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COLLOQUIA & CONFERENCES
CONSCIENTIOUS AUTONOMY: DISPLACING DECISIONS IN
HEALTH CARE
Rebecca Kukla
Georgetown University
Greenwall Fellow in Bioethics and Health Policy, Johns Hopkins University
January 28, 2005
Friday, 4:00pm-6:00pm
BA (Close/Hipp) 008
In the bioethical arena, patient autonomy is generally equated with
informed, self-determined decision-making concerning possible clinical
interventions. Yet much of health care, especially primary care and disease
management, is not primarily organized around discrete decisions or choice
points. Furthermore, much of this health care takes place outside of the
clinic, in the form of patient self-management guided by medical
recommendations and monitored by medical professionals. I develop a working
notion of autonomy as conscientious practice, which is specifically
designed to be applicable to these ongoing, extra-clinical, often habitual
health care practices, and not just to decision-making scenarios.
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