On Relational Autonomy
On Relational Autonomy
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论关系自治
DOI：
10.1007/1-4020-5220-0_7
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发表时间：
2007
影响因子：
2.2
通讯作者：
S. Lee
中科院分区：
文献类型：
--
作者：
S. Lee
20世纪世纪通常被描述为自主性在生物医学实践中取得胜利的时代。然而，在过去的十年里，它的中心地位受到了来自临床和哲学方面的挑战。虽然经验研究结果表明，大多数患者，特别是那些在床边面临严重的医疗决定，没有作出任何真实的自主决定，需要和希望得到他人的帮助和指导。女权主义者认为，传统的个人主义自主概念是一种抽象，剥夺和背叛了病人的真实身份和需求。他们提出了关系自主的概念，以恢复病人作为她的社区成员的嵌入式情况。这个概念给予适当考虑一个人的个人身份，并带来了相关的人，家庭成员，朋友等的帮助，虽然有一些不同版本的关系自主的概念，这些治疗不是很令人满意。本文认为，儒家的人的概念可以回答这个概念的大多数复杂问题。儒家对我们道德经验的本质的分析支持道德存在的自主性的首要地位，并揭示了这种存在的关系特征。这样做，关系自治的概念就与康德意义上的自治的基本思想相一致，而人的概念则根据儒家的人的概念重新解释。根据这个版本的自主概念，一个人的家庭是她个人身份的主要来源。
The Twentieth Century is often characterized as a time when autonomy triumphed in biomedical practice. However, its central position has been challenged in the last decade from clinical and philosophical quarters. While empirical findings reveal that most patients, especially those facing serious medical decisions at the bedside, are not making any real autonomous decisions and need and want help and guidance from others. Feminists argue that the traditional individualistic concept of autonomy is a kind of abstraction that deprives and betrays the true identity and needs of the patient. They propose the concept of relational autonomy to restore the patient to her embedded situation as a member of her community. This concept gives due regard to a person’s personal identity and brings in the help of related persons, family members, friends, etc. While there are a number of different versions of the concept of relational autonomy, these treatments are not very satisfactory. This paper argues that the Confucian concept of a person can provide an answer to most of the intricate problems with this concept. A Confucian analysis of the nature of our moral experience supports the primacy of autonomy for a moral being and reveals the relational character of such a being. In doing so, the concept of relational autonomy is aligned with the basic idea of autonomy in the Kantian sense, and the concept of person is being reinterpreted according to the Confucian concept of a person. According to this version of the concept of autonomy, a person’s family is her main source of personal identity.