{"id":2051,"date":"2026-07-10T08:36:31","date_gmt":"2026-07-10T06:36:31","guid":{"rendered":"https:\/\/cybe.es\/publicaciones\/between-safeguard-and-constraint-navigating-patient-autonomy-in-protective-laws-for-medical-assistance-in-dying\/"},"modified":"2026-07-31T16:47:44","modified_gmt":"2026-07-31T14:47:44","slug":"between-safeguard-and-constraint-navigating-patient-autonomy-in-protective-laws-for-medical-assistance-in-dying","status":"publish","type":"publicaciones","link":"https:\/\/cybe.es\/en\/publications\/between-safeguard-and-constraint-navigating-patient-autonomy-in-protective-laws-for-medical-assistance-in-dying\/","title":{"rendered":"Between Safeguard and Constraint: Navigating Patient Autonomy in Protective Laws for Medical Assistance in Dying"},"content":{"rendered":"\n<div data-wp-interactive=\"core\/file\" class=\"wp-block-file\"><object data-wp-bind--hidden=\"!state.hasPdfPreview\" hidden class=\"wp-block-file__embed\" data=\"https:\/\/cybe.es\/wp-content\/uploads\/2026\/07\/Bioethics-2026-Delgado-Between-Safeguard-and-Constraint-Navigating-Patient-Autonomy-in-Protective-Laws-for-Medical-1.pdf\" type=\"application\/pdf\" style=\"width:100%;height:600px\" aria-label=\"Embed of Bioethics - 2026 - Delgado - Between Safeguard and Constraint  Navigating Patient Autonomy in Protective Laws for Medical.\"><\/object><a id=\"wp-block-file--media-610fa958-48f8-4772-b051-839b74fd918e\" href=\"https:\/\/cybe.es\/wp-content\/uploads\/2026\/07\/Bioethics-2026-Delgado-Between-Safeguard-and-Constraint-Navigating-Patient-Autonomy-in-Protective-Laws-for-Medical-1.pdf\">Bioethics &#8211; 2026 &#8211; Delgado &#8211; Between Safeguard and Constraint  Navigating Patient Autonomy in Protective Laws for Medical<\/a><a href=\"https:\/\/cybe.es\/wp-content\/uploads\/2026\/07\/Bioethics-2026-Delgado-Between-Safeguard-and-Constraint-Navigating-Patient-Autonomy-in-Protective-Laws-for-Medical-1.pdf\" class=\"wp-block-file__button wp-element-button\" download aria-describedby=\"wp-block-file--media-610fa958-48f8-4772-b051-839b74fd918e\">Descarga<\/a><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":10,"featured_media":0,"parent":0,"menu_order":0,"template":"","meta":{"_acf_changed":true,"inline_featured_image":false},"publicaciones_cat":[],"class_list":["post-2051","publicaciones","type-publicaciones","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Between Safeguard and Constraint: Navigating Patient Autonomy in Protective Laws for Medical Assistance in Dying - CYBE<\/title>\n<meta name=\"description\" content=\"There has been an increase in the number of jurisdictions legalizing or decriminalizing Medical Assistance in Dying (MAiD). Legal frameworks worldwide strive to balance respect for autonomy with regulatory safeguards that both operationalize voluntary choice and prevent access to MAiD in cases of remediable despair or coerced decision-making. However, the implementation of such an equilibrium diverges. Some legal systems prioritize personal autonomy and informed consent as the main criterion to access MAiD (e.g., US jurisdictions), while others also add the alleviation of suffering (e.g., The Netherlands). Using the lens of relational autonomy and focusing on Spain&#039;s MAiD legislation as a case study, this article poses the question of what notion of autonomy is implied in this system, and whether the imposition of certain safeguards might inadvertently undermine or restrict autonomy, in some specific cases. To that aim, we first analyze its stringent requirements for assessing the so-called \u201ceuthanasic context\u201d which establishes eligibility conditions to access MAiD; then, we highlight how some of its assessments can interfere with the person&#039;s autonomy.