『Episode 6 — Who Gets to Decide?』のカバーアート

Episode 6 — Who Gets to Decide?

Episode 6 — Who Gets to Decide?

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Why do some elective alterations of healthy bodies enter the clinical pathway, while others are stopped before they can even be considered?In this episode of Contested Bodies, I examine how surgeons and other professionals respond to requests for major elective body alteration. The episode identifies a recurring decision logic organised around four postulates: whether the patient’s motivation is sufficient to justify risk, whether that motivation is considered valid, whether the expected outcome is realistically achievable, and whether the request can be understood as a legitimate use of medical intervention.The episode then applies this framework to Body Integrity Dysphoria and asks whether autonomy is being judged by the patient’s decision-making capacity, or by the perceived acceptability of the intention behind the request.Contested Bodies is a podcast about the clash betweenindividual autonomy and institutional authority, and the moral and ethical grey zones of body, medicine, autonomy, and power. Chapters:00:09 Two Patients, Two Pathways03:06 From Ethical Theory to Clinical Practice05:06 Normativity and Body Harmony07:01 Motivation and Expectation08:44 Postulate One: Risk Outweighs Motivation10:29 Postulate Two: Invalid Motivation12:37 Postulate Three: Unrealistic Outcome15:56 Postulate Four: Achievable Outcome20:02 Applying the Four Postulates to BID22:51 Body Harmony as a Quiet Veto26:55 Autonomy as a Property of Intention31:08 The Subjective Standard33:41 Conclusion36:34 Credits Support 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.com Credits: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 fromLeandro 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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