather than one universal solution. Among other things, it is suggested that bioethicists should explore non-ideal methodological approaches to authenticity-related problems to provide action-guidance with regard to them.

Keywords [en]
Authenticity, autonomy, healthcare, bioethics
National Category
Ethics
Research subject
Philosophy
Identifiers
URN: urn:nbn:se:kth:diva-244299OAI: oai:DiVA.org:kth-244299DiVA, id: diva2:1289618
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2014–4024Swedish Research Council, 2014–4024
Note

QC 20180218

Available from: 2019-02-18 Created: 2019-02-18 Last updated: 2019-02-18Bibliographically approved
In thesis
1. Authenticity in Bioethics: Bridging the Gap between Theory and Practice
Open this publication in new window or tab >>Authenticity in Bioethics: Bridging the Gap between Theory and Practice
2019 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The aim of this doctoral thesis is to bridge the gap between theoretical ideals of authenticity and practical authenticity-related problems in healthcare. In this context, authenticity means being "genuine," "real," "true to oneself," or similar, and is assumed to be closely connected to the autonomy of persons. The thesis includes an introduction and four articles related to authenticity. The first article collects various theories intended to explain the distinction between authenticity and inauthenticity in a taxonomy that enables oversight and analysis. It is argued that (in-)authenticity is difficult to observe in others. The second article offers a solution to this difficulty in one theory of authenticity. It is proposed that under certain circumstances, it is morally justified to judge that the desires underlying a person's decisions are inauthentic. The third article incorporates this proposition into an already established theory of personal autonomy. It is argued that the resulting conceptualization of autonomy is fruitful for action-guidance in authenticity-related problems in healthcare. The fourth article collects nine cases of possible authenticity-related problems in healthcare. The theory developed in the third article is applied to the problems, when this is allowed by the case-description, to provide guidance with regard to them. It is argued that there is not one universal authenticity-related problem but many different problems, and that there is thus likely not one universal solution to such problems but various particular solutions.

Place, publisher, year, edition, pages
Stockholm: KTH Royal Institute of Technology, 2019. p. 147
Series
Theses in philosophy from the Royal Institute of Technology, ISSN 1650-8831 ; 62
Keywords
Authenticity, autonomy, decision-making, healthcare, paternalism, informed consent, bioethics
National Category
Ethics
Research subject
Philosophy
Identifiers
urn:nbn:se:kth:diva-244301 (URN)978-91-7873-124-4 (ISBN)
Public defence
2019-06-10, Kollegiesalen, Brinellvägen 8, Stockholm, 13:00 (English)
Opponent
Supervisors
Funder
Swedish Research Council, 2014–4024Forte, Swedish Research Council for Health, Working Life and Welfare, 2014–4024
Available from: 2019-03-21 Created: 2019-02-18 Last updated: 2019-03-21Bibliographically approved

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