In developmental psychology and moral , political , and bioethical philosophy , autonomy is the capacity to make an informed, uncoerced decision. Autonomous organizations or institutions are independent or self-governing. Autonomy can also be defined from a human resources perspective, where it denotes a (relatively high) level of discretion granted to an employee in his or her work. In such cases, autonomy is known to generally increase job satisfaction . Self-actualized individuals are thought to operate autonomously of external expectations. In a medical context, respect for a patient's personal autonomy is considered one of many fundamental ethical principles in medicine .
112-574: The Shire of Mulgrave was a local government area surrounding the City of Cairns in the Far North region of Queensland . The shire, administered from Cairns , covered an area of 1,718.3 square kilometres (663.4 sq mi); it existed as a local government entity from 1879 until 1995, when it was dissolved and amalgamated into the City of Cairns . The Cairns Division was created on 11 November 1879 as one of 74 divisions around Queensland under
224-588: A unitary authority , but the Australian Bureau of Statistics refers to the whole of the ACT as an unincorporated area. The ACT Government directorate Transport Canberra & City Services handles responsibilities that are under the purview of local government in other parts of Australia, such as local road maintenance, libraries and waste collection. Many Canberra districts have community organisations called "community councils", but these are not part of
336-483: A "free decision". It is of intrinsic value and the morality of autonomy is not only accepted but obligatory. When an attempt at social interchange occurs, it is reciprocal, ideal and natural for there to be autonomy regardless of why the collaboration with others has taken place. For Piaget, the term autonomous can be used to explain the idea that rules are self-chosen. By choosing which rules to follow or not, we are in turn determining our own behaviour . Piaget studied
448-411: A certain degree of internal self-governance. Since every autonomous church had its own historical path to ecclesiastical autonomy, there are significant differences between various autonomous churches in respect of their particular degrees of self-governance. For example, churches that are autonomous can have their highest-ranking bishops, such as an archbishop or metropolitan , appointed or confirmed by
560-503: A constraining effect of illness on a patient's autonomy. Since the 1960s, there have been attempts to increase patient autonomy including the requirement that physician's take bioethics courses during their time in medical school. Despite large-scale commitment to promoting patient autonomy, public mistrust of medicine in developed countries has remained. Onora O'Neill has ascribed this lack of trust to medical institutions and professionals introducing measures that benefit themselves, not
672-591: A geographic or historical interpretation. The council board members are generally known as councillors , and the head councillor is called the mayor . As of August 2016, there were 547 local councils in Australia. Despite the single tier of local governance in Australia, there are a number of extensive regions with relatively low populations that are not a part of any established LGA. Powers of local governments in these unincorporated areas may be exercised by special-purpose governing bodies established outside of
784-614: A high emotional autonomy was a significant predictor of celebrity interest, as well as high attachment to peers with a low attachment to parents. Patterns of intense personal interest in celebrities was found to be conjunction with low levels of closeness and security. Furthermore, the results suggested that adults with a secondary group of pseudo-friends during development from parental attachment, usually focus solely on one particular celebrity, which could be due to difficulties in making this transition. Autonomy can be limited. For instance, by disabilities, civil society organizations may achieve
896-451: A human need but in turn break this given rule or command. The most popular moral dilemma asked involved the wife of a man approaching death due to a special type of cancer. Because the drug was too expensive to obtain on his own, and because the pharmacist who discovered and sold the drug had no compassion for him and only wanted profits, he stole it. Kohlberg asks these adolescent and teenage boys (10-, 13- and 16-year-olds) if they think that
1008-545: A larger workload. The growth of the Regional Organisations of Councils has also been a factor in local government reform in Australia. In 1995, there were 50 such agreements across the country. A 2002 study identified 55 ROCs with the largest involving 18 councils. Local government powers are determined by state governments, and states have primary responsibility for funding and exclusive responsibility for supervision of local councils. Local government
1120-503: A legislator's point of view, to increase institutional autonomy, conditions of self-management and institutional self-governance must be put in place. An increase in leadership and a redistribution of decision-making responsibilities would be beneficial to the research of resources. Institutional autonomy was often seen as a synonym for self-determination , and many governments feared that it would lead institutions to an irredentist or secessionist region. But autonomy should be seen as
1232-413: A more educative health care system. In opposition to this view, technological advancements can sometimes be viewed as an unfavorable way of promoting patient autonomy. For example, self-testing medical procedures which have become increasingly common are argued by Greaney et al. to increase patient autonomy, however, may not be promoting what is best for the patient. In this argument, contrary to deBronkart,
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#17327839127541344-447: A patient is respected. Just like in any other life situation, a patient would not like to be under the control of another person. The move to emphasize respect for patient's autonomy rose from the vulnerabilities that were pointed out in regards to autonomy. However, autonomy does not only apply in a research context. Users of the health care system have the right to be treated with respect for their autonomy, instead of being dominated by
