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These rights are commonly attributed to patients if they fulfil certain conditions. For example, a patient must sufficiently understand the information given to them before making a treatment decision. On the one hand, there is a large group of patients who meet these conditions. On the other hand, there is a group that clearly does not meet these conditions, including comatose patients or patients in the late stages of Alzheimer\u2019s disease. Then there is a group of patients who fall into the range in between. At the lower end of this range are so-called \u2018marginal agents,\u2019 which include young children and patients in the middle stages of Alzheimer\u2019s disease. They also do not meet the typical requirements for autonomy, which is why they are usually granted fewer autonomy rights. However, some of them are capable of \u2018pre-forms\u2019 of autonomy that express what is important to them. These pre-forms differ from mere desires and reflect the identification\/authenticity condition of autonomy. They have something in common with autonomous attitudes, choices, and actions \u2013 namely,\u00a0they express the<jats:italic>value<\/jats:italic>of autonomy. As I will argue, autonomy is a value worthy of protection and promotion \u2013 even in its non-reflexive forms. Against this background, it becomes clear<jats:italic>why<\/jats:italic>we have autonomy duties, more precisely positive, autonomy-enabling duties, towards marginal agents and why we should give them as much attention as autonomy duties towards competent patients.<\/jats:p>","DOI":"10.1007\/s11017-023-09623-5","type":"journal-article","created":{"date-parts":[[2023,5,12]],"date-time":"2023-05-12T07:02:44Z","timestamp":1683874964000},"page":"453-475","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Why we have duties of autonomy towards marginal agents"],"prefix":"10.1007","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2115-918X","authenticated-orcid":false,"given":"Anna","family":"Hirsch","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2023,5,12]]},"reference":[{"key":"9623_CR1","doi-asserted-by":"publisher","first-page":"295","DOI":"10.30965\/9783897855144_019","volume-title":"Personale Identit\u00e4t, Narrativit\u00e4t und Praktische Rationalit\u00e4t. 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