scholarly journals Overvaluing autonomous decision-making

2014 ◽  
Vol 204 (1) ◽  
pp. 1-2 ◽  
Author(s):  
Peter Lepping ◽  
Bevinahalli Nanjegowda Raveesh

SummaryCurrent capacity-based legislation and practice overvalues autonomy to the detriment of other ethical principles. A balanced ethical approach would consider the patient's right to treatment, their relationships and interactions with society and not solely the patient's right to liberty and autonomous decision-making.

2021 ◽  
Vol 18 ◽  
Author(s):  
Bryson Galozo ◽  
Blair MacDonald

In this article, we consider an approach for ethical decision-making for refusals in the out-of-hospital environment. Autonomy and beneficence are discussed as the two ethical principles central to guiding paramedic decision-making in this context. We describe some situations where the two principles may come into conflict and where the working paramedic may be faced with an ethical dilemma. These cases may involve temptations of medical paternalism, which we argue ought to be avoided if possible. A discussion on navigating between autonomy and beneficence will be presented in order to help paramedics sort through dilemmas when these principles conflict. We argue that when these principles are in conflict, autonomy should primarily be respected – however, we will examine situations where the principle of autonomy cannot be applied and the paramedic should either attempt to rectify the patient’s capacity for autonomous decision-making, or, if not possible, proceed with the principle of beneficence.


2021 ◽  
Vol 27 (4) ◽  
pp. 146045822110523
Author(s):  
Nicholas RJ Möllmann ◽  
Milad Mirbabaie ◽  
Stefan Stieglitz

The application of artificial intelligence (AI) not only yields in advantages for healthcare but raises several ethical questions. Extant research on ethical considerations of AI in digital health is quite sparse and a holistic overview is lacking. A systematic literature review searching across 853 peer-reviewed journals and conferences yielded in 50 relevant articles categorized in five major ethical principles: beneficence, non-maleficence, autonomy, justice, and explicability. The ethical landscape of AI in digital health is portrayed including a snapshot guiding future development. The status quo highlights potential areas with little empirical but required research. Less explored areas with remaining ethical questions are validated and guide scholars’ efforts by outlining an overview of addressed ethical principles and intensity of studies including correlations. Practitioners understand novel questions AI raises eventually leading to properly regulated implementations and further comprehend that society is on its way from supporting technologies to autonomous decision-making systems.


Author(s):  
Richard Ashcroft

This chapter discusses the ethics of depression from a personal perspective. The author, an academic who has worked in the field of medical ethics or bioethics, has suffered episodes of depression throughout his life, some lasting several months. Here he shares a few quite informal things about how these two facts about him are connected. He first considers the paradigm of autonomy and autonomous decision-making, as well as the problem with functional accounts of autonomy with regard to depression. He then reflects on an approach to ethics and depression that involves thinking about the ethics of being depressed. He also highlights two aspects of the ‘ethics of depression’: treatment and the ethical obligation to talk about it.


Organization ◽  
2021 ◽  
pp. 135050842097209
Author(s):  
Hugh Willmott

The paper reflects on the experience of preparing a ‘From the Editors’ (FTE) editorial for The Academy of Management Review that went through a process of editorial evaluation prior to its rejection. It provides a detailed example of an encounter between orthodox and heterodox forms of scholarship, illuminating their distinctive value-orientations and forms of engagement. Its specific focus is upon evaluative criteria applied, accountability of decision-making and the mobilization of scholarly aspirations and ethical principles in the preparation and assessment of the FTE. Its intent is to stimulate debate on what it means to ‘challenge conventional wisdom’ – an aim that is broadly shared by ‘top’ journals in the field of management and organization.


Energies ◽  
2021 ◽  
Vol 14 (4) ◽  
pp. 969
Author(s):  
Eric Cayeux ◽  
Benoît Daireaux ◽  
Adrian Ambrus ◽  
Rodica Mihai ◽  
Liv Carlsen

The drilling process is complex because unexpected situations may occur at any time. Furthermore, the drilling system is extremely long and slender, therefore prone to vibrations and often being dominated by long transient periods. Adding the fact that measurements are not well distributed along the drilling system, with the majority of real-time measurements only available at the top side and having only access to very sparse data from downhole, the drilling process is poorly observed therefore making it difficult to use standard control methods. Therefore, to achieve completely autonomous drilling operations, it is necessary to utilize a method that is capable of estimating the internal state of the drilling system from parsimonious information while being able to make decisions that will keep the operation safe but effective. A solution enabling autonomous decision-making while drilling has been developed. It relies on an optimization of the time to reach the section total depth (TD). The estimated time to reach the section TD is decomposed into the effective time spent in conducting the drilling operation and the likely time lost to solve unexpected drilling events. This optimization problem is solved by using a Markov decision process method. Several example scenarios have been run in a virtual rig environment to test the validity of the concept. It is found that the system is capable to adapt itself to various drilling conditions, as for example being aggressive when the operation runs smoothly and the estimated uncertainty of the internal states is low, but also more cautious when the downhole drilling conditions deteriorate or when observations tend to indicate more erratic behavior, which is often observed prior to a drilling event.


1989 ◽  
Vol 82 (5) ◽  
pp. 260-263 ◽  
Author(s):  
H J Sutherland ◽  
H A Llewellyn-Thomas ◽  
G A Lockwood ◽  
D L Tritchler ◽  
J E Till

The relationship between cancer patients’ desire for information and their preference for participation in decision making has been examined. Approximately 77% of the 52 patients reported that they had participated in decision making to the extent that they wished, while most of the remaining 23% would have preferred an opportunity to have greater input. Although many of the patients actively sought information, a majority preferred the physician to assume the role of the primary decision maker. Ethically, the disclosure of information has been assumed to be necessary for autonomous decision making. Nevertheless, the results of this study indicate that patients may actively seek information to satisfy an as yet unidentified aspect of psychological autonomy that does not necessarily include participation in decision making.


2016 ◽  
Vol 11 (2) ◽  
pp. 124-155
Author(s):  
Walaa Abd El Haliem Eid ◽  
Fouada Shaban ◽  
Safaa Zahran ◽  
Karima El Said

2021 ◽  
pp. 98-101
Author(s):  
Kisaye Natsuki

This poem speaks about African peoples surviving our cross-centuries experience of displacement and subjugation where notions of home can fee lost, empty or inaccessible. It culminates to show that through this experience, another parallel and interacting reality of agency, clarity and action is occurring and we are empowered beyond any imposed systems. I recognized my strength and clarity as well as my powerful autonomous decision-making despite an experience of migration to Canada where knowing my place is always dictated. This allowed me to see even moreso the presence of this strength throughout our ancestors and still in ourselves now.


Sign in / Sign up

Export Citation Format

Share Document