1456-420: A person living with a psychotic disorder with antipsychotic medication ). While controversial, the principle of supported autonomy aligns with the role of government to protect the life and liberty of its citizens. Terrence F. Ackerman has highlighted problems with these situations, he claims that by undertaking this course of action physician or governments run the risk of misinterpreting a conflict of values as
1568-425: A personal desire or interest in doing so. It remains an open question whether they will, however. The Kantian concept of autonomy is often misconstrued, leaving out the important point about the autonomous agent's self-subjection to the moral law. It is thought that autonomy is fully explained as the ability to obey a categorical command independently of a personal desire or interest in doing so—or worse, that autonomy
1680-593: A political prisoner who is forced to make a statement in favor of his opponents in order to ensure that his loved ones are not harmed. As Audi points out, the prisoner lacks freedom but still has autonomy since his statement, though not reflecting his political ideals, is still an expression of his commitment to his loved ones. Autonomy is often equated with self-legislation in the Kantian tradition. Self-legislation may be interpreted as laying down laws or principles that are to be followed. Audi agrees with this school in
1792-575: A requirement for legal recognition of the gender identity of transgender. If eventually accepted by the international community in a treaty , this would make these ideas human rights in the law. The Convention on the Rights of Persons with Disabilities also defines autonomy as principles of rights of a person with disability including "the freedom to make one's own choices, and independence of persons". A study conducted by David C. Giles and John Maltby conveyed that after age-affecting factors were removed,
1904-403: A shift from 'services to property' towards 'services to people'. Community expectations of local government in Australia have risen in the 21st century partly as a result of wider participation in decision-making and transparent management practices. Recent years have seen some State governments devolving additional powers onto LGAs. In Queensland and Western Australia LGAs have been granted
2016-519: A solution to self-determination struggles. Self-determination is a movement toward independence , whereas autonomy is a way to accommodate the distinct regions/groups within a country. Institutional autonomy can diffuse conflicts regarding minorities and ethnic groups in a society. Allowing more autonomy to groups and institutions helps create diplomatic relationships between them and the central government. In governmental parlance, autonomy refers to self-governance. An example of an autonomous jurisdiction
2128-456: A standard age at which children should become more autonomous. Those who are unable to make the decisions prompt a challenge to medical practitioners since it becomes difficult to determine the ability of a patient to make a decision. To some extent, it has been said that emphasis of autonomy in health care has undermined the practice of health care practitioners to improve the health of their patient as necessary. The scenario has led to tension in
2240-475: Is "obeying" a categorical command independently of a natural desire or interest; and that heteronomy , its opposite, is acting instead on personal motives of the kind referenced in hypothetical imperatives. In his Groundwork of the Metaphysic of Morals , Kant applied the concept of autonomy also to define the concept of personhood and human dignity . Autonomy, along with rationality , are seen by Kant as
2352-423: Is a key concept that has a broad impact on different fields of philosophy . In metaphysical philosophy , the concept of autonomy is referenced in discussions about free will , fatalism , determinism , and agency . In moral philosophy , autonomy refers to subjecting oneself to objective moral law. Immanuel Kant (1724–1804) defined autonomy by three themes regarding contemporary ethics . Firstly, autonomy as
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#17327839127542464-408: Is by Dave deBronkart, who believes that in the technological advancement age, patients are capable of doing a lot of their research on medical issues from their home. According to deBronkart, this helps to promote better discussions between patients and physicians during hospital visits, ultimately easing up the workload of physicians. deBronkart argues that this leads to greater patient empowerment and
2576-416: Is categorical if it issues a valid command independent of personal desires or interests that would provide a reason for obeying the command. It is hypothetical if the validity of its command, if the reason why one can be expected to obey it, is the fact that one desires or is interested in something further that obedience to the command would entail. "Don't speed on the freeway if you don't want to be stopped by
2688-420: Is influenced by his views on autonomy. Brainwashing or drugging criminals into being law-abiding citizens would be immoral as it would not be respecting their autonomy. Rehabilitation must be sought in a way that respects their autonomy and dignity as human beings. Friedrich Nietzsche wrote about autonomy and the moral fight. Autonomy in this sense is referred to as the free self and entails several aspects of
2800-531: Is mentioned in the annotated Australian constitution, as a department of the State Governments, and they are mentioned in the constitutions of each of the six states. Under the Constitution, the federal government cannot provide funding directly to local governments; a 1974 referendum sought to amend the Constitution to authorise the federal government to directly fund local governments, but it
2912-417: Is not sufficient for autonomy since laws that do not have any practical impact do not constitute autonomy. Some form of motivational force or executive power is necessary in order to get from mere self-legislation to self-government. This motivation may be inherent in the corresponding practical judgment itself, a position known as motivational internalism , or may come to the practical judgment externally in
3024-447: Is part of a local government area. Unincorporated areas are often in remote locations, cover vast areas, or have very small populations. Queensland and Tasmania are entirely partitioned into LGAs and have no unincorporated areas. The Australian Capital Territory (ACT) has no municipalities. The ACT government is responsible for both state-level and local-level matters. In some countries, such an arrangement would be referred to as
