---
title: "Meaning & Key Takeaway of: Autonomy is absolutized in principle and…"
description: "\"“Autonomy is absolutized in principle and practice. This may lead to the second response, namely, that physicians will accede to whatever the patient o..."
image: "https://sms4smile.com/quotes/i/fdf/edmund-d-pellegrino-84746_family_autonomy-is-absolutized-in-principle-and_1655256.jpg"
---

#  Autonomy is absolutized in principle and practice. This…

![“Autonomy is absolutized in principle and practice. This may lead to the second response, namely, that physicians will accede to whatever the patient or valid surrogate wants. This prompts the physician to transfer all responsibility to patients, family, or friends. This occurs with alarming…” quote by Edmund D. Pellegrino](https://sms4smile.com/quotes/i/fdf/edmund-d-pellegrino-84746_family_autonomy-is-absolutized-in-principle-and_1655256.jpg)   [Download](https://sms4smile.com/quotes/i/fdf/edmund-d-pellegrino-84746_family_autonomy-is-absolutized-in-principle-and_1655256.jpg) [Open image](https://sms4smile.com/quotes/i/fdf/edmund-d-pellegrino-84746_family_autonomy-is-absolutized-in-principle-and_1655256.jpg)

> ““Autonomy is absolutized in principle and practice. This may lead to the second response, namely, that physicians will accede to whatever the patient or valid surrogate wants. This prompts the physician to transfer all responsibility to patients, family, or friends. This occurs with alarming frequency in the care of infants, the elderly, and demented patients who may be over- or under-treated because their surrogates demand it. Indeed,””

Edmund D. Pellegrino

## About This Quote

This interpretation was drafted with AI assistance. It is one reading of the quote, not the author's own explanation.

The passage warns that absolute patient autonomy can shift responsibility to surrogates, risking over‑ or under‑treatment, especially for vulnerable groups.

**In simple terms:** Too much autonomy may lead to inappropriate care for patients.

Key Takeaway

Balance autonomy with professional guidance.

Themes

medical ethics patient rights responsibility

Mood

cautious concerned

Type

ethical clinical

When to use this quote

- hospital policy
- family decision‑making
- elderly care
- neonatal care

Key Concepts

bioethics clinical practice elder care

Questions to Reflect On

- When should clinicians intervene in surrogate decisions?
- How to protect vulnerable patients while respecting autonomy?

A Different Perspective

It may underestimate patients’ capacity for informed decisions.

★ ★ ★ ★ ★   No ratings yet

[Doctor](https://sms4smile.com/quotes/about/doctor/) [Family](https://sms4smile.com/quotes/about/family/) [Freedom](https://sms4smile.com/quotes/about/freedom/) [Patience](https://sms4smile.com/quotes/about/patience/) [Surrogate](https://sms4smile.com/quotes/about/surrogate/) [Surrogates](https://sms4smile.com/quotes/about/surrogates/)

## Related quotes

> [For me, and maybe for many religious kids of the '60s, the church lost relevance the more it became a surrogate in the movement…](https://sms4smile.com/quotes/mike-mccurry/for-me-and-maybe-for-many-religious-kids-of-the-60s-the-church-lost/)

[Mike McCurry](https://sms4smile.com/quotes/author/mike-mccurry/)

> [All the time I was playing the flute, the lines, the solos, the riffs, the construction, were based on my guitar skills. I did…](https://sms4smile.com/quotes/ian-anderson/all-the-time-i-was-playing-the-flute-the-lines-the-solos-the-riffs/)

[Ian Anderson](https://sms4smile.com/quotes/author/ian-anderson/)

> [Oscar Hammerstein was a surrogate father. I liked my father a lot, he was a swell fellow, but I didn’t see him very often…](https://sms4smile.com/quotes/stephen-sondheim/oscar-hammerstein-was-a-surrogate-father-i-liked-my-father-a-lot-he/)

[Stephen Sondheim](https://sms4smile.com/quotes/author/stephen-sondheim/)

> [I was a surrogate for Obama; I helped fundraise. I'm still a supporter.](https://sms4smile.com/quotes/brian-j-white/i-was-a-surrogate-for-obama-i-helped-fundraise-i-m-still-a-supporter/)

[Brian J. White](https://sms4smile.com/quotes/author/brian-j-white/)