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/cybe.es\/en\/publications\/between-safeguard-and-constraint-navigating-patient-autonomy-in-protective-laws-for-medical-assistance-in-dying\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Between Safeguard and Constraint: Navigating Patient Autonomy in Protective Laws for Medical Assistance in Dying - CYBE\" \/>\n<meta property=\"og:description\" content=\"There has been an increase in the number of jurisdictions legalizing or decriminalizing Medical Assistance in Dying (MAiD). Legal frameworks worldwide strive to balance respect for autonomy with regulatory safeguards that both operationalize voluntary choice and prevent access to MAiD in cases of remediable despair or coerced decision-making. However, the implementation of such an equilibrium diverges. Some legal systems prioritize personal autonomy and informed consent as the main criterion to access MAiD (e.g., US jurisdictions), while others also add the alleviation of suffering (e.g., The Netherlands). Using the lens of relational autonomy and focusing on Spain&#039;s MAiD legislation as a case study, this article poses the question of what notion of autonomy is implied in this system, and whether the imposition of certain safeguards might inadvertently undermine or restrict autonomy, in some specific cases. To that aim, we first analyze its stringent requirements for assessing the so-called \u201ceuthanasic context\u201d which establishes eligibility conditions to access MAiD; then, we highlight how some of its assessments can interfere with the person&#039;s autonomy.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/cybe.es\/en\/publications\/between-safeguard-and-constraint-navigating-patient-autonomy-in-protective-laws-for-medical-assistance-in-dying\/\" \/>\n<meta property=\"og:site_name\" content=\"CYBE\" \/>\n<meta property=\"article:modified_time\" content=\"2026-07-31T14:47:44+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/cybe.es\\\/en\\\/publications\\\/between-safeguard-and-constraint-navigating-patient-autonomy-in-protective-laws-for-medical-assistance-in-dying\\\/\",\"url\":\"https:\\\/\\\/cybe.es\\\/en\\\/publications\\\/between-safeguard-and-constraint-navigating-patient-autonomy-in-protective-laws-for-medical-assistance-in-dying\\\/\",\"name\":\"Between Safeguard and Constraint: Navigating Patient Autonomy in Protective Laws for Medical Assistance in Dying - CYBE\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/cybe.es\\\/en\\\/#website\"},\"datePublished\":\"2026-07-10T06:36:31+00:00\",\"dateModified\":\"2026-07-31T14:47:44+00:00\",\"description\":\"There has been an increase in the number of jurisdictions legalizing or decriminalizing Medical Assistance in Dying (MAiD). Legal frameworks worldwide strive to balance respect for autonomy with regulatory safeguards that both operationalize voluntary choice and prevent access to MAiD in cases of remediable despair or coerced decision-making. However, the implementation of such an equilibrium diverges. Some legal systems prioritize personal autonomy and informed consent as the main criterion to access MAiD (e.g., US jurisdictions), while others also add the alleviation of suffering (e.g., The Netherlands). Using the lens of relational autonomy and focusing on Spain's MAiD legislation as a case study, this article poses the question of what notion of autonomy is implied in this system, and whether the imposition of certain safeguards might inadvertently undermine or restrict autonomy, in some specific cases. 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Legal frameworks worldwide strive to balance respect for autonomy with regulatory safeguards that both operationalize voluntary choice and prevent access to MAiD in cases of remediable despair or coerced decision-making. However, the implementation of such an equilibrium diverges. Some legal systems prioritize personal autonomy and informed consent as the main criterion to access MAiD (e.g., US jurisdictions), while others also add the alleviation of suffering (e.g., The Netherlands). Using the lens of relational autonomy and focusing on Spain's MAiD legislation as a case study, this article poses the question of what notion of autonomy is implied in this system, and whether the imposition of certain safeguards might inadvertently undermine or restrict autonomy, in some specific cases. To that aim, we first analyze its stringent requirements for assessing the so-called \u201ceuthanasic context\u201d which establishes eligibility conditions to access MAiD; then, we highlight how some of its assessments can interfere with the person's autonomy.","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/cybe.es\/en\/publications\/between-safeguard-and-constraint-navigating-patient-autonomy-in-protective-laws-for-medical-assistance-in-dying\/","og_locale":"en_US","og_type":"article","og_title":"Between Safeguard and Constraint: Navigating Patient Autonomy in Protective Laws for Medical Assistance in Dying - CYBE","og_description":"There