Results for 'self-determination'

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  1. Collective Self-Determination and Externalized Border Control.Daniel Sharp - 2025 - Global Justice: Theory Practice Rhetoric 15 (01):96-127.
    According to a common argument in defense of border control, legitimate states have a right to exclude on grounds of collective self-determination. I argue that the value of self-determination can also serve as a basis for criticizing states’ immigration policies. Specifically, I contend that the externalization policies of states in the Global North often undermine the self-determination of peoples in the Global South. I identify five pathways by which externalization policies undermine self-determination. (...)
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  2. Liberal Self-Determination in a World of Migration.Luara Ferracioli - 2021 - New York, NY, USA: Oxford University Press.
    The values of freedom and equality are at the heart of what it means for liberal states to do justice to their citizens. Yet, when it comes to the question of whether liberal states are capable of realizing the values of freedom and equality while controlling their borders, many philosophers are skeptical that liberalism and existing immigration arrangements can in fact be reconciled. After all, liberal states often deny entrance to prospective immigrants who are fleeing extreme forms of violence. They (...)
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  3. Self-Determination As Principle of Justice.Iris Marion Young - 1979 - Philosophical Forum 11 (1):30.
    THE PAPER DEFINES AND DEFENDS A PRINCIPLE OF COLLECTIVE SELF-DETERMINATION AS ONE OF THE PRINCIPLES OF THE ORDERING OF A JUST SOCIETY. THAT PRINCIPLE SPECIFIES THAT INDIVIDUALS PARTICIPATE EQUALLY IN THE MAKING OF DECISIONS WHICH WILL GOVERN THEIR ACTIONS WITHIN INSTITUTIONS OF SPECIAL COOPERATION. THE PAPER ADOPTS THE STRATEGY OF ARGUING TO PRINCIPLES OF JUSTICE BY ASKING WHAT PRINCIPLES WOULD BE CHOSEN IN RAWLS' ORIGINAL POSITION. IT ARGUES THAT, CONTRARY TO THE THRUST IMPLICIT IN RAWLS AND OTHER LIBERAL (...)
     
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  4. Self-Determination, Immigration Restrictions, and the Problem of Compatriot Deportation.Javier Hidalgo - 2014 - Journal of International Political Theory 10 (3):261-282.
    Several political theorists argue that states have rights to self-determination and these rights justify immigration restrictions. Call this: the self-determination argument for immigration restrictions. In this article, I develop an objection to the self-determination argument. I argue that if it is morally permissible for states to restrict immigration because they have rights to self-determination, then it can also be morally permissible for states to deport and denationalize their own citizens. We can either (...)
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  5. Self-Determination, Dissent, and the Problem of Population Transfers.Matthew Lister - 2016 - In Fernando R. Tesón, The Theory of Self-Determination. Cambridge University Press. pp. 145-165.
    Many of the major self-determination movements of the 20th and early 21st Centuries did not go smoothly, but resulted in forced or semi-forced transfers of groups of people from one country to another. Forced population transfers are not, of course, supported by major theorists of self-determination and secession. However, the problems that make population transfers extremely common in actual cases of self-determination and secession, are not squarely faced in many theories of self-determination. (...)
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  6. Self-Determination and Resource Rights: In Defence of Territorial Jurisdiction Over Natural Resources.Ayelet Banai - 2016 - Res Publica 22 (1):9-20.
    Is territorial jurisdiction over natural resources justified? This paper argues that a freedom-based account of self-determination coupled with ‘functionalist’ justifications of territorial right support territorial jurisdiction over natural resources. This justification simultaneously gives rise to limits on the permissible exercise of the right: the principles of reciprocity and generality, and of equal freedom. This ‘reciprocal’ view on territorial jurisdiction over natural resources, defended here, differs from two alternatives: the traditional sovereignty view on the one hand and the transnational (...)
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  7.  39
    Self-determination theory, morality, and education: introduction to special issue.Randall Curren & Tobias Krettenauer - 2020 - Journal of Moral Education 49 (3):275-281.
    ABSTRACT Self-Determination Theory (SDT) is an empirically based organismic theory of human motivation, development, and well-being that shares many points of interest with the fields of moral development and moral education. Yet, SDT has been largely disconnected from these fields so far. How can we define and empirically assess autonomous moral motivation? How is moral autonomy achieved in the course of development? And what are the relationships between leading a moral life and happiness? These questions have been occupying (...)