3136-466: Is plagued by flaws such as misconceptions of treatment and cultural differences, and that health care systems should be shifting to greater paternalism on the part of the physician given their expertise. On the other hand, other approaches suggest that there simply needs to be an increase in relational understanding between patients and health practitioners to improve patient autonomy. One argument in favor of greater patient autonomy and its benefits
3248-504: Is subject to the exclusive jurisdiction of the state/territory it belongs to. The functions and practices of local councils are mostly centered around managing public services and land uses at the community level, and are similar throughout Australia, but can vary to some degree between jurisdictions. State departments oversee the activities of local councils and may intervene in their affairs when needed, subject to relevant legislation. For more details in each state and territory, see
3360-481: Is that children must learn to be autonomous, and failure to do so may lead to the child doubting their own abilities and feel ashamed. When a child becomes autonomous it allows them to explore and acquire new skills. Autonomy has two vital aspects wherein there is an emotional component where one relies more on themselves rather than their parents and a behavioural component where one makes decisions independently by using their judgement. The styles of child rearing affect
3472-590: Is the City of Brisbane , the most populous LGA in the country, which administers a significant part of the Brisbane metropolitan area . In most cases, when a city's population statistics are used, it is the statistical division population rather than the local government area. The following table provides a summary of local government areas by states and territories by local government area types as of December 2023: The Australian Classification of Local Governments (ACLG) categorises local governing authorities using
Shire of Mulgrave (Queensland) - Misplaced Pages Continue
3584-583: Is the third level of government in Australia , administered with limited autonomy under the states and territories , and in turn beneath the federal government . Local government is not mentioned in the Constitution of Australia , and two referendums in 1974 and 1988 to alter the Constitution relating to local government were unsuccessful. Every state/territory government recognises local government in its own respective constitution . Unlike
3696-519: Is to develop a healthy sense of autonomy. In Christianity , autonomy is manifested as a partial self-governance on various levels of church administration. During the history of Christianity, there were two basic types of autonomy. Some important parishes and monasteries have been given special autonomous rights and privileges, and the best known example of monastic autonomy is the famous Eastern Orthodox monastic community on Mount Athos in Greece . On
3808-493: Is what the husband should have done or not. Therefore, depending on their decisions, they provided answers to Kohlberg about deeper rationales and thoughts and determined what they value as important. This value then determined the "structure" of their moral reasoning. Kohlberg established three stages of morality, each of which is subdivided into two levels. They are read in progressive sense, that is, higher levels indicate greater autonomy. Robert Audi characterizes autonomy as
3920-730: The Church of Rome . As of 2019 , the Catholic Church comprises 24 autonomous ( sui iuris ) Churches in communion with the Holy See . Various denominations of Protestant churches usually have more decentralized power, and churches may be autonomous, thus having their own rules or laws of government, at the national, local, or even individual level. Sartre brings the concept of the Cartesian god being totally free and autonomous. He states that existence precedes essence with god being
4032-797: The Divisional Boards Act 1879 with a population of 34. On 3 June 1880, part of the Cairns Division was separated to create the Douglas Division . On 3 September 1881, the Tinaroo Division was created on 3 September 1881 under the Divisional Boards Act 1879 out of parts of the Cairns, Hinchinbrook and Woothakata Divisions. Following a petition by local residents, on 28 May 1885, the Borough of Cairns
4144-664: The Local Government Act does not mandate adopting a designation, some local government areas are legally known simply as "council", such as Port Macquarie-Hastings Council , Inner West Council and Federation Council . Some rural areas in South Australia are known as "district council", and all the LGAs in Tasmania that were previously municipalities have been renamed "council". Almost all local councils have
4256-528: The Outback Communities Authority . Victoria has a number of unincorporated areas which are not part of any LGA: Western Australia has two unincorporated areas: Autonomy In the sociology of knowledge , a controversy over the boundaries of autonomy inhibited analysis of any concept beyond relative autonomy, until a typology of autonomy was created and developed within science and technology studies . According to it,
4368-735: The Pastoral Unincorporated Area in South Australia . Local governments are subdivisions of the six federated states as well as the Northern Territory . The Australian Capital Territory has no separate local government, and municipal functions in Canberra and the surrounding regions (normally performed by local governments in other states) are performed by the ACT territorial government. The Australian Bureau of Statistics (ABS), however, considers
4480-810: The Socialist Autonomous Province of Kosovo ) under the former Yugoslav government of Marshal Tito and Puntland Autonomous Region within Federal Republic of Somalia . Although often being territorially defined as self-governments, autonomous self-governing institutions may take a non-territorial form. Such non-territorial solutions are, for example, cultural autonomy in Estonia and Hungary , national minority councils in Serbia or Sámi parliaments in Nordic countries . Autonomy
4592-805: The Top End region, the Northern Territory Rates Act Area and Darwin Waterfront Precinct within Darwin , Nhulunbuy on the Gove Peninsula , Alyangula on Groote Eylandt , and Yulara in Central Australia . In South Australia , 63% of the state's area is unincorporated. Residents in this area – less than 0.2% of the state's population – receive municipal services provided by a state agency,
Shire of Mulgrave (Queensland) - Misplaced Pages Continue
