The paradox of autonomy: A discussion paper.
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| Názov: | The paradox of autonomy: A discussion paper. |
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| Autori: | Rubinelli S; Faculty of Health Science and Medicine, University of Lucerne and Swiss Paraplegic Research, Switzerland. Electronic address: sara.rubinelli@unilu.ch. |
| Zdroj: | Patient education and counseling [Patient Educ Couns] 2025 Oct; Vol. 139, pp. 109232. Date of Electronic Publication: 2025 Jun 27. |
| Spôsob vydávania: | Editorial |
| Jazyk: | English |
| Informácie o časopise: | Publisher: Elsevier Country of Publication: Ireland NLM ID: 8406280 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1873-5134 (Electronic) Linking ISSN: 07383991 NLM ISO Abbreviation: Patient Educ Couns Subsets: MEDLINE |
| Imprint Name(s): | Publication: Limerick : Elsevier Original Publication: Princeton, N.J. : Excerpta Medica, c1983- |
| Výrazy zo slovníka MeSH: | Decision Making* , Health Communication* , Personal Autonomy*, Humans ; Communication ; Trust |
| Abstrakt: | Competing Interests: Declaration of Competing Interest The author declares that she has no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. Objectives: This paper examines the paradox of autonomy in the digital age, where the accessibility of health information coexists with a surge of low-quality information. It explores how disinformation, as manipulated content, can distort informed health decision-making, undermining the ethical principle of autonomy. Methods: Discussion paper grounded in theoretical and conceptual analysis. Results: Disinformation exploits cognitive biases, emotional triggers, and identity-based motivations, steering individuals toward decisions that feel autonomous but are in fact shaped by manipulation. This dynamic reframes autonomy not as an inherent ethical good, but as a vulnerable construct susceptible to epistemic corruption. The consequences are particularly acute during public health crises, where timely, evidence-based decision-making is most needed. Conclusions: Informed autonomy cannot be assumed in an environment saturated with low-quality information. It must be actively protected through new approaches to health communication that prioritize trust, engagement, and critical literacy. Practice Implications: Health communication must move beyond factual corrections and adopt emotionally resonant, and community-informed strategies. Practitioners should counter manipulation tactics, and engage with the public in ways that are accessible, trustworthy, and resistant to distortion. Education, regulation, and interdisciplinary collaboration are essential to safeguarding meaningful autonomy in contemporary health decision-making. (Copyright © 2025 Elsevier B.V. All rights reserved.) |
| Contributed Indexing: | Keywords: Autonomy; Cognitive biases; Disinformation; Health information; Health literacy; Manipulation; Quality information; Trust |
| Entry Date(s): | Date Created: 20250711 Date Completed: 20250810 Latest Revision: 20250815 |
| Update Code: | 20250816 |
| DOI: | 10.1016/j.pec.2025.109232 |
| PMID: | 40645063 |
| Databáza: | MEDLINE |
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Nájsť tento článok vo Web of Science | Abstrakt: | Competing Interests: Declaration of Competing Interest The author declares that she has no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.<br />Objectives: This paper examines the paradox of autonomy in the digital age, where the accessibility of health information coexists with a surge of low-quality information. It explores how disinformation, as manipulated content, can distort informed health decision-making, undermining the ethical principle of autonomy.<br />Methods: Discussion paper grounded in theoretical and conceptual analysis.<br />Results: Disinformation exploits cognitive biases, emotional triggers, and identity-based motivations, steering individuals toward decisions that feel autonomous but are in fact shaped by manipulation. This dynamic reframes autonomy not as an inherent ethical good, but as a vulnerable construct susceptible to epistemic corruption. The consequences are particularly acute during public health crises, where timely, evidence-based decision-making is most needed.<br />Conclusions: Informed autonomy cannot be assumed in an environment saturated with low-quality information. It must be actively protected through new approaches to health communication that prioritize trust, engagement, and critical literacy.<br />Practice Implications: Health communication must move beyond factual corrections and adopt emotionally resonant, and community-informed strategies. Practitioners should counter manipulation tactics, and engage with the public in ways that are accessible, trustworthy, and resistant to distortion. Education, regulation, and interdisciplinary collaboration are essential to safeguarding meaningful autonomy in contemporary health decision-making.<br /> (Copyright © 2025 Elsevier B.V. All rights reserved.) |
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| ISSN: | 1873-5134 |
| DOI: | 10.1016/j.pec.2025.109232 |