What deserves our respect? Reexamination of respect for autonomy in the context of the management of chronic conditions

Enzo, Aya; Ôkita, Toshiichi; Asai, Atsushi

doi:10.1007/s11019-018-9844-z

Cited by 5 publications

(5 citation statements)

References 38 publications

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“…The case draws attention due to the fact that the patient had been suffered with the condition for a period at least of 15 years. Respecting the bioethical principle of autonomy, 51 the health care team accepted the patient's decision of not undergoing any treatment.…”

Section: Discussionmentioning

confidence: 99%

A Rare Case of an Aggressive Clear Cell Variant of Calcifying Epithelial Odontogenic Tumor in the Posterior Maxilla

et al. 2020

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A clear cell variant of calcifying epithelial odontogenic tumor is a rare benign odontogenic neoplasm, accounting for 33 cases described in the literature. In this article, we report a challenging example of clear cell variant of calcifying epithelial odontogenic tumor of the posterior maxilla in a 45-year-old female patient showing locally aggressive growth and recurrence. Microscopically, islands of polyhedral cells containing abundant cytoplasm, well-developed intercellular bridges blended with clear cells were observed. The nuclei were frequently pleomorphic and permeated by hyaline calcified material. Immunohistochemistry revealed positivity for pan-cytokeratin (AE1/AE3), cytokeratins (CK-14 and CK-19), Bcl-2, p53, and p63. The Ki-67 proliferative index was ~10%. As odontogenic tumors are rare, when a significant clear cell component is observed, the differential diagnosis with other lesions of the jaws with similar morphology, including other odontogenic tumors with prominent clear cell component, clear cell odontogenic carcinomas, and metastatic tumors, is difficult.

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Section: Discussionmentioning

confidence: 99%

A Rare Case of an Aggressive Clear Cell Variant of Calcifying Epithelial Odontogenic Tumor in the Posterior Maxilla

et al. 2020

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“…Enzo et al ( 2019 , 86-87) were not satisfied with the contemporary accounts of autonomy and stated that “we can see a radical change in the interpretation of this principle (hereafter, called “new accounts of respect for autonomy”): respect for autonomy is not interpreted as a deontological principle any longer. [...] New accounts of respect for autonomy underpin many public programmes and policies worldwide that affect both chronic disease management and health promotion.…”

Section: Enzo Et Al’s Challengementioning

confidence: 99%

“…Enzo et al ( 2019 , 90) later developed their arguments. First, they rejected the new accounts of respect for autonomy and criticised modern Kantian philosophers’ accounts in healthcare settings.…”

Section: Enzo Et Al’s Challengementioning

confidence: 99%

Autonomy in Japan: What does it Look Like?

Akabayashi

Nakazawa

2022

ABR

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This paper analysed the nature of autonomy, in particular respect for autonomy in medical ethics/bioethics in Japan. We have undertaken a literature survey in Japanese and English and begin with the historical background and explanation of the Japanese word Jiritsu (autonomy). We go on to identify patterns of meaning that researchers use in medical ethics / bioethics discussions in Japan, namely, Beauchamp and Childress’s individual autonomy, relational autonomy, and O’Neill’s principled autonomy as the three major ways that autonomy is understood. We examine papers discussing these interpretations. We propose using the term ‘a form of autonomy’ first used by Edmund Pellegrino in 1992 and examine the nature of ‘a form of autonomy.’ We finally conclude that the crux of what Pellegrino calls ‘something close to autonomy,’ or ‘a form of autonomy' might best be understood as the minimization of physician paternalism and the maximization of respect for patient preference. Simultaneously, we introduce a family-facilitated approach to informed consent and respond to criticism by Laura Sullivan. Finally, we discuss cross-cultural approaches and global bioethics. Furthermore, we use the term ‘Bioethics across the Globe’ instead of ‘Global Bioethics’, calling for international scholars to write works to provide an in-depth understanding of each country. We conclude that deep understanding of others is pivotal for dialogue to be of value. We hope this article will deepen the reader’s understanding of Japan and will contribute to the progress of bioethics worldwide.

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“…Algunos autores señalan aspectos no racionales en decisiones relacionadas con la salud 19 , sin embargo, es innegable la importancia de la capacidad para poder tomar una decisión autónoma. A su vez, el respeto de la autonomía se apoya en la dignidad de la persona 20 . Puede observarse que la capacidad se relaciona con aspectos medulares de la bioética.…”

Section: Por Qué Es Importante La Capacidadunclassified

Alcance de la capacidad del paciente en decisiones aut�nomas

Pez¹,

Ros-Uriarte²,

Moreno-DAnna³

2021

BUP

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La capacidad del paciente es un elemento clave para que pueda tomar decisiones autónomas. Por este motivo, el profesional debería conocer exactamente qué alcance tiene esa capacidad y cómo hacer para comprobarla. En el presente artículo analizaremos por qué es importante la capacidad del paciente, qué aspectos la integran, cómo se puede medir y presentaremos una versión de escala de medición en lengua española que podría servir para Latinoamérica de habla castellana, que será validada en un siguiente trabajo de investigación.

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What deserves our respect? Reexamination of respect for autonomy in the context of the management of chronic conditions

Cited by 5 publications

References 38 publications

A Rare Case of an Aggressive Clear Cell Variant of Calcifying Epithelial Odontogenic Tumor in the Posterior Maxilla

A Rare Case of an Aggressive Clear Cell Variant of Calcifying Epithelial Odontogenic Tumor in the Posterior Maxilla

Autonomy in Japan: What does it Look Like?

Alcance de la capacidad del paciente en decisiones aut�nomas

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