4704-500: The patriarch of the mother church from which it was granted its autonomy, but generally they remain self-governing in many other respects. In the history of Western Christianity the question of ecclesiastical autonomy was also one of the most important questions, especially during the first centuries of Christianity, since various archbishops and metropolitans in Western Europe have often opposed centralizing tendencies of
4816-440: The physician . This is referred to as paternalism . While paternalism is meant to be overall good for the patient, this can very easily interfere with autonomy. Through the therapeutic relationship , a thoughtful dialogue between the client and the physician may lead to better outcomes for the client, as he or she is more of a participant in decision-making . There are many different definitions of autonomy, many of which place
4928-548: The 27th article of the United Nations International covenant on Civil and Political rights or the ICCPR does so by allowing these individuals to be able to enjoy their own culture or use their language. Minorities in that manner are people from ethnic religious or linguistic groups according to the document. The European Court of Human rights , is an international court that has been created on behalf of
5040-590: The American government has removed the church from their "sphere of authority" due to the churches' historical impact on politics and their authority on the public. This was the beginning of the disestablishment process. The Protestant churches in the United States had a significant impact on American culture in the nineteenth century, when they organized the establishment of schools, hospitals, orphanages, colleges, magazines, and so forth. This has brought up
5152-469: The Cairns Division were: Chairmen of the Shire of Cairns were: The chairmen of the Shire of Mulgrave were: In addition to the chairmen, other notable people associated with the shire include: 16°55′26.8″S 145°46′28″E / 16.924111°S 145.77444°E / -16.924111; 145.77444 Local government in Australia [REDACTED] [REDACTED] Local government
5264-510: The Cairns area be rationalised, and that the Shire of Mulgrave be abolished and absorbed into the City of Cairns . The Local Government (Cairns, Douglas, Mareeba and Mulgrave) Regulation 1994 was gazetted on 16 December 1994. On 22 March 1995, the Shire was abolished and became part of the new City of Cairns . The Mulgrave Shire Council Chambers were listed on the Queensland Heritage Register on 6 January 1999. It
5376-546: The European Conventions of Human rights. However, when it comes to autonomy they did not explicitly state it when it comes to the rights that individuals have. The current article 8 has remedied to that when the case of Pretty v the United Kingdom , a case in 2002 involving assisted suicide , where autonomy was used as a legal right in law. It was where Autonomy was distinguished and its reach into law
5488-495: The Protestant churches. This was the beginning of the second disestablishment when churches had become popular again but held no legislative power. One of the reasons why the churches gained attendance and popularity was due to the baby boom , when soldiers came back from the second world war and started their families. The large influx of newborns gave the churches a new wave of followers. However, these followers did not hold
5600-648: The Rights of Indigenous Peoples article 3 also through international law provides Human rights for Indigenous individuals by giving them a right to self-determination, meaning they have all the liberties to choose their political status, and are capable to go and improve their economic, social, and cultural statuses in society, by developing it. Another example of this, is article 4 of the same document which gives them autonomous rights when it comes to their internal or local affairs and how they can fund themselves in order to be able to self govern themselves. Minorities in countries are also protected as well by international law;
5712-413: The Rights of Indigenous Peoples reconfirm international law in the aspect of human rights because those laws were already there, but it is also responsible for making sure that the laws highlighted when it comes to autonomy, cultural and integrity; and land rights are made within an indigenous context by taking special attention to their historical and contemporary events The United Nations Declaration on
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#17327839127545824-567: The Second World War, there was a push for international human rights that came in many waves. Autonomy as a basic human right started the building block in the beginning of these layers alongside liberty . The Universal declarations of Human rights of 1948 has made mention of autonomy or the legal protected right to individual self-determination in article 22. Documents such as the United Nations Declaration on
5936-628: The abolished Shire of Barron , which was divided between the Shires of Cairns and Shire of Woothakata . On 16 November 1940, the Shire of Cairns was renamed Shire of Mulgrave. The character of the Shire changed over time, and by the time of the 1991 census, 88% of the Shire's population resided within Cairns's metropolitan area. On 21 November 1991, the Electoral and Administrative Review Commission , created two years earlier, produced its second report, and recommended that local government boundaries in
6048-423: The acting physician is faced with deciding which concept he/she will implement into their clinical practice. It is often references as one of the four pillars of medicine, alongside beneficence, justice and nonmaleficence Autonomy varies and some patients find it overwhelming especially the minors when faced with emergency situations. Issues arise in emergency room situations where there may not be time to consider
6160-424: The cognitive development of children by analyzing them during their games and through interviews, establishing (among other principles) that the children's moral maturation process occurred in two phases, the first of heteronomy and the second of autonomy: The American psychologist Lawrence Kohlberg (1927–1987) continues the studies of Piaget. His studies collected information from different latitudes to eliminate
6272-532: The creator of the essences, eternal truths and divine will. This pure freedom of god relates to human freedom and autonomy; where a human is not subjected to pre-existing ideas and values. According to the first amendment , In the United States of America , the federal government is restricted in building a national church. This is due to the first amendment's recognizing people's freedom's to worship their faith according to their own belief's. For example,
