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From a critique of the principle of autonomy to an ethic of heteronomy.

Med Health Care Philos

March 2024

University Hospital of Clermont-Ferrand, Department of Digestive Surgery, Clermont-Ferrand, France.

Etymologically, autonomy is the ability to give oneself rules and follow them. It is an important principle of medical ethics, which can sometimes raise some tensions in the care relationship. We propose a new definition of ethics, the ethics of heteronomy: a self-normative, discursive and responsible autonomy.

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The use of terms like "collaboration" and "co-workers" to describe interactions between human beings and certain artificial intelligence (AI) systems has gained significant traction in recent years. Yet, it remains an open question whether such anthropomorphic metaphors provide either a fertile or even a purely innocuous lens through which to conceptualize designed commercial products. Rather, a respect for human dignity and the principle of transparency may require us to draw a sharp distinction between real and faux peers.

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Ensuring wholeness: Using Code Biology to overcome the autonomy-heteronomy divide.

Biosystems

April 2023

Rechenkraft.net e.V., Marburg, Germany. Electronic address:

This paper presents an alternative to Autopoietic Enactivism in the form of a Code Biology-informed account on human sense-making. It demonstrates the possibility of avoiding a dualism between, on the one hand, the autonomy of individual sense-makers and, on the other, the heteronomy of social facts. This is possible because code biological principles are pertinent to different levels of biological and non-biological organization and cut across the organismic self-non-self border.

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The essay explores how Simon Critchley's critique of philosophy and understanding of tragedy might affect bioethics and health-care practice. What I playfully call the Critchley Doctrine begins with a rejection of philosophy's aspiration to a non-contradictory life and its premise that humans act on rational deliberation. This rejection opens us to a recognition of the uncontainable that is expressed in tragedy, and that speaks to what is inexplicable about the suffering of illness.

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