Paternalism versus autonomy – are we barking up the wrong tree?
Allbwn ymchwil: Cyfraniad at gyfnodolyn › Golygyddiad › adolygiad gan gymheiriaid
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Yn: British Journal of Psychiatry, Cyfrol 209, Rhif 2, 01.08.2016, t. 95-96.
Allbwn ymchwil: Cyfraniad at gyfnodolyn › Golygyddiad › adolygiad gan gymheiriaid
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TY - JOUR
T1 - Paternalism versus autonomy – are we barking up the wrong tree?
AU - Lepping, Peter
AU - Palmstierna, Tom
AU - Raveesh, Bevinahalli
PY - 2016/8/1
Y1 - 2016/8/1
N2 - We explore whether we can reduce paternalism by increasing patient autonomy. We argue that paternalism is about the doctor-patient relationship whilst autonomy is an ethical value. This makes it unlikely that one can be diminished by prioritising the other without significant ethical consequences. We argue that autonomy should not have any automatic priority over other ethical values. Thus, balancing autonomy versus other ethical pillars and finding the optimal balance between the patient’s wishes and those of other relevant stakeholders such as the patient’s family has to be dynamic over time. Different countries, different socio-economic contexts and different cultures need to develop ways to optimise this re-balancing process so that any limitations to patient autonomy are for the shortest possible time and in the least restrictive way.
AB - We explore whether we can reduce paternalism by increasing patient autonomy. We argue that paternalism is about the doctor-patient relationship whilst autonomy is an ethical value. This makes it unlikely that one can be diminished by prioritising the other without significant ethical consequences. We argue that autonomy should not have any automatic priority over other ethical values. Thus, balancing autonomy versus other ethical pillars and finding the optimal balance between the patient’s wishes and those of other relevant stakeholders such as the patient’s family has to be dynamic over time. Different countries, different socio-economic contexts and different cultures need to develop ways to optimise this re-balancing process so that any limitations to patient autonomy are for the shortest possible time and in the least restrictive way.
U2 - 10.1192/bjp.bp.116.181032
DO - 10.1192/bjp.bp.116.181032
M3 - Editorial
VL - 209
SP - 95
EP - 96
JO - British Journal of Psychiatry
JF - British Journal of Psychiatry
SN - 0007-1250
IS - 2
ER -