6384-461: The cultural variability, and focused on the moral reasoning, and not so much in the behavior or its consequences. Through interviews with adolescent and teenage boys, who were to try and solve "moral dilemmas", Kohlberg went on to further develop the stages of moral development . The answers they provided could be one of two things. Either they choose to obey a given law, authority figure or rule of some sort or they chose to take actions that would serve
6496-407: The current perceptions of patient autonomy are excessively over-selling the benefits of individual autonomy, and is not the most suitable way to go about treating patients. Instead, a more inclusive form of autonomy should be implemented, relational autonomy, which factors into consideration those close to the patient as well as the physician. These different concepts of autonomy can be troublesome as
6608-412: The development of a child's autonomy. Autonomy in adolescence is closely related to their quest for identity. In adolescence parents and peers act as agents of influence. Peer influence in early adolescence may help the process of an adolescent to gradually become more autonomous by being less susceptible to parental or peer influence as they get older. In adolescence the most important developmental task
6720-453: The entire ACT as an " unincorporated " local government area, even though it is technically a state-level administrative region . Although all essentially identical in functions and jurisdictions, Australian local governments have a variety of different titles. The term "local government area" (LGA) is used by the ABS to collectively refer to all local government administrative zones regardless of
6832-494: The events that unfold within one's everyday life. The context in which Kant addresses autonomy is in regards to moral theory , asking both foundational and abstract questions. He believed that in order for there to be morality , there must be autonomy. "Autonomous" is derived from the Greek word autonomos where 'auto' means self and 'nomos' means to govern ( nomos : as can be seen in its usage in nomárchēs which means chief of
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#17327839127546944-399: The exercise of the capacity to form higher-order values about desires when acting intentionally. What this means is that patients may understand their situation and choices but would not be autonomous unless the patient is able to form value judgements about their reasons for choosing treatment options they would not be acting autonomously. In certain unique circumstances, government may have
7056-400: The famous, however, misinterpreted term of the separation of church and state . These churches lost the legislative and financial support from the state. The first disestablishment began with the introduction of the bill of rights . In the twentieth century, due to the great depression of the 1930s and the completion of the second world war, the American churches were revived. Specifically
7168-504: The first half of the 20th century was the provision of physical infrastructure such as roads, bridges and sewerage. From the 1970s the emphasis changed to community facilities such as libraries and parks, maintenance of local roads, town planning and development approvals, and local services such as waste disposal. Child care, tourism and urban renewal were also beginning to be part of local governments' role. These are financed by collection of local land taxes known as "rates", and grants from
7280-448: The first time. Significant reforms took place in the 1980s and 1990s in which state governments used metrics and efficiency analysis developed within the private sector in the local government arena. Each state conducted an inquiry into the benefits of council amalgamations during the 1990s. In the early 1990s, Victoria saw the number of local councils reduced from 210 to 78. South Australia, Tasmania and Queensland saw some reductions in
7392-415: The following: The Australian Capital Territory is not divided into local government areas, so it is regarded as a single "unincorporated" local government area during censusing . Unlike many other countries, Australia has only one level of local government immediately beneath state and territorial governments. Aside from very sparsely populated areas and a few other special cases, almost all of Australia
7504-490: The form of some desire independent of the judgment, as motivational externalism holds. In the Humean tradition, intrinsic desires are the reasons the autonomous agent should respond to. This theory is called instrumentalism . Audi rejects instrumentalism and suggests that we should adopt a position known as axiological objectivism . The central idea of this outlook is that objective values, and not subjective desires, are
7616-501: The government (though they generally receive government funding). They do not have the power to change laws or policies, and their role is limited to advising government. They are effectively residents' associations . New South Wales has three unincorporated areas: In the Northern Territory , 1.47% of the total area and 3.0% of the population are in unincorporated areas. These include the Cox-Daly and Marrakai-Douglas Daly areas in
7728-433: The health care services that they receive. Notably, autonomy has several aspects as well as challenges that affect health care operations. The manner in which a patient is handled may undermine or support the autonomy of a patient and for this reason, the way a patient is communicated to becomes very crucial. A good relationship between a patient and a health care practitioner needs to be well defined to ensure that autonomy of
7840-427: The individual in a social context. Relational autonomy, which suggests that a person is defined through their relationships with others, is increasingly considered in medicine and particularly in critical and end-of-life care. Supported autonomy suggests instead that in specific circumstances it may be necessary to temporarily compromise the autonomy of the person in the short term in order to preserve their autonomy in