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  8. Self-determination, self-transformation, and the case of Jean Valjean: a problem for Velleman.Christopher Evan Franklin - 2015 - Philosophical Studies 172 (10):2591-2598.
    According to reductionists about agency, an agent’s bringing something about is reducible to states and events involving the agent bringing something about. Many have worried that reductionism cannot accommodate robust forms of agency, such as self-determination. One common reductionist answer to this worry contends that self-determining agents are identified with certain states and events, and so these states and events causing a decision counts as the agent’s self-determining the decision. In this paper I discuss J. David (...)
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  9.  37
    Moral self-determination: The nature, existence, and formation of moral motivation.Richard M. Ryan & Randall Curren - 2020 - Journal of Moral Education 49 (3):295-315.
    ABSTRACT This paper addresses three basic questions about moral motivation. Concerning the nature of moral motivation, it argues that it involves responsiveness to both reasons of morality and the value of persons and everything else of value. Moral motivation is thus identified as reason-responsive appropriate valuing. Regarding whether it is possible for people to be morally motivated, the paper relies on Self-Determination Theory (SDT) to show how moral motivation is a likely product of education that is need-supportive in (...)
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  10.  82
    Self-Determination as the Ground and Constraint for the Right to Exclude.Jonathan Kwan - 2021 - Social Theory and Practice 47 (2):299-329.
    In this article, I show how the principle of democratic self-determination can answer the boundary problem by both grounding and constraining a people’s right to exclude potential immigrants. I argue that a people has the qualified right to exclude insofar as it respects the self-determination claims of outsiders. I analyze the concrete implications of the requirement to respect the self-determination claims of outsiders in the cases of long-term residents, refugees, and brain drain. Sometimes the (...)
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  11.  91
    Self-Determination and Secession: Why Nations Are Special.Ruairi Maguire - 2023 - Canadian Journal of Philosophy 53 (1):60-80.
    In this paper, I consider the objection that unilateral secession by a national group (e.g., the Scots) from a legitimate, nonusurping state would wrong minority nationalities within the seceding territory. I show first that most proponents of this objection assume that the ground of the right to national self-determination is the protection of the group’s culture. I show that there are alternative justifications available. I then set out a version of this objection that does not rely on this (...)
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  12. Using Self-Determination Theory to Examine Musical Participation and Well-Being.Amanda E. Krause, Adrian C. North & Jane W. Davidson - 2019 - Frontiers in Psychology 10:439908.
    A recent surge of research has begun to examine music participation and well-being; however, a particular challenge with this work concerns theorizing around the associated well-being benefits of musical participation. Thus, the current research used Self-Determination Theory to consider the potential associations between basic psychological needs (competence, relatedness, and autonomy), self-determined autonomous motivation, and the perceived benefits to well-being controlling for demographic variables and the musical activity parameters. A sample of 192 Australian residents (17-85, Mage = 36.95), (...)
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  13. A self-determination theory account of self-authorship: Implications for law and public policy.Alexios Arvanitis & Konstantinos Kalliris - 2017 - Philosophical Psychology 30 (6):763-783.
    Self-authorship has been established as the basis of an influential liberal principle of legislation and public policy. Being the author of one’s own life is a significant component of one’s own well-being, and therefore is better understood from the viewpoint of the person whose life it is. However, most philosophical accounts, including Raz’s conception of self-authorship, rely on general and abstract principles rather than specific, individual psychological properties of the person whose life it is. We elaborate on the (...)
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  14.  92
    Self-Determined Motivation and Competitive Anxiety in Athletes/Students: A Probabilistic Study Using Bayesian Networks.Francisco Javier Ponseti, Pedro L. Almeida, Joao Lameiras, Bruno Martins, Aurelio Olmedilla, Jeanette López-Walle, Orlando Reyes & Alexandre Garcia-Mas - 2019 - Frontiers in Psychology 10.
    This study attempts to analyse the relationship between two key psychological variables associated with performance in sports - Self-Determined Motivation and Competitive Anxiety - through Bayesian Networks analysis. We analysed 674 university students/athletes from 44 universities that competed at the University Games in México, with an average age of 21 years (SD = 2.07) and with a mean of 8.61 years’ (SD = 5.15) experience in sports. Methods: Regarding the data analysis, first a CHAID algorithm was carried out to (...)
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  15.  90
    Self-Perception and Self-Determination in Surveillance Conditions.Saskia K. Nagel & Hartmut Remmers - 2012 - American Journal of Bioethics 12 (9):53-55.
