Peer-Reviewed Journal Details
Mandatory Fields
Lewis, J.
Medical Law Review
Safeguarding Vulnerable Autonomy? Situational Vulnerability, The Inherent Jurisdiction and Insights from Feminist Philosophy
Optional Fields
Autonomy, Feminism, Informed consent, Inherent Jurisdiction, Liberty, Situational Vulnerability
online ahead of print
The High Court continues to exercise its inherent jurisdiction to make declarations about interventions into the lives of situationally vulnerable adults with mental capacity. In light of protective responses of health care providers and the courts to decision-making situations involving capacitous vulnerable adults, this paper has two aims. The first is diagnostic. The second is normative. The first aim is to identify the harms to a capacitous vulnerable adult’s autonomy that arise on the basis of the characterisation of situational vulnerability and autonomy as fundamentally opposed concepts or the failure to adequately acknowledge the conceptual relationship between them at common law. The second (normative) aim is to develop an account of self-authorised, intersubjective autonomy on the basis of insights from analytic feminist philosophy. This approach not only attempts to capture the autonomy of capacitous vulnerable adults and account for the necessary harms to their autonomy that arise from standard common law responses to their situational vulnerability, it is also predicated on the distinctions between mental capacity, informed consent and autonomy, meaning that it is better placed to fulfil the primary aim of the inherent jurisdiction – to facilitate the autonomy of vulnerable adults with capacity.
Grant Details
European Commission (EC)
EnTIRE (‘Mapping Normative Frameworks for Ethics and Integrity of Research’), Horizon 2020, Call: H2020-SwafS-2016-17 (Science with and for Society), Topic: SwafS-16-2016, Grant Agreement No. 741782