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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 .

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189-506: 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, 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

378-482: 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

567-586: A Kantian framework and sought to understand how logical thought concepts and categories could arise out of social life. He argued, for example, that the types of space and time were not a priori . Instead, the category of space depends on a society's social grouping and geographical use of space, and a group's social rhythm determines our understanding of time. Durkheim sought to combine elements of rationalism and empiricism , arguing that certain aspects of logical thought common to all humans did exist, but that they were products of collective life (thus contradicting

756-411: 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

945-426: A certain manner by being wholeheartedly committed to this manner. Virtues contrast with vices , which are their harmful counterparts. Virtue theorists usually say that the mere possession of virtues by itself is not sufficient. Instead, people should manifest virtues in their actions. An important factor is the practical wisdom, also called phronesis , of knowing when, how, and which virtue to express. For example,

1134-428: A certain standpoint. Moral standpoints may differ between persons, cultures, and historical periods. For example, moral statements like "Slavery is wrong" or "Suicide is permissible" may be true in one culture and false in another. Some moral relativists say that moral systems are constructed to serve certain goals such as social coordination. According to this view, different societies and different social groups within

1323-399: A characterization of what is good and then define what is right in terms of what is good. For example, classical utilitarianism says that pleasure is good and that the action leading to the most overall pleasure is right. Consequentialism has been discussed indirectly since the formulation of classical utilitarianism in the late 18th century. A more explicit analysis of this view happened in

1512-453: A critical epistemological distinction between the natural and social worlds, a central concept in the social sciences. Primarily focused on historical methodology , Vico asserts that it is necessary to move beyond a chronicle of events to study a society's history. He examined society's cultural elements, which were termed the "civil world". This "civil world", made up of actions, thoughts, ideas, myths, norms, religious beliefs, and institutions,

1701-841: A degree of autonomy albeit nested within—and relative to—formal bureaucratic and administrative regimes. Community partners can therefore assume a hybridity of capture and autonomy—or a mutuality—that is rather nuanced. The term semi-autonomy (coined with prefix semi- / "half") designates partial or limited autonomy. As a relative term, it is usually applied to various semi-autonomous entities or processes that are substantially or functionally limited, in comparison to other fully autonomous entities or processes. Sociology of knowledge 1800s: Martineau · Tocqueville  ·  Marx ·  Spencer · Le Bon · Ward · Pareto ·  Tönnies · Veblen ·  Simmel · Durkheim ·  Addams ·  Mead · Weber ·  Du Bois ·  Mannheim · Elias The sociology of knowledge

1890-470: A diversity of viewpoints. A universal moral norm is seen as valid if all rational discourse participants do or would approve. This way, morality is not imposed by a single moral authority but arises from the moral discourse within society. This discourse should aim to establish an ideal speech situation to ensure fairness and inclusivity. In particular, this means that discourse participants are free to voice their different opinions without coercion but are at

2079-666: A form of power. As a result, knowledge is socially constructed . He argues that knowledge forms discourses, which, in turn, form the dominant ideological ways of thinking that govern human lives. For him, social control is maintained in 'the disciplinary society' through codes of control over sexuality and the ideas/knowledge perpetuated through social institutions. In other words, discourses and ideologies subject us to authority and turn people into 'subjected beings', who are afraid of being punished if they sway from social norms . Foucault believes that institutions overtly regulate and control our lives. Institutions such as schools reinforce

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2268-683: A framework for the study of knowledge and education and is now being used to analyse a growing range of social and cultural practices across increasingly different institutional and national contexts, both within and beyond education. The approach primarily builds on the work of Basil Bernstein (1924-2000) and of Pierre Bourdieu (1930-2002). It also integrates insights from sociology (including Durkheim, Marx, Weber and Foucault), systemic functional linguistics , philosophy (such as Karl Popper and critical realism ), early cultural studies, anthropology (especially Mary Douglas and Ernest Gellner ), and other approaches. The LCT-Centre for Knowledge-Building

2457-479: A general standpoint of what is objectively right and wrong. In a slightly different sense, the term ethics can also refer to individual ethical theories in the form of a rational system of moral principles, such as Aristotelian ethics , and to a moral code that certain societies, social groups, or professions follow, as in Protestant work ethic and medical ethics . The English word ethics has its roots in

2646-613: 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

2835-451: 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

3024-515: A lack of practical wisdom may lead courageous people to perform morally wrong actions by taking unnecessary risks that should better be avoided. Different types of virtue ethics differ on how they understand virtues and their role in practical life. Eudaimonism is the original form of virtue theory developed in Ancient Greek philosophy and draws a close relation between virtuous behavior and happiness. It states that people flourish by living

3213-502: 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

3402-557: A major role in defining "madness" as an "illness" and in prescribing "cures". In The Birth of the Clinic : An Archeology of Medical Perception (1963), Foucault extended his critique to institutional clinical medicine, arguing for the central conceptual metaphor of "The Gaze" , which had implications for medical education , prison design , and the carceral state as understood today. Concepts of criminal justice and its intersection with medicine were better developed in this work than in

3591-549: A means to promote their self-interest. Ethical egoism is often criticized as an immoral and contradictory position. Normative ethics has a central place in most religions . Key aspects of Jewish ethics are to follow the 613 commandments of God according to the Mitzvah duty found in the Torah and to take responsibility for societal welfare . Christian ethics puts less emphasis on following precise laws and teaches instead