    The American Journal of Bioethics, Volume 12, Issue 9, Page 53-55, September 2012.
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  16. Towards self-determination in quality of life research: a dialogic approach.Leah McClimans - 2010 - Medicine, Health Care and Philosophy 13 (1):67-76.
    Health-related quality of life measures aim to assess patients’ subjective experience in order to gauge an increasingly wide variety of health care issues such as patient needs; satisfaction; side effects; quality of care; disease progression and cost effectiveness. Their popularity is undoubtedly due to a larger initiative to provide patient-centered care. The use of patient perspectives to guide health care improvements and spending is rooted in the idea that we must respect patients as self-determining agents. In this paper I (...)
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  17. Self determination theory and predictive processing.A. Eslami - forthcoming - TBA.
    The self functions as a critical mechanism for an organism to navigate the complex, often unknown, relations between the body and the brain. Organisms that sustain a coherent sense of self utilize it as an adaptive strategy to alter their environment, thereby enabling predictive processing within an incomplete _Umwelt_. While researchers often attempt to model prediction as a Quine-like self-referential loop by studying small neuronal sets, this reductionist approach limits our understanding of the self's holistic predictive (...)
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  18. Self-governance, reasons and self-determination.Y. Shemmer - 2014 - American Philosophical Quarterly 51 (2).
  19.  93
    Temporising and respect for patient self-determination.Jenny Lindberg, Mats Johansson & Linus Broström - 2019 - Journal of Medical Ethics 45 (3):161-167.
    The principle of self-determination plays a crucial role in contemporary clinical ethics. Somewhat simplified, it states that it is ultimately the patient who should decide whether or not to accept suggested treatment or care. Although the principle is much discussed in the academic literature, one important aspect has been neglected, namely the fact that real-world decision making is temporally extended, in the sense that it generally takes some time from the point at which the physician (or other health (...)
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  20. The Cost of Ethics Legislation: A Look at the Patient Self-Determination Act.Jeremy Sugarman, Neil R. Powe, Dorothy A. Brillantes & Melanie K. Smith - 1993 - Kennedy Institute of Ethics Journal 3 (4):387-399.
    The Patient Self-Determination Act (PSDA) requires hospitals to ask patients upon admission whether they have an advance directive. Although the PSDA has received extensive criticism, little attention has been paid to the cost of the law, either during its legislative course or following its implementation. Nonetheless, several tangible and intangible costs are associated with the PSDA. Such costs may be incurred by different parties. This paper examines the costs and benefits of the PSDA and illustrates the extent of (...)
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  21.  26
    Justifying self-determination: The persistent alienation principle.Andrew Shorten - forthcoming - European Journal of Political Theory.
    This paper describes and defends a novel principle for allocating self-determination powers: the persistent alienation principle. This holds that there are pro tanto grounds for extending greater powers of self-determination to persistently alienated internal minorities who seek such powers, if doing so will alleviate their alienation without alienating or threatening the basic interests of others. For this principle, alienation should be understood in structural rather than subjective terms, as something experienced by people as members of groups (...)
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  22. (1 other version)The Nation-State as a Political Community: A Critique of the Communitarian Argument for National Self-Determination.Omar Dahbour - 1996 - Canadian Journal of Philosophy, Supplementary Volume 22:311-343.
    The principle of national self-determination has usually been justified by extending to national groups an entitlement that individuals are regarded as having, namely, to the conditions necessary for their self development. In order to extend the concept of self-determination to nations in this way, an argument that it is important for nations to exist within their own political communities must be given. In this essay, I describe and criticize one type of argument for such a (...)
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  23. GH von Wright on Self-Determination and Free Agency.Rosaria Egidi - 2005 - Acta Philosophica Fennica 77:105.
     
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  24.  79
    The patient self determination act and ?Dax's Case?Richard Gelwick - 1992 - Journal of Medical Humanities 13 (3):177-187.
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  25. Advance Directives: Self-Determination, Physician's Responsibility, Value of Life.S. Hans-Martin - 2000 - Analecta Husserliana 64:239-254.
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  26. (1 other version)What Can We Do? A Philosophical Analysis of Individual Self-determination.Fabio Macioce - 2011 - Analytica 5:57-78.
    The principle of self-determination, as commonly intended, is based on a formal and individualistic view of liberty rights. This perspective, however, is inconsistent with the needs of a community, and particularly with the necessity to promote a relatively stable social order, and an integration between subjects. I propose a different perspective that takes into account the relationships rather than the individual. In particular, I will try to demonstrate 1) that any community implement a specific social order, that is (...)
