『Episode 5 — Cutting and Consenting』のカバーアート

Episode 5 — Cutting and Consenting

Episode 5 — Cutting and Consenting

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What happens when consent, harm, and the relief of suffering no longer point in the same ethical direction?In this episode of Contested Bodies, I examine Body Integrity Dysphoria through the four principles of biomedical ethics: autonomy, beneficence, nonmaleficence, and justice. The episode asks how medicine should respond when relieving suffering may also involve causing physical harm, and why this matters for consent, refusal, treatment, and the authority institutions exercise over the body.The episode explores the rise of autonomy in modern medical ethics, the limits of beneficence, the problem of competing harms, the difference between refusing treatment and demanding intervention, and the objection that BID-related desires may be delusional or irrational.Contested Bodies is a podcast about the clash between individual autonomy and institutional authority, and the moral and ethical grey zones of body, medicine, autonomy, and power. Chapters:00:09 TwoForms of Harm02:34 The Four Principles04:22 Principlism and the Rise of Autonomy07:35 Beneficence and the Case for the Relief of Suffering09:12 The Limits of Beneficence12:56 Nonmaleficence and Competing Harms16:37 The Right to Refuse, Not the Right to Demand18:38 The Delusion Objection21:20 Frankfurt and the Structure of Desire24:30 Applying Frankfurt’s Ideas to BID26:31 Consent Under Uncertainty28:31 Justice and Consistency30:08 What Principlism Can Offer32:28 Conclusion34:27 CreditsSupport the podcast:Contested Bodies is independently written and produced. If you want to support the project, you can do so here: https://buymeacoffee.com/drleandroloriga Book:This season draws on my research and writing on bodily autonomy, medical authority, and contested forms of suffering. Read more here: Body Integrity Dysphoria and the Ethical Dilemma of On-Demand Amputation: RedefiningWholeness: Identity, Autonomy, and the Moral Boundaries of the Human Body Explore more:Leandro Loriga, PhD: https://leandroloriga.comBody Integrity Dysphoria project: https://bodyintegritydysphoria.comCorpus Sui: https://corpussui.comCredits:Written and produced by Leandro Loriga, PhD.Part of the Contested Bodies project. Music:Music from Pixabay, used under the Pixabay Content License.https://pixabay.com/music/mystery-familyx27s-dark-secret-true-crime-soundtrack-loopable-248652/https://pixabay.com/music/mystery-ethereal-nightmares-halloween-horror-30-sec-403943/https://pixabay.com/music/pulses-horror-trailer-30s-217439/ https://pixabay.com/music/ambient-marimba-trap-beat-451663/ https://pixabay.com/music/main-title-epic-intro-trailer-257344/ Disclaimer:This podcast is for educational and critical discussion purposes. It does not provide medical advice, diagnosis, or treatment. Rights:© 2026 Leandro Loriga, PhD. All rights reserved. Except as expressly permitted below, no part of this episode, transcript, description, or related material may be reproduced, republished, redistributed, adapted, sold,licensed, or used for commercial purposes without prior written permission from Leandro Loriga, PhD.Short excerpts may be quoted or shared for non-commercial educational, critical, journalistic, or research purposes, provided that clear attribution is given to Contested Bodies and Leandro Loriga, PhD, and that the source is linked to: https://leandroloriga.com Any commercial use, republication, redistribution, adaptation, translation, training use, or use of substantial portions of this material requires prior written permission. For permissions or enquiries: info@leandroloriga.com Hashtags:#ContestedBodies#LeandroLoriga #bioethics #medicalethics #bodilyautonomy #patientautonomy#medicalanthropology #philosophyofmedicine #bodyintegritydysphoria #BID#disabilityethics #podcast
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