何谓Autonomy?

Autonomy①一般被理解为个人根据自己的理智推理和动机欲望过自己生活的能力,而这些理智推理和动机欲望都不是操控性和歪曲性的外部力量的产物。对于康德而言,Autonomy的观念专注于人类理性意志。在《道德形而上学基础》一书中,康德解释说,人类思想所固有的自由意志正是     

Theology: Reduction or Autonomy?

Issues of the nature and task of theology remain important to the science-theology dialogue. This paper lays out a framework for understanding the nature of theology in relation to the other sciences. In particular, I argue that the primary question remains one of autonomy and reduction. If theology is a genuine academic discipline, then it should be an autonomous field with its own subject matter and norms. Wolfhart Pannenberg argues that theology is the science of God, but I suggest that theology be more broadly understood as the science of meaning. If we recognize this, the modes of interaction between theology and the other sciences becomes clearer.     

Does Christian Faith Rule out Human Autonomy?

Beginning with Kant, modernity has developed the secular dogma that human autonomy is incompatible with obedience to religious law. Can philosophy critique a faulty understanding of both autonomy and obedience? Can theology work out a healthy interaction between the two? In other words, can Christian faith integrate both a redefined autonomy and a redefined obedience?     

Chronic Patients’ Autonomy in Iranian Hospitals: A Qualitative Study

The autonomy of chronic patients in Iranian hospitals is challenged by impaired functioning resulting from chronic illness, a negative image in society, and effects related to hospitalization. Comprehensive interviews and observations of 34 patients, nurses, and physicians were performed to assess the autonomy of chronic patients in Iran. Conceptualization, constant comparison, and the combination of data resulted in the identification of 5 main categories related to autonomy: welcoming paternalism, self-expression, self-proof, shared decision making, and self-determination. Authority scrambling was a central category describing chronic patients’ perceptions of their autonomy during hospitalization. These patients sought to maintain their independence despite serious threats to their autonomy.     

Autonomy or Dependence – or Both?: Perspectives from Bangladesh

The idea of personal autonomy is central to many accounts of eudaimonic well-being. Yet it is often criticized as a Western concept celebrating individualism and independence over group obligations and interdependence or dependence. This paper rejects this view and argues that coherent accounts of autonomy must always recognize the interdependence of people in groups, and that autonomy can coexist with substantial relationships of dependence. It illustrates this drawing on evidence from Bangladesh, a poor country usually absent from cross-cultural studies and one where personal relationships of hierarchy and dependence are endemic. Argument and evidence are presented showing the coexistence of personal autonomy and dependence, and the relationship between collective action and autonomy. We also address some of the specific problems encountered in researching autonomy in a social context where it is mainly expressed in relational forms. We conclude that autonomy can be directed toward both personal and social goals, and can be enacted individually, or by participation in groups. Autonomy is a universal psychological need but its expression is always contextual. ESRC Research Group on Wellbeing in Developing Countries     

Autonomy and Common Good: Interpreting Rousseau’s General Will

Rousseau’s project in his Social Contract was to construct a conception of human subjectivity and political institutions that would transcend what he saw to be the limits of liberal political theory of his time. I take this as a starting point to put forward an interpretation of his theory of the general will as a kind of social cognition that is able to preserve individual autonomy and freedom alongside concerns with the collective welfare of the community. But whereas many have seen Rousseau’s ideas as a prelude to communitarianism or authoritarianism, we should instead see his project as articulating an alternative model of moral-cognitivist reasoning. In order to provide a framework for this interpretation, I propose reading his conception of the general will through the theory of collective intentionality and social ontology. I end with a consideration of how this interpretation of the general will can provide a more satisfying understanding of political and practical rationality contemporary debates over republicanism and liberalism.     

Can Darwinian Feminism Save Female Autonomy and Leadership in Egalitarian Society?

As a Darwinian feminist I welcome any attempt at correcting the historical neglect of women’s roles in human evolution, as Rebecca J. Hannagan (2008, in this issue) does in her paper “Gendered Political Behavior: A Darwinian Feminist Approach.” There is much to be said for the view that women’s political agency in foraging societies has systematically been underestimated, due to a combination of researcher bias and the lesser visibility of women’s political strategies. As a feminist Darwinian, however, I must conclude that wishful thinking seems to have led Hannagan into overestimating the degree of female autonomy and leadership in these societies.     

Autonomy in the medical profession in the United Kingdom – an historical perspective

This paper reviews the concept of professional autonomy from anhistorical perspective. It became formalised in the United Kingdom onlyafter a long struggle throughout most of the nineteenth century. In itspure form professional autonomy implies unlimited powers to undertakemedical investigations and to prescribe treatment, irrespective of cost.Doctors alone should determine the quality of care and the levels ofremuneration to which they should be entitled. In the second half of thetwentieth century a steady erosion of professional autonomy occurred inthe United Kingdom. The level of remuneration has been restricted formost doctors for nearly fifty years, whilst the costs of health carehave steadily reduced the doctor's ability to provide unrestricted carewithin the health care system. Reorganisation of the National HealthService in 1983 and 1991 has substantially eroded professional autonomy,to the point where research developments, clinical judgement and ethicalstandards are all now being placed at risk.     

