Varelius Jukka
Department of Philosophy, University of Turku, FI-20014 Turku, Finland.
Med Health Care Philos. 2005;8(2):221-30. doi: 10.1007/s11019-004-5606-1.
Individual autonomy is a prominent value in Western medicine and medical ethics, and there it is often accepted that the only way to pay proper respect to autonomy is to let the patients themselves determine what is good for them. Adopting this approach has, however, given rise to some unwanted results, thus motivating a quest for an objective conception of health. Unfortunately, the purportedly objective conceptions of health have failed in objectivity, and if a conception of health is not acceptable for all agents, the threat of offending the patients' autonomy arises. This article sketches an objective conception of health that is able to respect individual autonomy.
个人自主性是西方医学和医学伦理学中的一个突出价值观,在那里人们通常认为,给予自主性恰当尊重的唯一方式是让患者自己决定什么对他们有益。然而,采用这种方法产生了一些不良后果,从而引发了对健康客观概念的探索。不幸的是,所谓的健康客观概念在客观性方面并不成功,如果一种健康概念并非对所有行为主体都可接受,就会出现冒犯患者自主性的风险。本文概述了一种能够尊重个人自主性的健康客观概念。