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1 Gaining autonomy and losing trust? 1.1 Contemporary bioethics 1.2 Medical ethics and environmental ethics 1.3 Trust in the risk society 1.4 Judging reliability and placing trust 1.5 Trust and autonomy in medical ethics 1.6 Varieties of autonomy 2 Autonomy, individuality and consent 2.i The origins of individual autonomy 2.2 Individual autonomy in a naturalistic setting: Mill 2.3 The triumph of autonomy 2.4 The triumph of informed consent 2.5 Impaired capacities to consent 2.6 Consent and opacity 2.7 The consumer view of autonomy 3 'Reproductive autonomy' and new technologies 3.1 Autonomy and twentieth-century reproduction 3.2 The 'right to choose': contraception 3.3 The 'right to choose': abortion 3.4 The 'right to choose': assisted reproductive technologies 3.5 Reproductive choice and parenthood 3.6 The limits of reproductive autonomy 3.7 Reprogenetics and procreative autonomy 4 Principled autonomy 4.1 The failings of individual autonomy 4.2 Human rights as a basic framework? 4.3 Grounding human rights in the good 4.4 Grounding human rights in human obligations 4.5 Kant and principled autonomy 4.6 Principled autonomy and human obligations 4.7 Taking principled autonomy seriously 4.8 Principled autonomy, obligations and rights 5 Principled autonomy and genetic technologies 5.i Beyond individual autonomy 5.2 Principled autonomy, deception and trust 5.3 Genetic technologies 5.4 Genetic exceptionalism 5.5 Genetic profiling: uninterpreted genetic data 5.6 Genetic testing: interpreted genetic information 5.7 Trust, genetics and insurance 6 The quest for trustworthiness 6.1 Untrustworthy experts and office holders 6.2 Improving trustworthiness 6.3 The pursuit of trustworthiness 6.4 Trustworthiness through audit 6.5 Trustworthiness through openness 6.6 Information, testimony and placing trust 7 Trust and the limits of consent 7.i The 'Cassandra problem' 7.2 Limited trust, limited suspicion 7.3 Trust and suspicion about uses of human tissues 7.4 The arguments behind informed consent 7.5 Paternalism and informed consent in context 7.6 How much information is needed for informed consent? 7.7 Informed consent and risk 8 Trust and communication: the media and bioethics 8.1 Trustworthiness without trust? 8.2 Individual autonomy cut down to size? 8.3 Democratic legitimation in bioethics 8.4 Bioethics and the media 8.5 Press freedom and bioethics 8.6 Press responsibilities and bioethics Bibliography Institutional bibliography Index