Autonomy and Clinical Medicine

Renewing the Health Professional Relation with the Patient

  • Jurrit Bergsma
  • David C. Thomasma

Part of the International Library of Ethics, Law, and the New Medicine book series (LIME, volume 2)

Table of contents

  1. Front Matter
    Pages i-xvii
  2. The Dynamics of Autonomy

    1. Front Matter
      Pages 1-1
    2. Jurrit Bergsma, David C. Thomasma
      Pages 3-22
    3. Jurrit Bergsma, David C. Thomasma
      Pages 23-43
    4. Jurrit Bergsma, David C. Thomasma
      Pages 45-73
  3. Reflections on Autonomy

    1. Front Matter
      Pages 75-75
    2. Jurrit Bergsma, David C. Thomasma
      Pages 77-88
    3. Jurrit Bergsma, David C. Thomasma
      Pages 89-101
    4. Jurrit Bergsma, David C. Thomasma
      Pages 103-119
    5. Jurrit Bergsma, David C. Thomasma
      Pages 121-141
  4. Conclusion

    1. Front Matter
      Pages 143-143
    2. Jurrit Bergsma, David C. Thomasma
      Pages 145-160
  5. Back Matter
    Pages 161-202

About this book


This book arises from a two-fold conviction. The first is that autonomy, despite recent critiques about its importance in bioethics and philosophy of medicine, and the traditional resistance of medicine to its "intrusion" into the doctor-patient relation, is a fundamental building block of an individual's identity and mechanisms for dealing with illness, disease, and incapacity. As such it is an essential component in the health care professional's armamentarium employed to bring about healing. Furthennore, it functions in a similar way to assist the health professional in his or her relations to the sick and injured. The second conviction follows from the fITst. Autonomy is far more complex than appears from the philosophical use of the concept. In this conviction we join those who have criticized the over-reliance on autonomy in modem, secular bioethics originating in the United States, but gaining ascendancy in other cultures. This critique relies on appeals to the richer contexts of persons' lives. Elsewhere the contemporary critique of autonomy appears in a variety of alternative ethical models like narrative ethics, casuist ethics, and contextualism. Indeed, postmodern criticism of all bioethics argues that there is no defensible foundation for claims that one ought to respect autonomy or any other principle as a way of ensuring that one is ethical.


Ethics autonomy bioethics freedom health philosophy psychology

Authors and affiliations

  • Jurrit Bergsma
    • 1
  • David C. Thomasma
    • 2
  1. 1.Loyola University of ChicagoUtrechtThe Netherlands
  2. 2.Medical Humanities ProgramLoyola University Chicago Medical CenterChicagoUSA

Bibliographic information

  • DOI
  • Copyright Information Springer Science+Business Media B.V. 2000
  • Publisher Name Springer, Dordrecht
  • eBook Packages Springer Book Archive
  • Print ISBN 978-90-481-5413-5
  • Online ISBN 978-94-017-0821-0
  • Series Print ISSN 1567-8008
  • Buy this book on publisher's site