Interest in intra-individual variation in trait expression across situations, contexts, and relationships, and the meaning of this variation for personal functioning has grown significantly. In this article we review this literature with an emphasis on (a) appropriate methods for identifying variations in trait expression and (b) the substantive meaning and sources of this variation. Self-deter...

The debate over whether germ-line genetic engineering is justified on the basis of the consent or presumed consent of future generations is mired in philosophical confusion. Because of this, the principle of informed consent fails to provide a reason to restrict germ-line genetic engineering. Most recent bioethicists ground the consent requirement on individual autonomy. While conceptually cohe...

Based on theoretical and empirical work, we argue that autonomy is likely an important underlying source of healthy sleep. The implication is that 'treatment' for sleep problems cannot be understood as an individual-level behavioral problem but must instead be addressed in concert with larger scale social factors that may be inhibiting high-quality sufficient sleep in large segments of the popu...

abstract background: one of the important factors in the prediction of family planning outcome is paying attention to women’s role in decision making concerning fertility and household affairs. with the improvement of women’s status and autonomy, their control over fertility is expected to increase. the present study aimed to investigate the association between women’s autonomy and family plann...

Who should decide about organ donation after death, the individual or the family? This paper examines why this practical question can be difficult to resolve. A comparison is made between standard decision-making in medicine and decision-making about organ donation. The questions are raised of the connection of the dead body to the person, and of who properly has autonomous control over the dea...

BACKGROUND Respect for patient autonomy is an important ethical principle for medical practitioners; however, previous investigators have reported inconsistent attitudes amongst practitioners towards respect for patient autonomy. This study in empirical ethics used qualitative methods to investigate GPs' attitudes towards respect for patient autonomy in consultations for low back pain. OBJECT...

It would be possible to view the impact of Medicare on physicians from many perspectives: the impact on individual physicians, on a particular specialty, on academic physicians, on graduate medical education and physician specialization, on quality of care, on physician incomes, on physician autonomy, or on a variety of other aspects of medical practice. We have chosen to focus on physician aut...

The justification for advance directives is grounded in the notion that they extend patient autonomy into future states of incompetency through patient participation in decision making about end-of-life care. Four objections challenge the necessity and sufficiency of individual autonomy, perceived to be a defining feature of liberal philosophical theory, as a basis of advance care planning. The...

There are many arguments for and against the use of autonomousagents in intelligent environments. Some researchers maintain that it is of utmost importance to give complete control to users, and hence greatly restrict autonomy of agents; whereas, others believe that is it preferable to increase user convenience by allowing agents to operate autonomously on the user’s behalf. While both of these...

Despite moves to enhance the autonomy of clients of health care services, the use of a variety of physical restraints on the freedom of movement of frail, elderly patients continues in nursing homes. This paper confronts the use of restraints on two grounds. First, it challenges the assumption that use of restraints is necessary to protect the welfare of frail, elderly patients by drawing on a ...