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Table 3 Main characteristics of traditional and relational models of autonomy

From: New perspectives on substituted relational autonomy for shared decision-making in critical care

Traditional model Relational model
 • Freedom of choice • Freedom of choice
 • Primacy of informed consent • Role and influence of others on expanding individual’s ability to make choices
 • Voluntariness
 • Independence
 • Self-sufficiency
• Consider influence of relatives that is wanted and expected by some patients
 • Maintenance of control over situations • Health and sickness viewed also as interpersonal and family events
 • Ability to exercise proper responsibility • Role of social relationships in developing individual’s identity
 • Avoidance of interference and undue pressures • Adapt individual preferences to the needs of loved ones
 • Clear boundaries between self and others • Importance of personal relationships and shared interests