A balanced intervention ladder: promoting autonomy through public health action.

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  • Author(s): Griffiths, P. E.; West, C.
  • Source:
    Public Health (Elsevier). Aug2015, Vol. 129 Issue 8, p1092-1098. 7p.
  • Document Type:
    Article
  • Additional Information
    • Subject Terms:
    • Author-Supplied Keywords:
      Intervention ladder
      John Stuart Mill
      Nanny state
      Nuffield council on bioethics
      Public health ethics
    • Abstract:
      The widely cited Nuffield Council on Bioethics 'Intervention Ladder' structurally embodies the assumption that personal autonomy is maximized by non-intervention. Consequently, the Intervention Ladder encourages an extreme 'negative liberty' view of autonomy. Yet there are several alternative accounts of autonomy that are both arguably superior as accounts of autonomy and better suited to the issues facing public health ethics. We propose to replace the one-sided ladder, which has any intervention coming at a cost to autonomy, with a two-sided 'Balanced Intervention Ladder,' where intervention can either enhance or diminish autonomy. We show that not only the alternative, richer accounts of autonomy but even Mill's classic version of negative liberty puts some interventions on the positive side of the ladder. [ABSTRACT FROM AUTHOR]
    • Abstract:
      Copyright of Public Health (Elsevier) is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
    • ISSN:
      0033-3506
    • Accession Number:
      10.1016/j.puhe.2015.08.007
    • Accession Number:
      110689442
  • Citations
    • ABNT:
      GRIFFITHS, P. E.; WEST, C. A balanced intervention ladder: promoting autonomy through public health action. Public Health (Elsevier), [s. l.], v. 129, n. 8, p. 1092–1098, 2015. DOI 10.1016/j.puhe.2015.08.007. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=hch&AN=110689442. Acesso em: 26 nov. 2020.
    • AMA:
      Griffiths PE, West C. A balanced intervention ladder: promoting autonomy through public health action. Public Health (Elsevier). 2015;129(8):1092-1098. doi:10.1016/j.puhe.2015.08.007
    • APA:
      Griffiths, P. E., & West, C. (2015). A balanced intervention ladder: promoting autonomy through public health action. Public Health (Elsevier), 129(8), 1092–1098. https://doi.org/10.1016/j.puhe.2015.08.007
    • Chicago/Turabian: Author-Date:
      Griffiths, P. E., and C. West. 2015. “A Balanced Intervention Ladder: Promoting Autonomy through Public Health Action.” Public Health (Elsevier) 129 (8): 1092–98. doi:10.1016/j.puhe.2015.08.007.
    • Harvard:
      Griffiths, P. E. and West, C. (2015) ‘A balanced intervention ladder: promoting autonomy through public health action’, Public Health (Elsevier), 129(8), pp. 1092–1098. doi: 10.1016/j.puhe.2015.08.007.
    • Harvard: Australian:
      Griffiths, PE & West, C 2015, ‘A balanced intervention ladder: promoting autonomy through public health action’, Public Health (Elsevier), vol. 129, no. 8, pp. 1092–1098, viewed 26 November 2020, .
    • MLA:
      Griffiths, P. E., and C. West. “A Balanced Intervention Ladder: Promoting Autonomy through Public Health Action.” Public Health (Elsevier), vol. 129, no. 8, Aug. 2015, pp. 1092–1098. EBSCOhost, doi:10.1016/j.puhe.2015.08.007.
    • Chicago/Turabian: Humanities:
      Griffiths, P. E., and C. West. “A Balanced Intervention Ladder: Promoting Autonomy through Public Health Action.” Public Health (Elsevier) 129, no. 8 (August 2015): 1092–98. doi:10.1016/j.puhe.2015.08.007.
    • Vancouver/ICMJE:
      Griffiths PE, West C. A balanced intervention ladder: promoting autonomy through public health action. Public Health (Elsevier) [Internet]. 2015 Aug [cited 2020 Nov 26];129(8):1092–8. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=hch&AN=110689442