7952-727: The institution of science's existing autonomy is " reflexive autonomy ": actors and structures within the scientific field are able to translate or to reflect diverse themes presented by social and political fields, as well as influence them regarding the thematic choices on research projects. Institutional autonomy is having the capacity as a legislator to be able to implant and pursue official goals. Autonomous institutions are responsible for finding sufficient resources or modifying their plans, programs, courses, responsibilities, and services accordingly. But in doing so, they must contend with any obstacles that can occur, such as social pressure against cut-backs or socioeconomic difficulties. From
8064-407: The lack of structural restraints giving them added freedom of choice. This concept is known as "new voluntarism" where individuals have free choice on how to be religious and the free choice whether to be religious or not. In a medical context, respect for a patient's personal autonomy is considered one of many fundamental ethical principles in medicine. Autonomy can be defined as the ability of
8176-628: The local legislation, as with Victoria 's alpine resorts ; or directly administered by state/territory governments, such as the entirety of the Australian Capital Territory . The administrative area covered by local government councils in Australia ranges from as small as 1.5 km (0.58 sq mi) for the Shire of Peppermint Grove in the Perth metropolitan region , to as big as 624,339 km (241,059 sq mi) for
8288-426: The long-term. Other definitions of the autonomy imagine the person as a contained and self-sufficient being whose rights should not be compromised under any circumstance. There are also differing views with regard to whether modern health care systems should be shifting to greater patient autonomy or a more paternalistic approach. For example, there are such arguments that suggest the current patient autonomy practiced
8400-553: The mayor is elected by the board of fellow councillors . The powers of mayors vary as well; for example, mayors in Queensland have broad executive functions, whereas mayors in New South Wales are essentially ceremonial figureheads who can only exercise power at the discretion of the council. Most of the capital city LGAs administer only the central business districts and nearby central suburbs . A notable exception
8512-631: The names of LGAs, and today the stylised titles of " town ", " borough ", " municipality ", " district ", " region ", "community government", " Aboriginal council/shire" and "island" are used in addition. The word "municipality" occurs in some states with differing meanings: in New South Wales it is typically used for older urban areas, and the word is used for some rural towns in South Australia . Larger towns and small metropolitan exurban centres in Queensland and Western Australia simply use
8624-649: The number of local governments while Western Australia and New South Wales rejected compulsory mergers. New South Wales eventually forced the merging of some councils. The main purpose of amalgamating councils was for greater efficiency and to improve operations, but forced amalgamation of councils is sometimes seen as a dilution of representative democracy . An increase in the range of services offered by councils, but only minor cost savings of less than 10% have been noted by academics as outcomes after mergers. The council mergers have resulted in widespread job losses and lingering resentment from some whose roles have experienced
8736-419: The other hand, administrative autonomy of entire ecclesiastical provinces has throughout history included various degrees of internal self-governance. In ecclesiology of Eastern Orthodox Churches , there is a clear distinction between autonomy and autocephaly , since autocephalous churches have full self-governance and independence, while every autonomous church is subject to some autocephalous church, having
8848-619: The part of local governments. There is no mention of local government in the Constitution of Australia , though it is mentioned several times in the Annotated Constitution of Australia. "Municipal institutions and local government" appears in Annotation 447, and "Power of the Parliament of a Colony" appears under "Residuary Legislative Powers" on pages 935 and 936. The first official local government in Australia
8960-426: The patient is capable of making an autonomous decision, these situations are generally less ethically strenuous as the decision is typically respected. Not every patient is capable of making an autonomous decision. For example, a commonly proposed question is at what age children should be partaking in treatment decisions. This question arises as children develop differently, therefore making it difficult to establish
9072-435: The patient through logic and reason to entertain a certain treatment plan. This would promote both autonomy and beneficence, while keeping the physician's integrity intact. Furthermore, Humphreys asserts that nurses should have professional autonomy within their scope of practice (35–37). Humphreys argues that if nurses exercise their professional autonomy more, then there will be an increase in patient autonomy (35–37). After
9184-545: The patient. O'Neill claims that this focus on autonomy promotion has been at the expense of issues like distribution of healthcare resources and public health. One proposal to increase patient autonomy is through the use of support staff. The use of support staff including medical assistants, physician assistants, nurse practitioners, nurses, and other staff that can promote patient interests and better patient care. Nurses especially can learn about patient beliefs and values in order to increase informed consent and possibly persuade
9296-496: The patients have complained of not being adequately informed. The seven elements of informed consent (as defined by Beauchamp and Childress) include threshold elements (competence and voluntariness), information elements (disclosure, recommendation, and understanding) and consent elements (decision and authorization). Some philosophers such as Harry Frankfurt consider Beauchamp and Childress criteria insufficient. They claim that an action can only be considered autonomous if it involves
9408-576: The person to make his or her own decisions. This faith in autonomy is the central premise of the concept of informed consent and shared decision making . This idea, while considered essential to today's practice of medicine, was developed in the last 50 years. According to Tom Beauchamp and James Childress (in Principles of Biomedical Ethics ), the Nuremberg trials detailed accounts of horrifyingly exploitative medical "experiments" which violated