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  27. On Emotion and Self-Determination in Max Scheler and Antoni Kepinski.M. Pyka - 2000 - Analecta Husserliana 67:143-152.
     
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  28. Call for Papers: Territory, Belonging: secession, self-determination and territorial rights in the age of identity politics. Scarta - 2012 - Philosophy and Public Issues - Filosofia E Questioni Pubbliche.
    Symposium: Territory, Belonging: secession, self-determination and territorial rights in the age of identity politics With a discussion of Neera Chandhoke’s Contested Secessions. Rights, Self-determination, Democracy and Kashmir (OUP 2012) Guest Editor: Valentina Gentile Submission Deadline Long(1,000 words max): November 15, 2012 Full paper (10,000 words max, upon acceptance): March 15, 2013 Invited Contributors Allen Buchanan (DukeUniversity), Will Kymlicka (Queen’s University), Margaret Moore (Queen’s University) and Neera Chandhoke (University of Delhi).
     
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  29. Physical premotion and self-determination (Thomists D. Banez and D. Alvarez).D. Svoboda - 2004 - Filosoficky Casopis 52 (4):559-568.
  30.  45
    Man's personal self-determination according to K. Wojtyla.Josip Ćurić - 2003 - Disputatio Philosophica 5 (1):41-47.
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  31. The Self-Determination of Force: Desire and Practical Self-Consciousness in Kant and Hegel.Thomas Khurana - 2018 - In Dina Emundts & Sally Sedgwick, Begehren / Desire. Berlin, Boston: De Gruyter. pp. 179-204.
    In a broadly Kantian context, it is often assumed that practical self-consciousness and rational self-determination can only be understood in opposition to pleasure and desire. I argue instead that, already for Kant, rational self-determination is itself a determination of our faculty of desire. Drawing on resources from Kant and Hegel, the paper shows that sensible desire can be understood as a self-determination of our vital forces which is connected to a sensible awareness (...)
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  32. Self-Determination and the Categories of Freedom in Kant’s Moral Philosophy.Seung-Kee Lee - 2012 - Kant Studien 103 (3):337-350.
    Kant speaks of our capacity to be “self-determining […] in certain […] laws holding firm a priori” (KrV, B 430). Here the “laws” refer to the categories of freedom introduced in KpV. The categories of freedom, then, are necessary for self-determination. I first explain how Kant employs the notion of determination in his theoretical philosophy. I then explain how the notion is utilized also in his practical philosophy, particularly in connection to the act of determining the (...)
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  33.  50
    Self-Determination and the Metaphysics of Human Nature in Aristotle and Mencius.May Sim - 2023 - In Yang Xiao & Kim-Chong Chong, Dao Companion to the Philosophy of Mencius. Cham: Springer. pp. 635-649.
    If self-determination enables one to know truths and rule oneself, then it’s central to metaphysics and ethics because metaphysics concerns truths, and ethics grasps good actions requiring self-rule. Aristotle and Mencius agree about the relation between metaphysics and ethics. Nevertheless, closer examination shows differences in their conceptions of the self, how it knows truths, the nature of truth, and the effectiveness of the wise/virtuous on the world. Given the significance of self-determination to theory and (...)
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  34.  24
    Linking Self-Determination and Human Rights.Will Kymlicka - 2018 - In Adam Etinson, Human Rights: Moral or Political? Oxford, United Kingdom: Oxford University Press. pp. 460-468.
    Peter Jones argues that human rights can address violations of the determination principle, but cannot address violations of the selfhood principle. In this commentary, it is argued that international human rights norms should address both violations, for two key reasons. First, these violations are continuous in their underlying ideologies and in their effects on those whose rights to self-determination are denied. Second, international law was itself complicit in creating both categories of violations, and so has a special (...)
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  35. Do self-determining states have a conditional right to exclude would-be immigrants?Jinyu Sun - 2022 - European Journal of Political Theory 21 (2):412-420.
    Why should (or should not) we have a system of different states that each claim both internal and external sovereignty? How can the state gain its legitimate authority to rule? What is the problem with the ideal of the ‘global citizen’? How should states respond to different groups’ secession claims? To what extent should states have the right to control their borders? If one finds such questions intriguing, one should read Anna Stilz’s book Territorial Sovereignty: A Philosophical Exploration. Stilz argues (...)
