Medicine, Health Care and Philosophy

, Volume 16, Issue 2, pp 225–230

Autonomy-based arguments against physician-assisted suicide and euthanasia: a critique

Authors

    • Centre for Healthcare Ethics, Department of Learning, Informatics, Management and EthicsKarolinska Institutet
  • Gert Helgesson
    • Centre for Healthcare Ethics, Department of Learning, Informatics, Management and EthicsKarolinska Institutet
  • Stefan Eriksson
    • Centre for Research Ethics and BioethicsUppsala University
  • Niklas Juth
    • Centre for Healthcare Ethics, Department of Learning, Informatics, Management and EthicsKarolinska Institutet
Scientific Contribution

DOI: 10.1007/s11019-011-9365-5

Cite this article as:
Sjöstrand, M., Helgesson, G., Eriksson, S. et al. Med Health Care and Philos (2013) 16: 225. doi:10.1007/s11019-011-9365-5

Abstract

Respect for autonomy is typically considered a key reason for allowing physician assisted suicide and euthanasia. However, several recent papers have claimed this to be grounded in a misconception of the normative relevance of autonomy. It has been argued that autonomy is properly conceived of as a value, and that this makes assisted suicide as well as euthanasia wrong, since they destroy the autonomy of the patient. This paper evaluates this line of reasoning by investigating the conception of valuable autonomy. Starting off from the current debate in end-of-life care, two different interpretations of how autonomy is valuable is discussed. According to one interpretation, autonomy is a personal prudential value, which may provide a reason why euthanasia and assisted suicide might be against a patient’s best interests. According to a second interpretation, inspired by Kantian ethics, being autonomous is unconditionally valuable, which may imply a duty to preserve autonomy. We argue that both lines of reasoning have limitations when it comes to situations relevant for end-of life care. It is concluded that neither way of reasoning can be used to show that assisted suicide or euthanasia always is impermissible.

Keywords

AutonomyBioethicsAssisted suicideEuthanasiaPalliative carePalliative sedationPaternalismEthical theory

Copyright information

© Springer Science+Business Media B.V. 2011