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Posthumous autonomy

Agency and consent in body donation

Bibliographic Data

ID21591753
AuthorsTom Farsides (0000-0001-8211-7242, University of Sussex, corresponding author), Claire F Smith (0000-0002-4366-8591, Brighton and Sussex Medical School, University of Sussex, Falmer, East Sussex)
Year2025
Volume38
Issue2
Pages599-624
Publication date2025-02-17
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenuePhilosophical Psychology (JOURNAL)
Journal identifiersISSN: 0951-5089 • E-ISSN: 1465-394X
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/09515089.2023.2197936
OpenAlexW4362667321
LanguageEN
References cited41

Six people were interviewed about the possibility of becoming posthumous body donors. Interview transcripts were analyzed using interpretative phenomenological analysis. Individual-level analysis suggested a common interest in Personhood Concerns and a common commitment to Enlightenment Values. Investigations of these possible themes across participants resulted in identification of two sample-level themes, each with two subthemes: Autonomy, with subthemes of agency and consent, and Rationality, with subthemes of knowledge/epistemology and materialism/ontology. This paper concentrates on the former. Consent for posthumous body donation was felt to sometimes fall short of adequately identifying donors’ preferences about what happened after consent was given, even with respect to actions for which consent established permission. In turn, paucity of information about donors’ preferences limited others’ ability to act as proxy agents to facilitate donors’ posthumous autonomy. Thus, while consent may curtail violations of people’s autonomy by authorizing actions for which permission has been established, it may fall short of facilitating their autonomy in ways that might be possible with greater knowledge of those people’s desires. Alternative methods of establishing consent are explored that might better-determine people’s desires and thereby improve others’ ability to act as proxy agents for them to facilitate their subsequent (even posthumous) autonomy

Autonomy · Bioethics · Donation · Epistemology · Materialism · Permission · Personhood · Political science · Rationality · Body Image and Dysmorphia Studies · Ethics in medical practice · Law · Patient Dignity and Privacy · Philosophy · Psychology · Social Psychology

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Citation velocityhistorical
Highly citedNo

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