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  36. Immigration and self-determination.Bas van der Vossen - 2015 - Politics, Philosophy and Economics 14 (3):270-290.
    This article asks whether states have a right to close their borders because of their right to self-determination, as proposed recently by Christopher Wellman, Michael Walzer, and others. It asks the fundamental question whether self-determination can, in even its most unrestricted form, support the exclusion of immigrants. I argue that the answer is no. To show this, I construct three different ways in which one might use the idea of self-determination to justify immigration restrictions (...)
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  37.  28
    Is Self-Determination a Dangerous Illusion?David Miller - 2019 - Polity.
    Claims to self-determination are rife in world politics today. They range from Scottish and Catalonian campaigns for independence to calls for the devolution of power to regions and cities. But is self-determination meaningful or desirable in the twenty-first century, or merely a dangerous illusion? In this book, David Miller mounts a powerful defence of political self-determination. He explains why it is valuable and argues that geographic proximity alone is not enough for groups to have (...)
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  38.  66
    Democratic self-determination and the need for deliberation.Minh Ly - 2025 - European Journal of Political Theory 24 (3):462-470.
    I offer in this paper a new conception of democratic self-determination. My proposal defends Rafanelli's peaceful reform intervention from the concern that we should not promote justice abroad, because it would interfere with the self-determining choice of other people to select an authoritarian government. I challenge this influential view of authoritarian self-determination. I argue instead that self-determination should be democratic in its input, or the procedure deliberating and voting on the constitution. Self- (...) should also be democratic in its output, or the constitution's rules. Democratic self-determination offers three important advantages: it joins self-determination indivisibly with other inalienable human rights, such as the human right to racial non-discrimination. Second, it guards against the problem of the false mandate, or authoritarians attempting to legitimate their autocratic rule using rigged referenda and suppressed debate. Third, democratic self-determination reduces the risk of ethnic conflict given the diversity of actual states. Democratic self-determination passes the a ctual deliberation test, since it has been vindicated by inclusive deliberation with people from diverse cultures. (shrink)
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  39. Self-determination vs. Freedom for God and the Angels: A Problem with Anselm's Theory of Free Will.Michael Barnwell - 2018 - The Saint Anselm Journal 14 (1):13-32.
    Anselm is known for offering a distinctive definition of freedom of choice as “the ability of preserving uprightness of will for its own sake.” When we turn to Anselm’s account of the devil’s fall in De Casu Diaboli, however, this idiosyncratic understanding of freedom is not at the forefront. In that text, Anselm seemingly assumes a traditional understanding of free will defined in terms of alternative possibilities for the angels. These alternative possibilities must be present so the angels can engage (...)
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  40. Whose Self-Determination? Barriers to Access to Emergency Hormonal Contraception in Italy.Emanuela Ceva & Sofia Moratti - 2013 - Kennedy Institute of Ethics Journal 23 (2):139-167.
    It is a standard requirement of democratic theory that all members of society be treated with equal respect as capable of self-determination (Christiano 2004; Dworkin 1977; Gutmann and Thompson 2004; Patten 2011; Waldron 1999). The fulfillment of this requirement is problematic vis-à-vis conscientious dissenters. Conscientious dissenters refuse to comply with legally enforced duties when compliance risks jeopardizing their moral integrity, because the required behavior would compromise their loyalty to (some of) their moral commitments. Coercing conscientious dissenters into behavior (...)
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  41.  62
    Self-determination as a basic human right: the Draft UN Declaration on the Rights of Indigenous Peoples.Cindy Holder - 2005 - In Avigail Eisenberg & Jeff Spinner-Halev, minorities within minorities: equality, rights and diversity. cambridge university press. pp. 294.
    Conventional wisdom suggests that promoting self-determination for peoples and protecting the human rights of individuals are competing priorities. By this is meant that securing individuals in their human rights requires limits on the rights of their peoples, and vice versa. In contrast, the Draft UN Declaration on the Rights of Indigenous Peoples (the Draft Declaration) treats the two as not only mutually supporting but mutually necessary. In the Draft Declaration, the right of peoples to self-determination is (...)
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  42.  90
    Liberal Self-Determination in a World of Migration.Sahar Akhtar - 2025 - Australasian Journal of Philosophy 103 (1).
    Does a liberal state, dedicated to the principles of freedom and equality, have a moral right to exclude? In her book, Liberal Self-Determination in a World of Migration, Luara Ferracioli makes a c...
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  43.  35
    National Self-Determination and Secession.Margaret Moore (ed.) - 1998 - Oxford, GB: Oxford University Press.
