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 |