[Autonomy in medicine. Self-determination, self-design and shaping one's own life]

Abstract

Autonomy is a central and multifaceted concept of ethical reflection with many nuances of meaning. Central to the concept are the ability and opportunity to self-determine and self-design, as well as the potential to shape the course of one's own life significantly. However, there is generally a narrow understanding of the concept in the debate on patient autonomy and informed consent in a medico-therapeutic context, to which the possibility to a free decision-making process based on concrete treatment scenarios is central. In contrast, the present article discusses the diversity of autonomy-related aspects in non-therapeutic areas of medicine, while underlining the need to further develop and differentiate the concept of autonomy.