3780-412: 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,

3969-611: A more general principle. Many theories of normative ethics also aim to guide behavior by helping people make moral decisions . Theories in normative ethics state how people should act or what kind of behavior is correct. They do not aim to describe how people normally act, what moral beliefs ordinary people have, how these beliefs change over time, or what ethical codes are upheld in certain social groups. These topics belong to descriptive ethics and are studied in fields like anthropology , sociology , and history rather than normative ethics. Some systems of normative ethics arrive at

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4158-446: 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

4347-550: A person should tell the truth even in specific cases where lying would lead to better consequences. Another disagreement is between actual and expected consequentialism. According to the traditional view, only the actual consequences of an act affect its moral value. One difficulty of this view is that many consequences cannot be known in advance. This means that in some cases, even well-planned and intentioned acts are morally wrong if they inadvertently lead to negative outcomes. An alternative perspective states that what matters are not

4536-425: 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

4725-401: A pleasurable experience has a high value if it has a high intensity and lasts for a long time. A common criticism of Bentham's utilitarianism argued that its focus on the intensity of pleasure promotes an immoral lifestyle centered around indulgence in sensory gratification. Mill responded to this criticism by distinguishing between higher and lower pleasures. He stated that higher pleasures, like

4914-589: 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

5103-573: 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,

5292-790: A single principle covering all possible cases. Others encompass a small set of basic rules that address all or at least the most important moral considerations. One difficulty for systems with several basic principles is that these principles may conflict with each other in some cases and lead to ethical dilemmas . Distinct theories in normative ethics suggest different principles as the foundation of morality. The three most influential schools of thought are consequentialism , deontology , and virtue ethics . These schools are usually presented as exclusive alternatives, but depending on how they are defined, they can overlap and do not necessarily exclude one another. In some cases, they differ in which acts they see as right or wrong. In other cases, they recommend

5481-464: A situation, regardless of their specific role or position. Immanuel Kant (1724–1804) is one of the most well-known deontologists. He states that reaching outcomes that people desire, such as being happy, is not the main purpose of moral actions. Instead, he argues that there are universal principles that apply to everyone independent of their desires. He uses the term categorical imperative for these principles, saying that they have their source in

5670-425: A society construct different moral systems based on their diverging purposes. Emotivism provides a different explanation, stating that morality arises from moral emotions, which are not the same for everyone. Moral nihilists deny the existence of moral facts. They reject the existence of both objective moral facts defended by moral realism and subjective moral facts defended by moral relativism. They believe that

5859-518: 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

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6048-454: 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

6237-574: A subclass and a complement. Its subclass is sociology of scientific knowledge . Its complement is the sociology of ignorance. The sociology of knowledge was pioneered primarily by the sociologist Émile Durkheim at the beginning of the 20th century. His work deals directly with how conceptual thought, language, and logic can be influenced by the societal milieu in which they arise. The 1903 essay Primitive Classification , by Durkheim and Marcel Mauss , invoked "primitive" group mythology to argue that classification systems are collectively based and that

6426-424: A theory of cyclical history ( corsi e ricorsi), are significant for the underlying premise about our understanding and knowledge of social structure. They are dependent upon the ideas and concepts we employ and the language used. Vico was primarily unknown in his own time. He was the first to establish the foundations of a sociology of knowledge, even though later writers did not necessarily pick up his concepts. There

6615-557: A virtuous life. Eudaimonist theories often hold that virtues are positive potentials residing in human nature and that actualizing these potentials results in leading a good and happy life. Agent-based theories, by contrast, see happiness only as a side effect and focus instead on the admirable traits and motivational characteristics expressed while acting. This is often combined with the idea that one can learn from exceptional individuals what those characteristics are. Feminist ethics of care are another form of virtue ethics. They emphasize

6804-475: 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

6993-422: 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

7182-487: Is a moral obligation to refrain from lying. Because it relies on consent, contractualism is often understood as a patient-centered form of deontology. Famous social contract theorists include Thomas Hobbes , John Locke , Jean-Jacques Rousseau , and John Rawls . Discourse ethics also focuses on social agreement on moral norms but says that this agreement is based on communicative rationality . It aims to arrive at moral norms for pluralistic modern societies that encompass

7371-419: Is a product of collective action. And because language is a collective action, language contains within it a history of accumulated knowledge and experience that no individual would be capable of creating alone. As Durkheim says, représentations collectives , and language in particular: "Add to that which we can learn by our own personal experience all that wisdom and science which the group has accumulated in

7560-529: Is at the University of Sydney. Southern theory is an approach to the sociology of knowledge that looks at the global production of sociological knowledge and the dominance of the global north . It was first developed by Australian sociologist Raewyn Connell in her book Southern Theory , with colleges at the University of Sydney and elsewhere. Southern theory offers a decolonizing perspective within

7749-476: Is better than an unequal distribution even if the aggregate good is the same. There are disagreements about which consequences should be assessed. An important distinction is between act consequentialism and rule consequentialism. According to act consequentialism, the consequences of an act determine its moral value. This means that there is a direct relation between the consequences of an act and its moral value. Rule consequentialism, by contrast, holds that an act

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7938-410: Is between naturalism and non-naturalism. Naturalism states that moral properties are natural properties accessible to empirical observation . They are similar to the natural properties investigated by the natural sciences , like color and shape. Some moral naturalists hold that moral properties are a unique and basic type of natural property. Another view states that moral properties are real but not

