We use cookies to ensure that we give you the best experience on our website Learn more

Aug 2, 2019

WCP-2019

Building autonomy through deliberation: a possible task in psychiatry?

;

personal autonomy

deliberations

mental health

bioethics

Abstract

Abstract

thumbnail

Keywords

personal autonomy

deliberations

mental health

bioethics

Abstract

Objectives: We aim to approach autonomy from a relational perspective in mental health contexts where it is generally accepted that disorders weaken the decision-making capacity of individuals. Background: Autonomy as self-determination is based on human freedom to act according to their reflection. However, in psychiatry sometimes the patient endangers their safety or the others. In this backdrop, we propose the deliberative model for the construction of autonomy. Materials and Methods: Critical analysis based on autonomy as practical rationality in Aristotle and on the deliberative model of physician-patient relationship exposed by Emanuel and Emanuel. Results and Conclusions: Respecting autonomy in cases of suicidal intent and self or hetero-agressiveness may be viewed as negligence. Deliberating in psychiatry has its own complexities. How to resolve value conflicts between psychiatrist and patient so that human dignity is preserved? The physician has in-depth knowledge, but the patient brings their rationalities. Mutual understanding will only be possible through deliberative dialogue, discerning what the desired good is. Deliberating includes knowing facts, values and duties, discussing alternatives and making concessions, reaching a joint understanding. It does not mean imposing something based on technical certainties, but arriving at a consensus by considering the arguments of the others, even if they have altered psychic functions. Open-mindedness by both the patient and the psychiatrist and involvement of the family and other professionals are necessary. Autonomy in mental disorders cannot be seen only in a technical and unilateral way. It requires a bioethical approach through deliberation, capable of broadening the perspectives of the psychiatrist and the patient. References: Gracia, D. (2001). La deliberación moral: el método de la ética clínica. Medicina Clínica 117(1): 18-23. Widdershoven, G.A.M. and Abma, T.A. (2012). Autonomy, dialogue, and practical rationality. In L. Radoilska (ed.) Autonomy and mental disorder. Oxford: Oxford University Press.

Discover over 20,000 new abstracts, posters and presentations from leading academic conferences every month. Stay on top of the latest findings, methodologies and discussions happening in your research field around the world.

Company

Legal

Follow us

© Copyright 2019 Morressier GmbH. All rights reserved.

© Copyright 2019 Morressier GmbH.
All rights reserved.