> [There is a perversion, much practised in Hollywood movies, that might be called sado-paternalism, whereby a surrogate father treats a gifted but difficult pupil…](https://sms4smile.com/quotes/philip-french/there-is-a-perversion-much-practised-in-hollywood-movies-that-might/)

[Philip French](https://sms4smile.com/quotes/author/philip-french/)

> [Surrogate experience and surrogate environments have become the American way of life. Distinctions are no longer made, or deemed necessary, between the real and…](https://sms4smile.com/quotes/ada-louise-huxtable/surrogate-experience-and-surrogate-environments-have-become-the/)

[Ada Louise Huxtable](https://sms4smile.com/quotes/author/ada-louise-huxtable/)

> [My wife and I had been trying a while to have a baby. We tried a bunch of things - so we had a…](https://sms4smile.com/quotes/jimmy-fallon/my-wife-and-i-had-been-trying-a-while-to-have-a-baby-we-tried-a-bunch/)

[Jimmy Fallon](https://sms4smile.com/quotes/author/jimmy-fallon/)

> [Art and literature are my surrogate religions.](https://sms4smile.com/quotes/peter-shaffer/art-and-literature-are-my-surrogate-religions/)

[Peter Shaffer](https://sms4smile.com/quotes/author/peter-shaffer/)

> [Israel is the agent and surrogate of the United States and as such is treated entirely differently from every other country in the region.…](https://sms4smile.com/quotes/martin-jacques/israel-is-the-agent-and-surrogate-of-the-united-states-and-as-such-is/)

[Martin Jacques](https://sms4smile.com/quotes/author/martin-jacques/)

> [What's beautiful about the journey of surrogacy is that relationship you build with your surrogate, when it's done in places with good law. These…](https://sms4smile.com/quotes/dustin-lance-black/what-s-beautiful-about-the-journey-of-surrogacy-is-that-relationship/)

[Dustin Lance Black](https://sms4smile.com/quotes/author/dustin-lance-black/)

> [I've never been a surrogate for Bernie, Hillary, or the DNC.](https://sms4smile.com/quotes/deray-mckesson/i-ve-never-been-a-surrogate-for-bernie-hillary-or-the-dnc/)

[DeRay Mckesson](https://sms4smile.com/quotes/author/deray-mckesson/)

> [I have no regrets. I had an amazing surrogate who carried my son for me. I am so grateful to her. I can even…](https://sms4smile.com/quotes/marissa-jaret-winokur/i-have-no-regrets-i-had-an-amazing-surrogate-who-carried-my-son-for/)

[Marissa Jaret Winokur](https://sms4smile.com/quotes/author/marissa-jaret-winokur/)

> [There was a friend of ours who worked with a girl who had said she would consider being a surrogate. We met her and…](https://sms4smile.com/quotes/christopher-meloni/there-was-a-friend-of-ours-who-worked-with-a-girl-who-had-said-she/)

[Christopher Meloni](https://sms4smile.com/quotes/author/christopher-meloni/)

> [The surrogate is feeling pregnant! And a little sick. She thinks it's a girl.](https://sms4smile.com/quotes/glozell/the-surrogate-is-feeling-pregnant-and-a-little-sick-she-thinks-it-s-a/)

GloZell

> [“NO SURROGATE CAN BIRTH YOUR GREATNESS SO LET THEM STEAL TIME WILL REVEAL”](https://sms4smile.com/quotes/qwana-m-babygirl-reynolds-frasier/no-surrogate-can-birth-your-greatness-so-let-them-steal-time-will/)

[Qwana M. "BabyGirl" Reynolds-Frasier](https://sms4smile.com/quotes/author/qwana-m-babygirl-reynolds-frasier/)

## More by Edmund D. Pellegrino

> [“However, family and friends can be in a financial or emotional conflict of interest with the welfare of an incompetent patient.”](https://sms4smile.com/quotes/edmund-d-pellegrino/however-family-and-friends-can-be-in-a-financial-or-emotional/)

Edmund D. Pellegrino

> [“For patients to claim a right to any procedures they wish is to challenge a conscientious physician’s integrity as a physician.”](https://sms4smile.com/quotes/edmund-d-pellegrino/for-patients-to-claim-a-right-to-any-procedures-they-wish-is-to/)

Edmund D. Pellegrino

Explore all 3 Edmund D. Pellegrino quotes

## More Doctor quotes

> [Many patients imagine that they have tried everything. True, they have used many remedies, but they have never had the cause of their infirmity…](https://sms4smile.com/quotes/daniel-d-palmer/many-patients-imagine-that-they-have-tried-everything-true-they-have/)

