From unimpeachable autonomy to self-imposed heteronomy: a liberal and Foucauldian perspective on advance euthanasia directives

Abstract Based on a controversial case of assisted suicide offered to and eventually enforced on a demented woman vainly resisting the procedure, this article discusses the problems that arise when the human entity is conceptualized as an individual primarily defined by his ability for rational self-expression and autonomous self-rule. To highlight these difficulties, a liberal view on ‘autonomy’—a term which serves as an ideal but is yet subject to conditions—is scrutinized. Given that liberal political theory alone is insufficient to fully reflect the changes of personality by which an individual’s fight for autonomy bears the potential to turn into unalterable heteronomy, it is complemented by the thought of Michel Foucault. With his attention to societal mechanisms which bring individuals about—a process termed ‘individuation’ in the following—cases like the aforementioned scenario wherein individuals are forced to divide themselves from themselves can be critically analyzed. Such an approach illustrates that the established notion of the ‘individual’ can be led ad absurdum, and its validity as both an analytical idea and a normative vision should be challenged. As a result, there is a need for a more clairvoyant concept of the human person to be articulated, capable of conciliating the discontinuous nature of existence