This work is the result of a long-standing clinical and educational cooperation between a medical psychologist (Bergsma) and a medical ethicist/philosopher (Thomasma). It is thoroughly interdisciplinary in its examination of the difficulties of honouring the patient's and the physician's autonomy, especially in light of the changes in health care worldwide at the beginning of the 21st century. Although autonomy has become the primary standard of bioethics, little has been done to link it to the ways people actually behave, nor to its roots in the healing relationship. Combining as it does the disciplines of psychology and philosophy, this book is a step in that direction.
One: The Dynamics of Autonomy.- 1: Autonomy as a Behavioral Concept.- 2: Autonomy, Identity, and Physical Disruption.- 3: Autonomy in the Doctor-Patient Encounter.- Two: Reflections on Autonomy.- 4: Modes of Autonomy: Psychology Meets Philosophy.- 5: Freedom and the Social Aspect of Medicine.- 6: Moving Beyond Autonomy to the Person with Illness.- 7: Autonomy and Ethical Models of the Doctor-Patient Relationship.- Three: Conclusion.- 8: Reconstituting the Doctor-Patient Encounter.