9520-423: The police" is a hypothetical imperative. "It is wrong to break the law, so don't speed on the freeway" is a categorical imperative. The hypothetical command not to speed on the freeway is not valid for you if you do not care whether you are stopped by the police. The categorical command is valid for you either way. Autonomous moral agents can be expected to obey the command of a categorical imperative even if they lack
9632-818: The population, the population density and the proportion of the population that is classified as being urban for the council. The classification, at the two-digit level, is: All local governments are approximately equal in their theoretical powers, although LGAs that encompass large cities such as Brisbane and the Gold Coast command more resources due to their larger population base. Unlike local governments in many other countries, services such as police, fire protection and schools are provided by respective state or territory governments rather than by local councils. However, local governments still maintain some responsibility for fire service functions within Queensland and Western Australia. The councils' chief responsibility in
9744-414: The power to independently enact their own local subsidiary legislation , in contrast to the previous system of by-laws . Councils also have organised their own representative structures such as Local Government Associations and Regional Organisations of Councils . Doctrines of New Public Management have shaped state government legislation towards increased freedoms aiming to allow greater flexibility on
9856-478: The principle of patient autonomy. Various ethical challenges are faced in these situations when time is critical, and patient consciousness may be limited. However, in such settings where informed consent may be compromised, the working physician evaluates each individual case to make the most professional and ethically sound decision. For example, it is believed that neurosurgeons in such situations, should generally do everything they can to respect patient autonomy. In
9968-559: The province). Kantian autonomy also provides a sense of rational autonomy, simply meaning one rationally possesses the motivation to govern their own life. Rational autonomy entails making your own decisions but it cannot be done solely in isolation . Cooperative rational interactions are required to both develop and exercise our ability to live in a world with others. Kant argued that morality presupposes this autonomy ( German : Autonomie ) in moral agents, since moral requirements are expressed in categorical imperatives . An imperative
10080-538: The purpose of raising money to build roads in rural and outer-urban regions. Council representatives attended conventions before Federation , however local government was unquestionably regarded as outside the Constitutional realm. In the 1970s, the Whitlam government expanded the level of funding to local governments in Australia beyond grants for road construction. General purpose grants become available for
10192-450: The relationship between a patient and a health care practitioner. This is because as much as a physician wants to prevent a patient from suffering, they still have to respect autonomy. Beneficence is a principle allowing physicians to act responsibly in their practice and in the best interests of their patients, which may involve overlooking autonomy. However, the gap between a patient and a physician has led to problems because in other cases,
10304-444: The right for one to make their own decisions excluding any interference from others. Secondly, autonomy as the capacity to make such decisions through one's own independence of mind and after personal reflection. Thirdly, as an ideal way of living life autonomously. In summary, autonomy is the moral right one possesses, or the capacity we have in order to think and make decisions for oneself providing some degree of control or power over
10416-410: The right to temporarily override the right to bodily integrity in order to preserve the life and well-being of the person. Such action can be described using the principle of "supported autonomy", a concept that was developed to describe unique situations in mental health (examples include the forced feeding of a person dying from the eating disorder anorexia nervosa , or the temporary treatment of
10528-408: The same administrative functions and similar political structures, regardless of their naming, and retain a particular designation ("shire", "borough", "town", "city") for historical reasons only. They will typically have an elected council and usually a mayor or shire president responsible for chairing meetings of the council. In some councils, the mayor is a directly elected figure, but in most cases
10640-404: The same beliefs as their parents and brought about the political, and religious revolutions of the 1960s. During the 1960s, the collapse of religious and cultural middle brought upon the third disestablishment. Religion became more important to the individual and less so to the community. The changes brought from these revolutions significantly increased the personal autonomy of individuals due to
10752-626: The self, including self-respect and even self-love. This can be interpreted as influenced by Kant ( self-respect ) and Aristotle ( self-love ). For Nietzsche, valuing ethical autonomy can dissolve the conflict between love (self-love) and law (self-respect) which can then translate into reality through experiences of being self-responsible. Because Nietzsche defines having a sense of freedom with being responsible for one's own life, freedom and self-responsibility can be very much linked to autonomy. The Swiss philosopher Jean Piaget (1896–1980) believed that autonomy comes from within and results from
10864-407: The self-governing power to bring reasons to bear in directing one's conduct and influencing one's propositional attitudes. Traditionally, autonomy is only concerned with practical matters. But, as Audi's definition suggests, autonomy may be applied to responding to reasons at large, not just to practical reasons. Autonomy is closely related to freedom but the two can come apart. An example would be
10976-522: The sense that we should bring reasons to bear in a principled way. Responding to reasons by mere whim may still be considered free but not autonomous. A commitment to principles and projects, on the other hand, provides autonomous agents with an identity over time and gives them a sense of the kind of persons they want to be. But autonomy is neutral as to which principles or projects the agent endorses. So different autonomous agents may follow very different principles. But, as Audi points out, self-legislation