8127-407: 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

8316-416: 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

8505-456: Is embedded in and relative to social and cultural contexts. Pragmatists tend to give more importance to habits than to conscious deliberation and understand morality as a habit that should be shaped in the right way. Postmodern ethics agrees with pragmatist ethics about the cultural relativity of morality. It rejects the idea that there are objective moral principles that apply universally to all cultures and traditions. It asserts that there

8694-423: Is evidence that Montesquieu and Karl Marx read Vico's work. However, the similarities in their works are superficial, limited mainly to the overall conception of their projects. They were characterized by cultural relativism and historicism. Émile Durkheim (1858–1917) is credited as having been the first professor to successfully establish the field of sociology, institutionalizing a department of sociology at

8883-537: Is found in Jainism , which has non-violence as its principal virtue. Duty is a central aspect of Hindu ethics and is about fulfilling social obligations, which may vary depending on a person's social class and stage of life . Confucianism places great emphasis on harmony in society and sees benevolence as a key virtue. Taoism extends the importance of living in harmony to the whole world and teaches that people should practice effortless action by following

9072-418: 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

9261-736: Is no one coherent ethical code since morality itself is irrational and humans are morally ambivalent beings. Postmodern ethics instead focuses on how moral demands arise in specific situations as one encounters other people. Ethical egoism is the view that people should act in their self-interest or that an action is morally right if the person acts for their own benefit. It differs from psychological egoism , which states that people actually follow their self-interest without claiming that they should do so. Ethical egoists may act in agreement with commonly accepted moral expectations and benefit other people, for example, by keeping promises, helping friends, and cooperating with others. However, they do so only as

9450-651: Is not interested in which actions are right but in what it means for an action to be right and whether moral judgments are objective and can be true at all. It further examines the meaning of morality and other moral terms. Metaethics is a metatheory that operates on a higher level of abstraction than normative ethics by investigating its underlying assumptions. Metaethical theories typically do not directly judge which normative ethical theories are correct. However, metaethical theories can still influence normative theories by examining their foundational principles. Metaethics overlaps with various branches of philosophy. On

9639-414: 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

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9828-446: Is one of the earliest forms of consequentialism. It arose in the 5th century BCE and argued that political action should promote justice as a means to increase the welfare of the people. The most well-known form of consequentialism is utilitarianism. In its classical form, it is an act consequentialism that sees happiness as the only source of intrinsic value. This means that an act is morally right if it produces "the greatest good for

10017-428: Is one of the main branches of philosophy and investigates the nature of morality and the principles that govern the moral evaluation of conduct , character traits , and institutions . It examines what obligations people have, what behavior is right and wrong, and how to lead a good life. Some of its key questions are "How should one live?" and "What gives meaning to life ?". In contemporary philosophy, ethics

10206-464: 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

10395-422: Is primarily concerned with normative statements about what ought to be the case, in contrast to descriptive statements , which are about what is the case. Duties and obligations express requirements of what people ought to do. Duties are sometimes defined as counterparts of the rights that always accompany them. According to this view, someone has a duty to benefit another person if this other person has

10584-438: Is right if it follows a certain set of rules. Rule consequentialism determines the best rules by considering their outcomes at a community level. People should follow the rules that lead to the best consequences when everyone in the community follows them. This implies that the relation between an act and its consequences is indirect. For example, if telling the truth is one of the best rules, then according to rule consequentialism,

10773-561: Is socialized in the modern era by new kinds of social organizations and structures. American sociologist Robert K. Merton (1910–2003) dedicates a section of Social Theory and Social Structure (1949; revised and expanded, 1957 and 1968) to the study of the sociology of knowledge in Part III, titled The Sociology of Knowledge and Mass Communications . For the news in this prospect see Guglielmo Rinzivillo, Robert King Merton Utet, Turin, 2019. Legitimation Code Theory (LCT) emerged as

10962-479: 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

11151-434: Is that codes of conduct in specific areas, such as business and environment, are usually termed ethics rather than morality, as in business ethics and environmental ethics . Normative ethics is the philosophical study of ethical conduct and investigates the fundamental principles of morality . It aims to discover and justify general answers to questions like "How should one live?" and "How should people act?", usually in

11340-422: Is the only thing with intrinsic value is called ethical or evaluative hedonism . Classical utilitarianism was initially formulated by Jeremy Bentham at the end of the 18th century and further developed by John Stuart Mill . Bentham introduced the hedonic calculus to assess the value of consequences. Two key aspects of the hedonic calculus are the intensity and the duration of pleasure. According to this view,

11529-537: Is the product of the human mind. These socially constructed elements can be better understood than the physical world, as it is in abstraction. Vico highlights that human nature and its products are not fixed entities. Therefore, it necessitates a historical perspective emphasizing the changes and developments implicit in individuals and societies. He also emphasizes the dialectical relationship between society and culture as key in this new historical perspective. While permeated by his penchant for etymology, Vico's ideas and

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11718-422: Is the study of the relationship between human thought , the social context within which it arises, and the effects that prevailing ideas have on societies. It is not a specialized area of sociology . Instead, it deals with broad fundamental questions about the extent and limits of social influences on individuals' lives and the social-cultural basis of our knowledge about the world. The sociology of knowledge has

