Gauthier C C
University of North Carolina at Wilmington.
Kennedy Inst Ethics J. 1993 Mar;3(1):21-37. doi: 10.1353/ken.0.0103.
Understanding the philosophical foundations of the principle of respect for autonomy is essential for its proper application within medical ethics. The foundations provided by Immanuel Kant's principle of humanity and John Stuart Mill's principle of liberty share substantial areas of agreement including: the grounding of respect for autonomy in the capacity for rational agency, the restriction of this principle to rational agents, and the important distinction between influence and control. Their work helps to clarify the scope and role of the principle of respect for autonomy in health care delivery; its implications for truth telling, informed consent, and confidentiality; and its relationship to other moral principles, such as beneficence and distributive justice.
理解尊重自主性原则的哲学基础对于其在医学伦理中的正确应用至关重要。伊曼努尔·康德的人性原则和约翰·斯图尔特·密尔的自由原则所提供的基础在很大程度上是一致的，包括：将对自主性的尊重建立在理性行为能力之上，将该原则限制于理性主体，以及影响与控制之间的重要区别。他们的著作有助于阐明尊重自主性原则在医疗服务中的范围和作用；其对告知真相、知情同意和保密的影响；以及它与其他道德原则，如行善和分配正义的关系。
