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Paternalism versus autonomy – are we barking up the wrong tree?

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Paternalism versus autonomy – are we barking up the wrong tree? / Lepping, Peter; Palmstierna, Tom; Raveesh, Bevinahalli.
In: British Journal of Psychiatry, Vol. 209, No. 2, 01.08.2016, p. 95-96.

Research output: Contribution to journal › Editorial › peer-review

HarvardHarvard

Lepping, P, Palmstierna, T & Raveesh, B 2016, 'Paternalism versus autonomy – are we barking up the wrong tree?', British Journal of Psychiatry, vol. 209, no. 2, pp. 95-96. https://doi.org/10.1192/bjp.bp.116.181032

APA

Lepping, P., Palmstierna, T., & Raveesh, B. (2016). Paternalism versus autonomy – are we barking up the wrong tree? British Journal of Psychiatry, 209(2), 95-96. https://doi.org/10.1192/bjp.bp.116.181032

CBE

Lepping P, Palmstierna T, Raveesh B. 2016. Paternalism versus autonomy – are we barking up the wrong tree?. British Journal of Psychiatry. 209(2):95-96. https://doi.org/10.1192/bjp.bp.116.181032

MLA

Lepping, Peter, Tom Palmstierna and Bevinahalli Raveesh. "Paternalism versus autonomy – are we barking up the wrong tree?". British Journal of Psychiatry. 2016, 209(2). 95-96. https://doi.org/10.1192/bjp.bp.116.181032

VancouverVancouver

Lepping P, Palmstierna T, Raveesh B. Paternalism versus autonomy – are we barking up the wrong tree? British Journal of Psychiatry. 2016 Aug 1;209(2):95-96. doi: 10.1192/bjp.bp.116.181032

Author

Lepping, Peter ; Palmstierna, Tom ; Raveesh, Bevinahalli. / Paternalism versus autonomy – are we barking up the wrong tree?. In: British Journal of Psychiatry. 2016 ; Vol. 209, No. 2. pp. 95-96.

RIS

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 -