11907-518: 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

12096-437: Is to have a good will. A person has a good will if they respect the moral law and form their intentions and motives in agreement with it. Kant states that actions motivated in such a way are unconditionally good, meaning that they are good even in cases where they result in undesirable consequences. Divine command theory says that God is the source of morality. It states that moral laws are divine commands and that to act morally

12285-489: Is to obey and follow God's will . While all divine command theorists agree that morality depends on God, there are disagreements about the precise content of the divine commands, and theorists belonging to different religions tend to propose different moral laws. For example, Christian and Jewish divine command theorists may argue that the Ten Commandments express God's will while Muslims may reserve this role for

12474-527: Is true, then it too is merely a product of socio-political forces and has no claim to truth and no persuasive force). Mannheim believed that relativism was a strange mixture of modern and ancient beliefs in that it contained within itself a belief in an absolute truth that was true for all times and places (the ancient view most often associated with Plato ) and condemned other truth claims because they could not achieve this level of objectivity (an idea gleaned from Marx). Mannheim sought to escape this problem with

12663-411: Is usually divided into normative ethics , applied ethics , and metaethics . Morality is about what people ought to do rather than what they actually do, what they want to do, or what social conventions require. As a rational and systematic field of inquiry, ethics studies practical reasons why people should act one way rather than another. Most ethical theories seek universal principles that express

12852-430: Is what makes such a description different from the "naive" subjective descriptions of the man in the street, or those of the traditional, positivist social scientist. The leading proponent of phenomenological sociology was Alfred Schütz (1899–1959). Schütz sought to provide a critical philosophical foundation for the interpretive sociology of Max Weber (1864-1920) through the use of phenomenological methods derived from

13041-492: 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

13230-421: Is wrong to break a promise even if no harm comes from it. Deontologists are interested in which actions are right and often allow that there is a gap between what is right and what is good. Many focus on prohibitions and describe which acts are forbidden under any circumstances. Agent-centered deontological theories focus on the person who acts and the duties they have. Agent-centered theories often focus on

13419-399: Is wrong. This observation is sometimes taken as an argument against moral realism since moral disagreement is widespread in most fields. Moral relativists reject the idea that morality is an objective feature of reality. They argue instead that moral principles are human inventions. This means that a behavior is not objectively right or wrong but only subjectively right or wrong relative to

13608-515: The tabula rasa empiricist understanding whereby categories are acquired by individual experience alone), and that they were not universal a priori truths (as Kant argued) since the content of the categories differed from society to society. Another key element to Durkheim's theory of knowledge is his concept of représentations collectives ( collective representations ), which he outlined in 1912 in The Elementary Forms of

13797-667: The Ancient Greek word êthos ( ἦθος ), meaning ' character ' and ' personal disposition ' . This word gave rise to the Ancient Greek word ēthikós ( ἠθικός ), which was translated into Latin as ethica and entered the English language in the 15th century through the Old French term éthique . The term morality originates in the Latin word moralis , meaning ' manners ' and ' character ' . It

13986-728: 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

14175-662: The French Revolution with its Reign of Terror . Hamilton argues that the Enlightenment can be seen as a critical response to the Christian theology used by the Jacobins , which manipulated people's understanding of truth to maintain a feudal order. The sociology of knowledge requires a particular viewpoint that Giambattista Vico first expounded in his New Science in the early 18th century, long before

14364-807: 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

14553-402: The medieval period , ethical thought was strongly influenced by religious teachings. In the modern period , this focus shifted to a more secular approach concerned with moral experience, reasons for acting , and the consequences of actions. An influential development in the 20th century was the emergence of metaethics. Ethics, also called moral philosophy, is the study of moral phenomena. It

14742-500: 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

14931-438: 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

15120-411: The 19th century transformed what knowledge was. Foucault stated that "Man did not exist" before the 18th century. Foucault regarded notions of humanity and of humanism as inventions of modernity . Accordingly, a cognitive bias had been introduced unwittingly into science, by over-trusting the individual doctor or scientist's ability to see and state things objectively. Foucault roots this argument in

15309-532: The 20th century, virtue ethics experienced a resurgence thanks to philosophers such as Elizabeth Anscombe , Philippa Foot , Alasdair MacIntyre , and Martha Nussbaum . There are many other schools of normative ethics in addition to the three main traditions. Pragmatist ethics focuses on the role of practice and holds that one of the key tasks of ethics is to solve practical problems in concrete situations. It has certain similarities to utilitarianism and its focus on consequences but concentrates more on how morality

15498-404: The 20th century, when the term was coined by G. E. M. Anscombe . Consequentialists usually understand the consequences of an action in a very wide sense that includes the totality of its effects. This is based on the idea that actions make a difference in the world by bringing about a causal chain of events that would not have existed otherwise. A core intuition behind consequentialism is that

15687-547: 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

15876-588: 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

16065-546: 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

16254-479: The Life-world (Natanson:1974). The difference in their research projects lies in the level of analysis, the objects taken as topics of study, and the type of phenomenological reduction that is employed for the purposes of analysis. Ultimately, the two projects should be seen as complementary, with the structures of the latter dependent on the structures of the former. That is, valid phenomenological descriptions of

16443-494: 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

16632-615: The Religious Life . Représentations collectives are the symbols and images that come to represent the ideas, beliefs, and values elaborated by a collectivity and are not reducible to individual constituents. They can include words, slogans, ideas, or any number of material items that can serve as a symbol, such as a cross, a rock, a temple, a feather, etc. As Durkheim elaborates, représentations collectives are created through intense social interaction and are products of collective activity. As such, these representations have