[Daniel D. Palmer](https://sms4smile.com/quotes/author/daniel-d-palmer/)

> [I think people need to be comfortable questioning the authority of a doctor.](https://sms4smile.com/quotes/susannah-cahalan/i-think-people-need-to-be-comfortable-questioning-the-authority-of-a/)

[Susannah Cahalan](https://sms4smile.com/quotes/author/susannah-cahalan/)

> [The doctor who diagnosed me with ALS, or motor neuron disease, told me that it would kill me in two or three years.](https://sms4smile.com/quotes/stephen-hawking/the-doctor-who-diagnosed-me-with-als-or-motor-neuron-disease-told-me/)

[Stephen Hawking](https://sms4smile.com/quotes/author/stephen-hawking/)

> [Every patient carries her or his own doctor inside.](https://sms4smile.com/quotes/albert-schweitzer/every-patient-carries-her-or-his-own-doctor-inside/)

[Albert Schweitzer](https://sms4smile.com/quotes/author/albert-schweitzer/)

> [“As a special branch of general philosophy, pathogenesis had never been explored. In my opinion it had never been approached in a strictly scientific…](https://sms4smile.com/quotes/blaise-cendrars/as-a-special-branch-of-general-philosophy-pathogenesis-had-never-been/)

[Blaise Cendrars](https://sms4smile.com/quotes/author/blaise-cendrars/)

> [A creative space is an important thing. There are so many studios that feel like doctor's offices in Nashville. I couldn't write there.](https://sms4smile.com/quotes/brad-paisley/a-creative-space-is-an-important-thing-there-are-so-many-studios-that/)

[Brad Paisley](https://sms4smile.com/quotes/author/brad-paisley/)

> [We ought to observe that practice which is the hardest of all-especially for young physicians-we ought to throw in no medicine at all-to abstain-to…](https://sms4smile.com/quotes/john-randolph-of-roanoke/we-ought-to-observe-that-practice-which-is-the-hardest-of-all/)

John Randolph of Roanoke

> [The miracle drugs (neuroleptics) cause the worst plague of brain damage in medical history.](https://sms4smile.com/quotes/peter-breggin/the-miracle-drugs-neuroleptics-cause-the-worst-plague-of-brain-damage/)

[Peter Breggin](https://sms4smile.com/quotes/author/peter-breggin/)

> [“old-fashioned, gentle Scottish physician, unmoved by the considerations of profit and personal gain that could so disfigure medicine. That doctors should consider themselves businessmen…](https://sms4smile.com/quotes/alexander-mccall-smith/old-fashioned-gentle-scottish-physician-unmoved-by-the-considerations/)

[Alexander McCall Smith](https://sms4smile.com/quotes/author/alexander-mccall-smith/)

> [I've never bought this idea of taking a therapeutic distance. If I see a student or house staff cry, I take great faith in…](https://sms4smile.com/quotes/abraham-verghese/i-ve-never-bought-this-idea-of-taking-a-therapeutic-distance-if-i-see/)

[Abraham Verghese](https://sms4smile.com/quotes/author/abraham-verghese/)

> [Heart surgeons do not have the world's smallest egos: when you ask them to name the world's three leading practitioners, they never can remember…](https://sms4smile.com/quotes/sara-paretsky/heart-surgeons-do-not-have-the-world-s-smallest-egos-when-you-ask/)

[Sara Paretsky](https://sms4smile.com/quotes/author/sara-paretsky/)

> [Thankfully, I found a doctor at Presbyterian Hospital in New York, Scott Hammer, who diagnosed my chronic fatigue as the Epstein-Barr virus, and the…](https://sms4smile.com/quotes/tucker-halpern/thankfully-i-found-a-doctor-at-presbyterian-hospital-in-new-york/)

[Tucker Halpern](https://sms4smile.com/quotes/author/tucker-halpern/)

> [My parents are so supportive of whatever we want to do and completely nurtured that, and they're so proud of that as well. My…](https://sms4smile.com/quotes/hannah-john-kamen/my-parents-are-so-supportive-of-whatever-we-want-to-do-and-completely/)

[Hannah John-Kamen](https://sms4smile.com/quotes/author/hannah-john-kamen/)

> [Before we can wave the handkerchief, we have to have a cold.](https://sms4smile.com/quotes/robert-d-dangoor/before-we-can-wave-the-handkerchief-we-have-to-have-a-cold/)

