title: From solidarity to autonomy: towards a redefinition of the parameters of the notion of autonomy.
abstract: Starting from examples of concrete situations in France, I show that autonomy and solidarity can coexist only if the parameters of autonomy are redefined. I show on the one hand that in situations where autonomy is encouraged, solidarity nevertheless remains at the foundation of their practices. On the other hand, in situations largely infused with family solidarity, the individual autonomy may be put in danger. Yet, based on my ethnographic observations regarding clinical encounters and medical secrecy, I show that while solidarity may endanger individual autonomy, it does not necessarily endanger autonomy itself. The social practices observable in France reflect the reality of an autonomy that goes beyond the individual, a reality that involves a collective subject and includes solidarity. The opposition between these two values can then be resolved if the content of the notion of autonomy is understood to be dependent on its cultural context of application and on its social use.
authors.affiliation: Institut National de la Santé et de la Recherche Médicale (INSERM), Cermes3, Site CNRS, 7, rue Guy Môquet, 94801, Villejuif Cedex, France. sylvie.fainzang@orange.fr.
authors.forename: Sylvie
authors.initials: S
authors.lastname: Fainzang
mesh_terms: D003219:Confidentiality; D005602:France; D006801:Humans; D026684:Personal Autonomy; D012941:Social Responsibility
keywords: Clinical encounter; Family autonomy; Individual autonomy; Individual/collective; Medical secrecy; Pathogenic solidarity