By Onora O'Neill
Onora O'Neill means that the conceptions of person autonomy (so generally trusted in bioethics) are philosophically and ethically insufficient; they undermine instead of aid relationships in keeping with belief. Her arguments are illustrated with concerns raised by means of such practices because the use of genetic info by way of the police, learn utilizing human tissues, new reproductive applied sciences, and media practices for reporting on drugs, technology and expertise. The examine appeals to a variety of readers in ethics, bioethics and similar disciplines.
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Extra info for Autonomy and Trust in Bioethics (Gifford Lectures, 2001)
Dignity, integrity, individuality, independence, responsibility and self-knowledge . . self-assertion . . critical reﬂection . . freedom from obligation . . absence of external causation . . Michael Power, The Audit Explosion, Demos, and The Audit Society: Rituals of Veriﬁcation, Oxford University Press, . Gerald Dworkin, The Theory and Practice of Autonomy, Cambridge University Press, , . , The Inner Citadel: Essays on Individual Autonomy, Oxford University Press, , –, esp.
In doing so I shall try to say something about various conceptions of each, and to trace some of their relations to other ideas that are prominent in contemporary bioethics, such as those of respect for persons, informed consent and certain human rights. I hope to show that some conceptions of autonomy and of trust are compatible, and even mutually supporting. It will not, of course, follow that we must adopt these conceptions of autonomy and of trust. We may ﬁnd reason to prefer others. However, if we rely on conceptions of autonomy and of trust that cannot be reconciled, then we cannot have both.
Proven reliability may be nice, but it is not necessary for placing trust. Equally, we can see that reliability see Richard Holton ‘Deciding to Trust, Coming to Believe’, Australasian Journal of Philosophy, , , –. Gaining autonomy and losing trust? is not sufﬁcient for placing trust, both because trust is not directed to natural processes (however reliable) but only to other agents, and because reliable agents are not always trusted. In judging reliability we draw largely on evidence of past performance; in placing trust we look to the future, and evidence of past conduct is only one of the factors we commonly consider.