[Robert D Dangoor](https://sms4smile.com/quotes/author/robert-d-dangoor/)

> [Tuberculosis, starvation, fatigue, and there are many who have no desire to live.](https://sms4smile.com/quotes/edward-r-murrow/tuberculosis-starvation-fatigue-and-there-are-many-who-have-no-desire/)

[Edward R. Murrow](https://sms4smile.com/quotes/author/edward-r-murrow/)

[Browse all 3,922 Doctor quotes ](https://sms4smile.com/quotes/about/doctor/)

```json
{
    "@context": "https://schema.org",
    "@graph": [
        {
            "@type": "Quotation",
            "text": "“Autonomy is absolutized in principle and practice. This may lead to the second response, namely, that physicians will accede to whatever the patient or valid surrogate wants. This prompts the physician to transfer all responsibility to patients, family, or friends. This occurs with alarming frequency in the care of infants, the elderly, and demented patients who may be over- or under-treated because their surrogates demand it. Indeed,”",
            "creator": {
                "@type": "Person",
                "name": "Edmund D. Pellegrino"
            },
            "isPartOf": {
                "@id": "https://sms4smile.com/quotes/#website"
            },
            "url": "https://sms4smile.com/quotes/edmund-d-pellegrino/autonomy-is-absolutized-in-principle-and-practice-this-may-lead-to/",
            "about": {
                "@type": "Thing",
                "name": "Doctor"
            },
            "@id": "https://sms4smile.com/quotes/edmund-d-pellegrino/autonomy-is-absolutized-in-principle-and-practice-this-may-lead-to/#quotation",
            "image": {
                "@type": "ImageObject",
                "@id": "https://sms4smile.com/quotes/i/fdf/edmund-d-pellegrino-84746_family_autonomy-is-absolutized-in-principle-and_1655256.jpg",
                "contentUrl": "https://sms4smile.com/quotes/i/fdf/edmund-d-pellegrino-84746_family_autonomy-is-absolutized-in-principle-and_1655256.jpg",
                "url": "https://sms4smile.com/quotes/i/fdf/edmund-d-pellegrino-84746_family_autonomy-is-absolutized-in-principle-and_1655256.jpg",
                "width": 1080,
                "height": 1080,
                "caption": "“Autonomy is absolutized in principle and practice. This may lead to the second response, namely, that…” — Edmund D. Pellegrino",
                "creditText": "SMS4Smile Quotes",
                "creator": {
                    "@id": "https://sms4smile.com/quotes/#organization"
                }
            }
        },
        {
            "@type": "BreadcrumbList",
            "itemListElement": [
                {
                    "@type": "ListItem",
                    "position": 1,
                    "name": "Home",
                    "item": "https://sms4smile.com/"
                },
                {
                    "@type": "ListItem",
                    "position": 2,
                    "name": "Quotes",
                    "item": "https://sms4smile.com/quotes/"
                },
                {
                    "@type": "ListItem",
                    "position": 3,
                    "name": "Edmund D. Pellegrino",
                    "item": "https://sms4smile.com/quotes/author/edmund-d-pellegrino/"
                },
                {
                    "@type": "ListItem",
                    "position": 4,
                    "name": "“Autonomy is absolutized in principle and...",
                    "item": "https://sms4smile.com/quotes/edmund-d-pellegrino/autonomy-is-absolutized-in-principle-and-practice-this-may-lead-to/"
                }
            ],
            "@id": "https://sms4smile.com/quotes/edmund-d-pellegrino/autonomy-is-absolutized-in-principle-and-practice-this-may-lead-to/#breadcrumb"
        },
        {
            "@type": "WebSite",
            "@id": "https://sms4smile.com/quotes/#website",
            "name": "SMS4Smile Quotes",
            "url": "https://sms4smile.com/quotes/",
            "publisher": {
                "@id": "https://sms4smile.com/quotes/#organization"
            }
        },
        {
            "@type": "Organization",
            "@id": "https://sms4smile.com/quotes/#organization",
            "name": "SMS4Smile Quotes",
            "url": "https://sms4smile.com/quotes/",
            "logo": {
                "@type": "ImageObject",
                "url": "https://sms4smile.com/quotes/wp-content/themes/sq/assets/icons/icon-512.png",
                "width": 512,
                "height": 512
            }
        }
    ]
}
```
