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View/Open - ARAN - National University of Ireland, Galway

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32<br />

Chapter 2: Literature Review<br />

Horanson Hawks (1991) also concluded from a concept analysis <strong>of</strong> power that it is<br />

integral to relationships:<br />

“The actual or potential ability or capacity to achieve objectives through an<br />

interpersonal process in which the goals and means to achieve the goals are<br />

mutually established and worked through”<br />

(Horanson Hawks, 1991, pp.754)<br />

Horanson Hawks (1991) presented four defining attributes <strong>of</strong> power: 1) the actual or<br />

potential ability or capacity to achieve objectives or attain goals, 2) an interpersonal<br />

process, 3) mutual establishment <strong>of</strong> goals and the means to achieve the goals and 4)<br />

mutually working toward the goals. Antecedents were identified as: 1) the presence<br />

<strong>of</strong> two or more people, 2) the acquisition <strong>of</strong> power skills such as trust,<br />

communication skills, knowledge, concern, caring, respect and courtesy, 3)<br />

possession <strong>of</strong> at least one <strong>of</strong> the four power sources – informational, referent, expert<br />

or legitimate, 4) an orientation <strong>of</strong> power as good, and 5) self-confidence.<br />

Further defining terms are also identified. Webster’s online dictionary states that<br />

self-government is a defining term for autonomy: “The quality or state <strong>of</strong> being self-<br />

governing; the right <strong>of</strong> self-government, self-directing freedom and moral<br />

independence”. Similarly, Mill (1975), Horowitz, Silverstone and Reinhardt(1991),<br />

and Agich (2004) suggest that autonomy is the right to self-determine or self-govern<br />

for oneself, one’s interests, goals and values, and one’s own conception <strong>of</strong> a good<br />

life free from unwarranted interference, thus concurring with the original Greek<br />

definition <strong>of</strong> “self-rule”. Agich (2004, pp.6) identified freedom, independence and<br />

self-determination as defining terms for autonomy in his definition but also added<br />

that autonomy is “equivalent to dignity, integrity, individuality, responsibility and<br />

self-knowledge, whilst containing the qualities <strong>of</strong> self-assertion, critical reflection<br />

and knowledge <strong>of</strong> one’s own interest”.<br />

The complexity <strong>of</strong> the concept <strong>of</strong> autonomy was recognised by Feinberg (1989) who<br />

claimed that there are at least four different meanings <strong>of</strong> autonomy in moral and<br />

political philosophy. Further to using commonly understood terms like freedom and<br />

independence to attempt to define autonomy, some authors tried to explain its<br />

meaning by differentiating it according to “types” <strong>of</strong> autonomy and explaining its

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