Award Date


Degree Type


Degree Name

Master of Arts (MA)


Ethics and Policy Studies

First Committee Member

Alan Zundel

Number of Pages



Medical informed consent has been governed by the principle of autonomy. How autonomy is conceived and codified has led to current understanding and behavior expectations in healthcare decisionmaKing It has become obvious that the consequences for those who do not share the dominant view are potentially problematic; This thesis begins with a consideration of some of the ethical problems encountered within the current framework of informed consent. It traces the historical development of informed consent as a philosophical and legal concept with multidimensional influences. An analysis of the autonomy paradigm based in a concept of liberal individualism is presented. This is then contrasted with a relationship-centered care perspective as an alternate moral framework for healthcare decisionmaKing Finally, a redefined notion of autonomy and reconception of roles and relationships that considers a relational normative framework within informed consent is proposed as a more inclusive, individual focused model for healthcare decisionmaKing


Autonomy; Consent; Informed; Reframing

Controlled Subject

Philosophy; Health services administration; Medical sciences

File Format


File Size

4280.32 KB

Degree Grantor

University of Nevada, Las Vegas




If you are the rightful copyright holder of this dissertation or thesis and wish to have the full text removed from Digital Scholarship@UNLV, please submit a request to and include clear identification of the work, preferably with URL.


IN COPYRIGHT. For more information about this rights statement, please visit