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Previous Volume 329:2044-2045 December 30, 1993 Number 27 Next

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By George J. Agich. 197 pp. New York, Oxford University Press, 1993. $35. ISBN 0-19-507495-5.

The literature of medical autonomy deals with crises and conflicts of short-term care, but in long-term care most of the struggles concern mundane, routine experiences. The standards of autonomy in short-term care are rarely challenged in long-term care, and little effort has been made to study their effect on long-term care. Agich's thesis is that autonomy must be understood not in abstract terms but phenomenologically. Autonomy (independence or self-rule) in the context of long-term care must be radically reconsidered. Agich is dissatisfied with the traditional liberal theory of autonomy and proposes a developmental perspective that emphasizes the position of the . . . [Full Text of this Article]

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