Editorial ‘Political Normativity. Critical Essays on the Autonomy of the Political’

Ethical Theory and Moral Practice -     

Balancing Social Responsibility and Personal Autonomy: Adolescents’ Reasoning About Community Service Programs

Many jurisdictions in North America have implemented mandatory community service programs in high schools. However, little research exists examining the reasoning of youth themselves about such programs. This study examined how youth reason about community service programs, and how they balance the prosocial goals of these programs against their personal autonomy. Seventy-two participants between 10 and 18 years old evaluated voluntary community service along with 4 hypothetical mandatory programs that varied according to whether students or the government decided the areas in which students would serve, and whether a structured reflection component was included. The findings reveal that youth are not simply self-focused but rather balance and coordinate considerations of autonomy and community in their judgments and reasoning about community service.     

Who shall be Allowed to Give? Living Organ Donors and the Concept of Autonomy

Free and informed consent is generally acknowledged as the legal andethical basis for living organ donation, but assessments of livingdonors are not always an easy matter. Sometimes it is necessary toinvolve psychosomatics or ethics consultation to evaluate a prospectivedonor to make certain that the requirements for a voluntary andautonomous decision are met. The paper focuses on the conceptualquestions underlying this evaluation process. In order to illustrate howdifferent views of autonomy influence the decision if a donor's offer isethically acceptable, three cases are presented – from Germany, theUnited States, and India. Each case features a person with questionabledecision-making capacity who offered to donate a kidney for a siblingwith severe renal insufficiency. Although the normative framework issimilar in the three countries, different or sometimes even contraryarguments for and against accepting the offer were brought forward. Thesubsequent analysis offers two explanations for the differences inargumentation and outcome in spite of the shared reference to autonomyas the guiding principle: (1) Decisions on the acceptability of a livingdonor cannot simply be deducted from the principle of autonomy but needto integrate contextual information; (2) understandings of the wayautonomy should be contextualized have an important influence on theevaluation of individual cases. Conclusion: Analyzing the conceptualassumptions about autonomy and its relationship to contextual factorscan help in working towards more transparent and better justifieddecisions in the assessment of living organ donors.     

Risky Sexual Behavior of Multiple Partner Relations and Women’s Autonomy in Four Countries

Existent research reveals that inequitable gender-based power in relationships and intimate partner violence contribute to HIV rates among women in the developing world. This study uses a multi-country analysis to examine women’s autonomy in negotiating safe sex practices such as having sex with a partner with no other concurrent partner to reduce the risk of HIV/AIDS in Nigeria, Kenya, Malawi, and Nepal. The Demographic Health Survey data for Nigeria (2013), Kenya (2008–2009), Malawi (2010), and Nepal (2011) provide geographical variability as well as HIV risk variables. The sample included 16,540 women aged 15–49 years who self-identified as ever married. Factor analysis for women’s autonomy was conducted based on socio-cultural theory. Logistic regression was conducted and results identified decision-making, labor force participation, and individual autonomy as women autonomy factors significantly reduced the risk for HIV infection by having one sex partner who has only one sex partner. Other women autonomy factors related to lower risk for HIV include education, place of residence, and religion. Our study indicates that effective management of HIV transmission requires addressing women autonomy factors within the context of culture.     

The Role of Separation Anxiety in Mothers’ Use of Autonomy Support: An Observational Study

Parental separation anxiety has been identified as a detrimental factor for parent-adolescent relationship quality and, ultimately, for adolescents’ psychosocial adjustment. However, few studies have examined how separation anxiety is related to parents’ style of interaction with their adolescent, which is unfortunate as this interaction style could explain why separation anxiety is related to negative outcomes. The present study (a) examined the association between maternal separation anxiety and mothers’ autonomy-supportive, relative to controlling, conversation style as observed in mother-adolescent interactions about the adolescents’ friendships, and (b) investigated the link between maternal separation anxiety and mothers’ personal experiences during the conversation. A total of 62 mother–adolescent dyads (M age mothers?=?44 years, M age adolescents?=?14 years) were willing to participate in this study. After mothers filled out a measure of separation anxiety, mothers’ autonomy-supportive and controlling practices were observed and coded during a 10-min conversation. Further, mothers reported on their emotional and motivational experiences during the conversation. Mothers high on separation anxiety were observed to be less autonomy-supportive and to experience the conversation as more stressful (e.g., more pressure, more tension, and more relief at the end). Clinically, our results suggest that maternal separation anxiety is an important target for intervention and prevention efforts aimed at promoting autonomy-supportive parenting.     

Explaining Adolescents’ Affect: A Time-Use Study of Opportunities for Support and Autonomy across Interpersonal Contexts

In order to uncover the reason why adolescents generally experience less positive emotional experience in the presence of parents, we compared the association of perceived opportunities for autonomy and support to adolescents’ positive emotional states when they were with their parents vs. in other interpersonal contexts. Thirty-one white, lower socioeconomic status, ninth grade students evaluated the fulfillment of their autonomy and support needs and their emotional experiences at multiple time points within a variety of interpersonal contexts over a one-week period. Hierarchical linear modeling of 1268 surveys showed that, compared to when they were with only their parents, these adolescents experienced relatively more frequent positive emotions when they were with peers, or with other adults in addition to or in the absence of their parents. Moreover, perceived opportunities for autonomy and support were associated with positive emotional experiences at a given time point. Perceived autonomy and support operated differently depending on the interpersonal context; the effects of these opportunities were smaller in the context of parent-only interactions than those involving interactions with other people. This study contributes to the literature on adolescent affect by showing that the moment-by-moment, intra-individual psychological affordances of autonomy and support are differentially associated with emotional experiences depending on the interpersonal context. Furthermore, these findings suggest that individuation-relatedness theory appears to be applicable to a relatively understudied population, namely white adolescents from low-SES families.