16821-647: 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;

17010-412: 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

17199-565: 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

17388-437: The University de Bordeaux in the 1890s. While his works deal with several subjects, including suicide, the family, social structures, and social institutions , a large part of his work deals with the sociology of knowledge. While publishing short articles on the subject early in his career (for example, the essay De quelques formes primitives de classification written in 1902 with Marcel Mauss ), Durkheim worked mainly out of

17577-421: 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

17766-430: The actual consequences but the expected consequences. This view takes into account that when deciding what to do, people have to rely on their limited knowledge of the total consequences of their actions. According to this view, a course of action has positive moral value despite leading to an overall negative outcome if it had the highest expected value , for example, because the negative outcome could not be anticipated or

17955-529: The agent. It is controversial whether agent-relative moral theories, like ethical egoism , should be considered as types of consequentialism. There are many different types of consequentialism. They differ based on what type of entity they evaluate, what consequences they take into consideration, and how they determine the value of consequences. Most theories assess the moral value of acts. However, consequentialism can also be used to evaluate motives , character traits , rules, and policies . Many types assess

18144-464: The analytical description of acts of intentional consciousness. The "object" of such an analysis is the meaningful lived world of everyday life: the "Lebenswelt", or life-world (Husserl:1889). The task, like that of every other phenomenological investigation, is to describe the formal structures of this object of investigation in subjective terms, as an object-constituted-in-and-for-consciousness (Gurwitsch:1964). The utilization of phenomenological methods

18333-570: The basic assumptions underlying moral claims are misguided. Some moral nihilists conclude from this that anything is allowed. A slightly different view emphasizes that moral nihilism is not itself a moral position about what is allowed and prohibited but the rejection of any moral position. Moral nihilism, like moral relativism, recognizes that people judge actions as right or wrong from different perspectives. However, it disagrees that this practice involves morality and sees it as just one type of human behavior. A central disagreement among moral realists

18522-417: The best action for someone with a good salary would be to donate 70% of their income to charity, it would be morally wrong for them to only donate 65%. Satisficing consequentialism, by contrast, only requires that an act is "good enough" even if it is not the best possible alternative. According to this view, it is possible to do more than one is morally required to do. Mohism in ancient Chinese philosophy

18711-517: The co-founder of the movement, the German philosopher, phenomenologist and social theorist Max Scheler (1874–1928), in Versuche zu einer Soziologie des Wissens (1924, Attempts at a Sociology of Knowledge ). Mannheim feared that this interpretation could be seen to claim that all knowledge and beliefs are the products of socio-political forces since this form of relativism is self-defeating (if it

18900-424: 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

19089-421: The consequences. A related approach is to characterize consequentialism not in terms of consequences but in terms of outcome, with the outcome being defined as the act together with its consequences. Most forms of consequentialism are agent-neutral. This means that the value of consequences is assessed from a neutral perspective, that is, acts should have consequences that are good in general and not just good for

19278-595: The contributions of Szasz and others, who confined their critique to current psychiatric practice. Foucault's The Order of Things (1966) and The Archeology of Knowledge (1969) introduced abstract notions of mathesis and taxonomia to explain the subjective 'ordering' of the human sciences . These, he claimed, had transformed 17th and 18th-century studies of "general grammar" into modern " linguistics ", " natural history " into modern " biology ", and " analysis of wealth " into modern " economics "—though not, claimed Foucault, without loss of meaning. Foucault believed that

19467-750: The course of centuries. Thinking by concepts is not merely seeing reality on its most general side, but it is projecting a light upon the sensation which illuminates it, penetrates it, and transforms it." As such, language, as a social product, literally structures and shapes our experience of reality, an idea developed by later French philosophers, such as Michel Foucault . The German political philosophers Karl Marx (1818–1883) and Friedrich Engels (1820–1895) argued in Die deutsche Ideologie (1846, The German Ideology ) and elsewhere that people's ideologies , including their social and political beliefs and opinions, are rooted in their class interests and more broadly in

19656-531: 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,

19845-461: 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

20034-405: 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

20223-423: The deficient state of cowardice and the excessive state of recklessness . Aristotle held that virtuous action leads to happiness and makes people flourish in life. Stoicism emerged about 300 BCE and taught that, through virtue alone, people can achieve happiness characterized by a peaceful state of mind free from emotional disturbances. The Stoics advocated rationality and self-mastery to achieve this state. In

20412-410: 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

20601-422: The divisions within these systems derive from social categories. In his 1912 The Elementary Forms of the Religious Life , Durkheim elaborated on his theory of knowledge. In this work, he examined how languages, concepts, and the categories (such as space and time) used in logical thought have a sociological origin. Neither Durkheim nor Mauss specifically coined the term "sociology of knowledge". However, their work

20790-701: The dominance of functionalism through the middle years of the 20th century, the sociology of knowledge remained on the periphery of mainstream sociological thought. However, it was reinvented and applied closely to everyday life in the 1960s, particularly by Peter L. Berger and Thomas Luckmann in The Social Construction of Reality (1966). It is still central for methods dealing with a qualitative understanding of human society (compare socially constructed reality ). The 'genealogical' and 'archaeological' studies of Michel Foucault are of considerable contemporary influence. Peter Hamilton argues that

