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首页> 外文期刊>Medicine, health care, and philosophy >Oughtonomy in healthcare. A deconstructive reading of Kantian autonomy.
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Oughtonomy in healthcare. A deconstructive reading of Kantian autonomy.

机译：医疗保健自主权。对康德自治的解构主义解读。

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For years now, autonomy has been discussed as one of the central values in health care. Understood as self-realization, it is opposed to paternalism which is conceived as an intolerable occurrence of heteronomy. Although different concepts have been developed to nuance this opposition, when it comes to health care discourse, heteronomy is still the enemy of autonomy. In our article, we defend the thesis that autonomy is only achievable as heteronomy. We are not arguing for an expansion of the meaning of autonomy, but are attempting to conduct an analysis which lays bare the 'disrupting' attendance of heteronomy within the principle of autonomy. Autonomy does not begin where heteronomy ends, but can only begin if heteronomy is already involved. To emphasize this, we prefer to elaborate a new concept: 'oughtonomy'. This concept is inspired by Jacques Derrida's distinction between 'difference' and 'differance'. We will develop the concept of oughtonomy from a deconstructive reading of Kant's idea of autonomy, inspired by philosophers such as Jacob Rogozinski, Jean-Luc Nancy and others. In addition to a first exploration of this concept, this article also discusses the possible consequences of oughtonomy for current debates concerning health care. Our quest for a new understanding of autonomy is motivated by the concern that, although the accent on autonomy as self-realization and independence has many advantages, we should also bear in mind the countless disadvantages.
机译：多年来，自治一直被视为医疗保健的核心价值之一。被理解为自我实现，它与家长制相反，家长制被认为是不可容忍的异质性发生。尽管已开发出各种不同的概念来消除这种反对，但在医疗保健话语方面，异质性仍然是自治的敌人。在我们的文章中，我们捍卫了这样的论点，即自治只能以异质性实现。我们并不是在主张扩大自治的含义，而是试图进行一项分析，该分析揭示了在自治原则范围内对“异质性”的“破坏性”参与。自治不会在异律结束的地方开始，而只能在已经涉及异律的情况下开始。为了强调这一点，我们倾向于阐述一个新概念：“ oughtonomy”。这个概念的灵感来自雅克·德里达（Jacques Derrida）在“差异”与“差异”之间的区分。我们将从对康德的自治思想的解构性阅读中发展自治论的概念，这一思想受到诸如雅各布·罗戈津斯基，让·卢克·南希等哲学家的启发。除了对这一概念的首次探索之外，本文还讨论了解剖学对当前有关医疗保健的辩论可能产生的后果。我们寻求对自治的新认识是出于以下关注：尽管强调自治为自我实现和独立具有许多优点，但我们也应牢记无数缺点。

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