title: Anagogy of autonomy.
abstract: The philosophical and ethical concept of autonomy is herein examined, ex post facto, using an existential lens to examine the process of a personal friend's dying. Anagogy, defined as interpretation of a word, passage, or text that finds beyond the literal, allegorical, and moral senses a fourth and ultimate spiritual or mystical sense, is intended to enlarge the understanding of the use of autonomy in this case. The idea of personhood linked inextricably to reason is, therefore, understood as empowering an individual to choose among various actions, to define and redefine life goals, and to give priority to selected values and moral tenants, which reveal a moral hermeneutic. Conditions and circumstances, existentially exposed, limit choice in unexpected ways, such that the predicted value of autonomy is vulnerable to misuse or misunderstanding. The intent to respect the dignity of every person is central to the philosophy of Respect for Persons ethics, and assumes that autonomy, as freedom of the moral agent, is a moral duty. Implicit reality of freedom is, in a practical sense, essential to being rational agents who can thereby exercise informed choice. The moral law, law of freedom, involves the autonomy of the will and an ultimate end to which all action is directed. Defined as the highest good, morality unites virtue and happiness by ascribing the ultimate end sought as God. The freedom to use rational will finds principles within its own rational nature. The ability to create maxims is autonomy of the will, which equates with the dignity of persons. My recent experience as a companion to a personal friend with a terminal illness inspired me to re-evaluate the concept of autonomy as it is too often interpreted in modern ethical discourse as a individualistic right of choice as opposed to the hermeneutic of dignity of person. This paper describes a shift of position in understanding the paradox of autonomy in this existential context.
authors.affiliation: Graduate School, Hood College, 401 Rosemount Avenue, Frederick, MD 21701, USA. boyd@hood.edu
authors.forename: A L
authors.initials: AL
authors.lastname: Boyd
mesh_terms: D016223:Advance Directives; D003657:Decision Making / Q000941:ethics*; D005610:Freedom; D006801:Humans; D007258:Informed Consent; D018447:Medical Futility; D009369:Neoplasms / Q000628:therapy; D026684:Personal Autonomy; D010684:Philosophy; D010817:Physician-Patient Relations / Q000941:ethics; D012941:Social Responsibility; D019452:Terminally Ill