20979-455: The dominant ideological forms of thinking in the populace and force us into becoming obedient and docile beings. Hence, the dominant ideology that serves the interests of the ruling class, all the while appearing as 'neutral', needs to be questioned and must not go unchallenged. Knowledge ecology is a concept originating from knowledge management that aims at "bridging the gap between the static data repositories of knowledge management and

21168-531: The dynamic, adaptive behavior of natural systems", in particular relying on the concepts of interaction and emergence . Knowledge ecology, and its related concept information ecology has been elaborated by different academics and practitioners, such as Thomas H. Davenport , Bonnie Nardi , or Swidler. The New Sociology of Knowledge (a postmodern approach considering knowledge as culture by drawing upon Marxist, French structuralist, and American pragmatist traditions) introduces concepts that dictate how knowledge

21357-492: 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

21546-432: 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 the right to temporarily override

21735-466: 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

21924-399: 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

22113-402: The first sociologists studied the relationship between knowledge and society. The book, a justification for a new historical and sociological methodology, suggests that the natural and social worlds are known in different ways. The former is known through external or empirical methods, while the latter can be known internally and externally. In other words, human history is a construct that creates

22302-486: 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

22491-413: The form of universal or domain-independent principles that determine whether an act is right or wrong. For example, given the particular impression that it is wrong to set a child on fire for fun, normative ethics aims to find more general principles that explain why this is the case, like the principle that one should not cause extreme suffering to the innocent , which may itself be explained in terms of

22680-414: The formal structures of consciousness, and Schütz's analysis of the formal structures of the Life-world are specifically intended to establish the foundations in consciousness for the understanding and interpretation of a social world that is subject to cultural and historical change. The phenomenological position is that although the facticity of the social world may be culturally and historically relative,

22869-542: The formal structures of consciousness, and the processes by which we come to know and understand this facticity are not. That is, the understanding of any actual social world is unavoidably dependent on understanding the structures and processes of consciousness that found, and constitute, any possible social world. Alternatively, if the facticity of the social world and the structures of consciousness prove to be culturally and historically relative, then we are at an impasse in regard to any meaningful scientific understanding of

23058-419: The formal structures of the Life-world should be wholly consistent with the descriptions of the formal structures of intentional consciousness. It is from the latter that the former derives its validity and truth value (Sokolowski:2000). The phenomenological tie-in with the sociology of knowledge stems from two key historical sources for Mannheim 's analysis: It is also noteworthy that Husserl's analysis of

23247-519: The formation of character . Descriptive ethics describes the dominant moral codes and beliefs in different societies and considers their historical dimension. The history of ethics started in the ancient period with the development of ethical principles and theories in ancient Egypt , India , China , and Greece . This period saw the emergence of ethical teachings associated with Hinduism , Buddhism , Confucianism , Daoism , and contributions of philosophers like Socrates and Aristotle . During

23436-457: The freedom of the individual to determine his own beliefs and values, which are at odds with traditional moral considerations in theology . The empirical method of cross-cultural comparison became a methodology for understanding society rather than the idea of revealed truth inherent in sociology, leading to a measure of cultural relativism . He argues that some thinkers sought to change society based on their theories. These ideas play out in

23625-405: The future should be shaped to achieve the best possible outcome. The act itself is usually not seen as part of the consequences. This means that if an act has intrinsic value or disvalue, it is not included as a factor. Some consequentialists see this as a flaw, saying that all value-relevant factors need to be considered. They try to avoid this complication by including the act itself as part of

23814-429: The greatest number" by increasing happiness and reducing suffering. Utilitarians do not deny that other things also have value, like health, friendship, and knowledge. However, they deny that these things have intrinsic value. Instead, they say that they have extrinsic value because they affect happiness and suffering. In this regard, they are desirable as a means but, unlike happiness, not as an end. The view that pleasure

24003-432: 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

24192-421: The human mind and culture rather than as subjective constructs or expressions of personal preferences and cultural norms . Moral realists accept the claim that there are objective moral facts. This view implies that moral values are mind-independent aspects of reality and that there is an absolute fact about whether a given action is right or wrong. A consequence of this view is that moral requirements have

24381-408: The idea of relationism . This is the idea that certain things are true only in certain times and places (a view influenced by pragmatism ) however, this does not make them less true. Mannheim felt that a stratum of free-floating intellectuals (who he claimed were only loosely anchored to the class structure of society) could most perfectly realize this form of truth by creating a "dynamic synthesis" of

24570-428: The ideologies of other groups. The sociology of Mannheim is specified with particular attention to the forms of transmission of culture and knowledge. It follows the constellations of senses and options that, through the generations, are related to the transmission and reproduction of values. Phenomenological sociology is the study of the formal structures of concrete social existence as made available in and through

24759-415: The importance of interpersonal relationships and say that benevolence by caring for the well-being of others is one of the key virtues. Influential schools of virtue ethics in ancient philosophy were Aristotelianism and Stoicism . According to Aristotle (384–322 BCE), each virtue is a golden mean between two types of vices: excess and deficiency. For example, courage is a virtue that lies between

24948-424: 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

25137-411: The intellectual satisfaction of reading a book, are more valuable than lower pleasures, like the sensory enjoyment of food and drink, even if their intensity and duration are the same. Since its original formulation, many variations of utilitarianism have developed, including the difference between act and rule utilitarianism and between maximizing and satisficing utilitarianism. Deontology assesses