    In recent years numerous multi-national states have disintegrated along national lines, and today many more continue to witness bitter secessionist struggles. This ambitious study brings together for the first time a series of original essays on the ethics of secession. A host of leading figures explore key issues in this important debate, including, what is `a people' and what gives them a right to secede? And is national self-determination consistent with liberal and democratic principles or is it a (...)
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  44. Ecstatic Self-Determination. A Reflection on the Possibility of an Ontological Correspondence between Heidegger’s Dasein and Plotinus’ Nous.Ahmad Rajabi - 2026 - Kritike 19 (4):81-91.
    With reference to previous research on the relation between Heidegger’s thought and Neoplatonism, this investigation seeks to show concisely how—despite the profound distance between the finitude of Dasein and Plotinus’ doctrine of the divine Nous—there exists a fundamental correspondence regarding their ontological structure. This correspondence may be described as a phenomenological principle of the necessary precedence of the pre- determinate and pre-present horizon over the ecstatic openness. That is to say, there must already be a primordial horizon through which openness (...)
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  45.  72
    Self-Determination in Intervention With Battered Arab Women in Community Health Clinics in Israel.Eli Buchbinder & Rouzin Barakat - 2016 - Ethics and Behavior 26 (2):87-98.
    Many abused women from patriarchal collectivistic societies that are subjected to social control seek help in community health clinics. The article is based on a qualitative study, which consisted of 24 interviews with 12 abused Israeli Arab women who sought the help of social workers in community health clinics. A central theme that emerged from the interviews was the women’s wish to maintain their self-determination in retaining the power to determine the boundaries of the intervention within the professional (...)
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  46. Self-determination as a universal human right.Cindy Holder - 2006 - Human Rights Review 7 (4):5-18.
    Conventional wisdom suggests that promoting self-determination for peoples and protecting the human rights of individuals are competing priorities. However, many recent international human rights documents include rights of peoples in their lists of basic human rights. In this paper, I defend including at least one people’s right, the right to self-determination, in the list of basic rights. Recognizing that self-determination is a constitutive element of human dignity casts state sovereignty in a different light, with (...)
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  47. ICT-enabled self-determination, disability and young people.Edgar Pacheco, Miriam Lips & Pak Yoong - 2019 - Information, Communication and Society 22 (8):1112-1127.
    Research and practice about self-determination in the context of disability has centred on teaching skills and providing support to help people with impairments to be independent. However, limited research exists about the impact of Information and Communication Technologies, in particular social media and mobile devices, on the development of self-determination skills among people with disabilities. This paper presents the findings of a qualitative study which collected data from observations, a researcher diary, focus groups, individual interviews and (...)
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  48. Colonial Genealogies of National Self-Determination.Torsten Menge - 2023 - Journal of the American Philosophical Association 9 (4):705 - 723.
    Self-determination is a central concept for political philosophers. For example, many have appealed to this concept to defend a right of states to restrict immigration. Because it is deeply embedded in our political structures, the principle possesses a kind of default authority and does not usually call for an elaborate defense. In this paper, I will argue that genealogical studies by Adom Getachew, Radhika Mongia, Nandita Sharma, and others help to challenge this default authority. Their counter-histories show that (...)
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  49. Self-Determination, Revolution, and Intervention.Allen Buchanan - 2016 - Ethics 126 (2):447-473.
    What limitations on intervention in support of democratic revolutions does proper regard for the collective right of self-determination impose? Some have held that if intervention in support of democratic revolutions is justified, it must cease once the authoritarian regime has been deposed—that any effort by the intervener to use force to shape the new political order would violate the people’s right of self-determination. This essay argues that proper regard for self-determination is compatible with much (...)
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  50. Autonomy, self-determination and substitute judgement: the limits of AI-based personalised patient preference predictors (P4s) in surrogate decision-making.Marco Annoni - 2025 - Journal of Medical Ethics 51 (7):469-471.
    In my article, I argued against the view that substitute judgements—whether aided by AI-driven patient preference predictors (P4s) or not—can genuinely respect the autonomy of previously competent patients who left no advance directives (ADs).1 I defended four core claims. First, it is a mistake to equate merely satisfying patients’ preferences with respecting their autonomy. Indeed, paternalistic deception can fulfil someone’s implicit or revealed preferences while simultaneously undermining their autonomy, indicating that preference satisfaction alone is insufficient for respecting autonomy. Second, attempts (...)
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