has been an increase in the number of jurisdictions legalizing or decriminalizing Medical Assistance in Dying (MAiD). Legal frameworks worldwide strive to balance respect for autonomy with regulatory safeguards that both operationalize voluntary choice and prevent access to MAiD in cases of remediable despair or coerced decision-making. However, the implementation of such an equilibrium diverges. Some legal systems prioritize personal autonomy and informed consent as the main criterion to access MAiD (e.g., US jurisdictions), while others also add the alleviation of suffering (e.g., The Netherlands). Using the lens of relational autonomy and focusing on Spain's MAiD legislation as a case study, this article poses the question of what notion of autonomy is implied in this system, and whether the imposition of certain safeguards might inadvertently undermine or restrict autonomy, in some specific cases. To that aim, we first analyze its stringent requirements for assessing the so-called \u201ceuthanasic context\u201d which establishes eligibility conditions to access MAiD; then, we highlight how some of its assessments can interfere with the person's autonomy.","og_url":"https:\/\/cybe.es\/en\/publications\/between-safeguard-and-constraint-navigating-patient-autonomy-in-protective-laws-for-medical-assistance-in-dying\/","og_site_name":"CYBE","article_modified_time":"2026-07-31T14:47:44+00:00","twitter_card":"summary_large_image","twitter_misc":{"Est. reading time":"1 minute"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/cybe.es\/en\/publications\/between-safeguard-and-constraint-navigating-patient-autonomy-in-protective-laws-for-medical-assistance-in-dying\/","url":"https:\/\/cybe.es\/en\/publications\/between-safeguard-and-constraint-navigating-patient-autonomy-in-protective-laws-for-medical-assistance-in-dying\/","name":"Between Safeguard and Constraint: Navigating Patient Autonomy in Protective Laws for Medical Assistance in Dying - CYBE","isPartOf":{"@id":"https:\/\/cybe.es\/en\/#website"},"datePublished":"2026-07-10T06:36:31+00:00","dateModified":"2026-07-31T14:47:44+00:00","description":"There has been an increase in the number of jurisdictions legalizing or decriminalizing Medical Assistance in Dying (MAiD). 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To that aim, we first analyze its stringent requirements for assessing the so-called \u201ceuthanasic context\u201d which establishes eligibility conditions to access MAiD; then, we highlight how some of its assessments can interfere with the person's autonomy.","breadcrumb":{"@id":"https:\/\/cybe.es\/en\/publications\/between-safeguard-and-constraint-navigating-patient-autonomy-in-protective-laws-for-medical-assistance-in-dying\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/cybe.es\/en\/publications\/between-safeguard-and-constraint-navigating-patient-autonomy-in-protective-laws-for-medical-assistance-in-dying\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/cybe.es\/en\/publications\/between-safeguard-and-constraint-navigating-patient-autonomy-in-protective-laws-for-medical-assistance-in-dying\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/cybe.es\/en\/"},{"@type":"ListItem","position":2,"name":"Publications","item":"https:\/\/cybe.es\/en\/publications\/"},{"@type":"ListItem","position":3,"name":"Between Safeguard and Constraint: Navigating Patient Autonomy in Protective Laws for Medical Assistance in Dying"}]},{"@type":"WebSite","@id":"https:\/\/cybe.es\/en\/#website","url":"https:\/\/cybe.es\/en\/","name":"CYBE","description":"C\u00e1tedra Youngner Bio\u00e9tica Emp\u00edrica","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/cybe.es\/en\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"}]}},"_links":{"self":[{"href":"https:\/\/cybe.es\/en\/wp-json\/wp\/v2\/publicaciones\/2051","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cybe.es\/en\/wp-json\/wp\/v2\/publicaciones"}],"about":[{"href":"https:\/\/cybe.es\/en\/wp-json\/wp\/v2\/types\/publicaciones"}],"author":[{"embeddable":true,"href":"https:\/\/cybe.es\/en\/wp-json\/wp\/v2\/users\/10"}],"wp:attachment":[{"href":"https:\/\/cybe.es\/en\/wp-json\/wp\/v2\/media?parent=2051"}],"wp:term":[{"taxonomy":"publicaciones_cat","embeddable":true,"href":"https:\/\/cybe.es\/en\/wp-json\/wp\/v2\/publicaciones_cat?post=2051"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}