25326-405: 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

25515-609: The level of ontology , it examines whether there are objective moral facts. Concerning semantics , it asks what the meaning of moral terms are and whether moral statements have a truth value . The epistemological side of metaethics discusses whether and how people can acquire moral knowledge. Metaethics overlaps with psychology because of its interest in how moral judgments motivate people to act. It also overlaps with anthropology since it aims to explain how cross-cultural differences affect moral assessments. Metaethics examines basic ethical concepts and their relations. Ethics

25704-425: 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

25893-569: The moral rightness of actions based on a set of norms or principles. These norms describe the requirements that all actions need to follow. They may include principles like telling the truth, keeping promises , and not intentionally harming others. Unlike consequentialists, deontologists hold that the validity of general moral principles does not directly depend on their consequences. They state that these principles should be followed in every case since they express how actions are inherently right or wrong. According to moral philosopher David Ross , it

26082-477: The moral value of acts only depends on the pleasure and suffering they cause. An alternative approach says that there are many different sources of value, which all contribute to one overall value. Before the 20th century, consequentialists were only concerned with the total of value or the aggregate good. In the 20th century, alternative views were developed that additionally consider the distribution of value. One of them states that an equal distribution of goods

26271-431: The motives and intentions behind people's actions, highlighting the importance of acting for the right reasons. They tend to be agent-relative, meaning that the reasons for which people should act depend on personal circumstances. For example, a parent has a special obligation to their child, while a stranger does not have this kind of obligation toward a child they do not know. Patient-centered theories, by contrast, focus on

26460-476: The natural flow of the universe . Indigenous belief systems, like Native American philosophy and the African Ubuntu philosophy , often emphasize the interconnectedness of all living beings and the environment while stressing the importance of living in harmony with nature. Metaethics is the branch of ethics that examines the nature, foundations, and scope of moral judgments , concepts, and values. It

26649-419: 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

26838-399: The particular, and somewhat contradictory, aspect that they exist externally to the individual (since they are created and controlled not by the individual but by society as a whole), and yet simultaneously within each individual of the society (by virtue of that individual's participation within society). Language is an important représentation collective , which, according to Durkheim,

27027-424: 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

27216-433: 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

27405-495: 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

27594-430: The people affected by actions and the rights they have. An example is the requirement to treat other people as ends and not merely as a means to an end. This requirement can be used to argue, for example, that it is wrong to kill a person against their will even if this act would save the lives of several others. Patient-centered deontological theories are usually agent-neutral, meaning that they apply equally to everyone in

27783-440: The person possesses and exercises certain capacities or some form of control . If a person is morally responsible then it is appropriate to respond to them in certain ways, for example, by praising or blaming them. A major debate in metaethics is about the ontological status of morality, questioning whether ethical values and principles are real. It examines whether moral properties exist as objective features independent of

27972-576: 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

28161-411: The person would want everyone to follow the same maxim as a universal law applicable to everyone. Another formulation states that one should treat other people always as ends in themselves and never as mere means to an end. This formulation focuses on respecting and valuing other people for their own sake rather than using them in the pursuit of personal goals. In either case, Kant says that what matters

28350-423: 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

28539-479: The practice of selfless love , such as the Great Commandment to "Love your neighbor as yourself". The Five Pillars of Islam constitute a basic framework of Muslim ethics and focus on the practice of faith , prayer , charity , fasting during Ramadan , and pilgrimage to Mecca . Buddhists emphasize the importance of compassion and loving-kindness towards all sentient entities. A similar outlook

28728-477: 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

28917-462: 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 a constraining effect of illness on a patient's autonomy. Since the 1960s, there have been attempts to increase patient autonomy including

29106-559: 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

29295-565: The rediscovery of Kant, though his thought is significantly influenced by Nietzsche – that philosopher declaring the "death of God" in the 19th century, and the anti-humanists proposing the "death of Man" in the 20th. In Discipline and Punish: the Birth of the Prison (1975), Foucault concentrates on the correlation between knowledge and power. According to him, knowledge is a form of power and can conversely be used against individuals as

29484-449: 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,

29673-437: 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 the patient. O'Neill claims that this focus on autonomy promotion has been at

29862-444: 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

30051-474: 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 a person living with a psychotic disorder with antipsychotic medication ). While controversial,

30240-468: The right to receive that benefit. Obligation and permission are contrasting terms that can be defined through each other: to be obligated to do something means that one is not permitted not to do it and to be permitted to do something means that one is not obligated not to do it. Some theorists define obligations in terms of values or what is good . When used in a general sense, good contrasts with bad . When describing people and their intentions,

30429-403: 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

30618-417: The same course of action but provide different justifications for why it is right. Consequentialism, also called teleological ethics, says that morality depends on consequences. According to the most common view, an act is right if it brings the best future. This means that there is no alternative course of action that has better consequences. A key aspect of consequentialist theories is that they provide

30807-401: The same ontological status as non-moral facts: it is an objective fact whether there is an obligation to keep a promise just as it is an objective fact whether a thing is rectangular. Moral realism is often associated with the claim that there are universal ethical principles that apply equally to everyone. It implies that if two people disagree about a moral evaluation then at least one of them

30996-423: The same time required to justify them using rational argumentation. The main concern of virtue ethics is how virtues are expressed in actions. As such, it is neither directly interested in the consequences of actions nor in universal moral duties. Virtues are positive character traits like honesty , courage , kindness , and compassion . They are usually understood as dispositions to feel, decide, and act in

