Somatic Oppression and Relational Autonomy: Revisiting Medical Aid in Dying through a Feminist Lens
Bibliographic record
Abstract
Drawing upon disability studies and theories of relational autonomy, this essay illustrates how somatic oppression may affect one’s autonomy — conceptualized as a socially contextualized competency — in the context of Medical Aid in Dying (MAiD), in ways that are not captured by current safeguards focused on protecting free and informed consent. From a relational standpoint, securing free and informed consent fails to protect individual autonomy, and instead we need to examine how medical and social relationships, practices, and institutions can hinder or enable the development and practice of autonomy. I conclude that oppression poses a credible threat to the autonomy of MAiD patients and thus warrants further attention.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.008 | 0.006 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.007 | 0.095 |
| Scholarly communication | 0.007 | 0.009 |
| Open science | 0.001 | 0.010 |
| Research integrity | 0.004 | 0.006 |
| Insufficient payload (model declined to judge) | 0.003 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".