Article

생명의료윤리에서의‘자율성’에 대한 비판적 고찰

최경석 1 , *
Kyungsuk CHOI 1 , *
Author Information & Copyright
1이화여자대학교 법학전문대학원
1School of Law, Ewha Womans University
*이화여자대학교 법학전문대학원. 02-3277-6659. choiks@ewha.ac.kr

ⓒ Copyright 2011 The Korean Society for Medical Ethics. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: Jan 25, 2011; Accepted: Mar 10, 2011

Published Online: Mar 31, 2011

ABSTRACT

The principle of autonomy has been introduced in lots of bioethics references explaining Kant’s conception of autonomy. “Autonomy in bioethics” is different from “autonomy in Kant.”The former is almost the same as principle of freedom. I examine the meaning of autonomy through the review of Beauchamp and Childress’ analysis and Miller’s, which do not reach Kant’s conception. I also try to propose some practical suggestion after this examination. Autonomy is different from freedom in that autonomy should include moral reflection. The aspect of moral reflection in autonomy may reflect cultural and/or relational consideration beyond individualistic conception of autonomy. This may contribute to establish a new conception of autonomy. Even a new conception of autonomy is still different from Kant’s in that the principle of autonomy is one of principles whereas Kant’s autonomy is one to produce moral norms. Thus principle of autonomy in bioethics cannot be considered to be the supreme one to resolve bioethical issues. Autonomy may not be respected when respecting one autonomy does harm to others or violates the principle of justice. In this respect, autonomy as a value may conflict other values such as life or justice. Which value is preserved is still a difficult question when we are faced with conflicts of values.

Keywords: 자율성; 자유; 도덕적 반성; 문화적 고려; 관계적 자율성; 생명의료윤리의 원칙들
Keywords: autonomy; freedom; moral reflection; cultural consideration; relational autonomy; principles of biomedical ethics


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