31185-625: 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

31374-404: 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

31563-518: 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

31752-414: 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

31941-475: The social and economic circumstances in which they live: Under the influence of this doctrine and of phenomenology , the Hungarian-born German sociologist Karl Mannheim (1893–1947) gave impetus to the growth of the sociology of knowledge with his Ideologie und Utopie (1929, translated and extended in 1936 as Ideology and Utopia ), although the term had been introduced five years earlier by

32130-421: The social world that is not subjective (as opposed to being objective and grounded in nature [positivism], or inter-subjective and grounded in the structures of consciousness [phenomenology]), and relative to the cultural and idealization formations of particular concrete individuals living in a particular socio-historical group. The work of Michel Foucault made a particularly important contemporary contribution to

32319-742: The sociology of knowledge that seeks to emphasize perspectives from the global south to counter bias towards the perspectives of theorists and social scientists from the global north. Moral theory Ethics is the philosophical study of moral phenomena. Also called moral philosophy , it investigates normative questions about what people ought to do or which behavior is morally right. Its main branches include normative ethics , applied ethics , and metaethics . Normative ethics aims to find general principles that govern how people should act. Applied ethics examines concrete ethical problems in real-life situations, such as abortion , treatment of animals , and business practices . Metaethics explores

32508-426: The sociology of knowledge. Madness and Civilization (1961) postulated that conceptions of madness and what was considered "reason" or "knowledge" were themselves subject to major culture bias , in this respect mirroring similar criticisms by Thomas Szasz (1920-2012), at the time the foremost critic of psychiatry and subsequently an eminent psychiatrist. Foucault and Szasz agreed that sociological processes played

32697-427: 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

32886-409: The structure of practical reason and are true for all rational agents. According to Kant, to act morally is to act in agreement with reason as expressed by these principles while violating them is both immoral and irrational. Kant provided several formulations of the categorical imperative. One formulation says that a person should only follow maxims that can be universalized . This means that

33075-595: 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

33264-595: The teachings of the Quran . Contractualists reject the reference to God as the source of morality and argue instead that morality is based on an explicit or implicit social contract between humans. They state that actual or hypothetical consent to this contract is the source of moral norms and duties. To determine which duties people have, contractualists often rely on a thought experiment about what rational people under ideal circumstances would agree on. For example, if they would agree that people should not lie then there

33453-455: The term evil rather than bad is often employed. Obligations are used to assess the moral status of actions, motives , and character traits . An action is morally right if it is in tune with a person's obligations and morally wrong if it violates them. Supererogation is a special moral status that applies to cases in which the agent does more than is morally required of them. To be morally responsible for an action usually means that

33642-471: 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

33831-459: The thinkers of the Enlightenment produced a sociology of ideas and values when they turned their attention to the scientific analysis of society. He argues that specific values inherent in critical rationalism , such as anthropocentrism (i.e., the assumption that humans are the most crucial element in understanding reality), were central to these thinkers' understanding of society. Hamilton argues that these thinkers were committed to progress and

34020-411: The transcendental phenomenological investigations of Edmund Husserl (1859–1938). Husserl's work aimed at establishing the formal structures of intentional consciousness . Schütz's work was directed at establishing the formal structures of the Life-world (Schütz:1980). Husserl's work was conducted as a transcendental phenomenology of consciousness. Schütz's work was conducted as a mundane phenomenology of

34209-450: The truth and keeping promises. Virtue ethics sees the manifestation of virtues , like courage and compassion , as the fundamental principle of morality. Ethics is closely connected to value theory , which studies the nature and types of value , like the contrast between intrinsic and instrumental value . Moral psychology is a related empirical field and investigates psychological processes involved in morality, such as reasoning and

34398-505: 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

34587-444: The underlying assumptions and concepts of ethics. It asks whether there are objective moral facts, how moral knowledge is possible, and how moral judgments motivate people. Influential normative theories are consequentialism , deontology , and virtue ethics . According to consequentialists, an act is right if it leads to the best consequences. Deontologists focus on acts themselves, saying that they must adhere to duties , like telling

34776-399: The value of consequences based on whether they promote happiness or suffering. But there are also alternative evaluative principles, such as desire satisfaction, autonomy , freedom , knowledge , friendship , beauty , and self-perfection. Some forms of consequentialism hold that there is only a single source of value . The most prominent among them is utilitarianism , which states that

34965-424: Was an exceptional contribution to the subject. The widespread use of the term 'sociology of knowledge' emerged in the 1920s, when several German-speaking sociologists , most notably Max Scheler and Karl Mannheim , wrote extensively on sociological aspects of knowledge. This was followed in 1937 by a much-cited survey of the subject by Robert K. Merton, the American sociologist, 'The sociology of knowledge'. With

35154-555: Was introduced into the English language during the Middle English period through the Old French term moralité . The terms ethics and morality are usually used interchangeably but some philosophers distinguish between the two. According to one view, morality focuses on what moral obligations people have while ethics is broader and includes ideas about what is good and how to lead a meaningful life. Another difference

35343-543: 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

35532-524: 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

35721-475: Was unlikely. A further difference is between maximizing and satisficing consequentialism. According to maximizing consequentialism, only the best possible act is morally permitted. This means that acts with positive consequences are wrong if there are alternatives with even better consequences. One criticism of maximizing consequentialism is that it demands too much by requiring that people do significantly more than they are socially expected to. For example, if

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