11088-415: The situation in which a patient is unable to make an autonomous decision, the neurosurgeon should discuss with the surrogate decision maker in order to aid in the decision-making process. Performing surgery on a patient without informed consent is in general thought to only be ethically justified when the neurosurgeon and his/her team render the patient to not have the capacity to make autonomous decisions. If
11200-431: The sources of normativity and therefore determine what autonomous agents should do. Autonomy in childhood and adolescence is when one strives to gain a sense of oneself as a separate, self-governing individual. Between ages 1–3, during the second stage of Erikson's and Freud's stages of development, the psychosocial crisis that occurs is autonomy versus shame and doubt. The significant event that occurs during this stage
11312-493: The state and Commonwealth governments. They are caricatured as being concerned only with the "three Rs": Rates, Roads and Rubbish. However, the roles of local government areas in Australia have recently expanded as higher levels of government have devolved activities to the third tier. Examples include the provision of community health services, regional airports and pollution control as well as community safety and accessible transport. The changes in services has been described as
11424-597: The subjects' physical integrity and personal autonomy. These incidences prompted calls for safeguards in medical research , such as the Nuremberg Code which stressed the importance of voluntary participation in medical research. It is believed that the Nuremberg Code served as the premise for many current documents regarding research ethics. Respect for autonomy became incorporated in health care and patients could be allowed to make personal decisions about
11536-567: The term "town", while in Victoria they are designated as "rural city". Historically, the word "borough" was common for small towns and suburban centers in Victoria, but nowadays only the Borough of Queenscliffe remains as the one and only borough in the entire country. New South Wales and Queensland have also introduced a new term "region" for outback LGAs formed by the amalgamation of smaller shires and rural cities. In New South Wales, where
11648-507: The two criteria for a meaningful life. Kant would consider a life lived without these not worth living; it would be a life of value equal to that of a plant or insect. According to Kant autonomy is part of the reason that we hold others morally accountable for their actions. Human actions are morally praise- or blame-worthy in virtue of our autonomy. Non- autonomous beings such as plants or animals are not blameworthy due to their actions being non-autonomous. Kant's position on crime and punishment
11760-694: The two-tier local government system in Canada or the United States , there is only one tier of local government in each Australian state/territory, with no distinction between counties and cities . The Australian local government is generally run by a council , and its territory of public administration is referred to generically by the Australian Bureau of Statistics as the local government area or LGA , each of which encompasses multiple suburbs or localities (roughly equivalent to neighborhoods) often of different postcodes ; however, stylised terms such as "city", " borough ", " region " and " shire " also have
11872-501: The varying designations, whilst the local governing legislature itself is generally known as a council . In general, an urban / suburban LGA is called a " city ", as in the City of Melbourne , City of Canada Bay and City of Bunbury ; while an exurban / rural LGA covering a larger agricultural / natural area is usually called a " shire ", as in Shire of Mornington Peninsula , Shire of Banana and Lachlan Shire . Sometimes designations other than "city" or "shire" are used in
11984-539: Was defeated. A 1988 referendum sought to explicitly insert mention of local government in the federal constitution but this was comprehensively defeated. A further referendum was proposed in 2013 , but was cancelled due to the change in the election date . Federal government interaction with local councils happens regularly through the provision of federal grants to help fund local government managed projects. Local government in Australia has very limited legislative powers and no judicial powers , and executive -wise
12096-555: Was established under the Local Government Act 1878 , being excised from the Cairns Division . With the passage of the Local Authorities Act 1902 , the Cairns Division became the Shire of Cairns on 31 March 1903. Originally based in the town of Gordonvale , which historically was called Mulgrave , its offices were located at Cairns Esplanade, Cairns. On 20 December 1919, the Shire absorbed territory from
12208-544: Was marked as well making it the foundations for legal precedent in making case law originating from the European Court of Human rights. The Yogyakarta Principles , a document with no binding effect in international human rights law , contend that "self-determination" used as meaning of autonomy on one's own matters including informed consent or sexual and reproductive rights , is integral for one's self-defined or gender identity and refused any medical procedures as
12320-621: Was the Perth Town Trust , established in 1838, only three years after British settlement. The Adelaide Corporation followed, created by the province of South Australia in October 1840. The City of Melbourne and the Sydney Corporation followed, both in 1842. All of these early forms failed; it was not until the 1860s and 1870s that the various colonies established widespread stable forms of local government, mainly for
12432-525: Was the former United States governance of the Philippine Islands . The Philippine Autonomy Act of 1916 provided the framework for the creation of an autonomous government under which the Filipino people had broader domestic autonomy than previously, although it reserved certain privileges to the United States to protect its sovereign rights and interests. Other examples include Kosovo (as
12544-577: Was used as the Cairns & Tropical North Visitor Information Centre from 2016 to 2023. The building has since been renovated and incorporated into the Cairns Gallery Precinct. The Shire of Mulgrave included the following settlements: Northern Mulgrave area: Southern Mulgrave area: - shared with Cassowary Coast Region - not to be confused with White Rock in City of Ipswich - shared with shared with Cassowary Coast Region and Tablelands Region The chairmen of
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