Authenticity and psychiatric disorder: does autonomy of personal preferences matter?
Authenticity and psychiatric disorder: does autonomy of personal preferences matter?
复制标题
DOI：
10.1007/s11019-013-9509-x
复制
发表时间：
2014-02-01
影响因子：
2.1
通讯作者：
Juth, Niklas
中科院分区：
文献类型：
--
作者：
Sjostrand, Manne;Juth, Niklas
在医疗保健伦理学中，有一个关于个人偏好自主性的讨论，有时被称为真实性，对于自主决策是否是必要的。人们一直认为，患者的决定缺乏足够的真实性可以被视为非自主的，并有理由被医护人员推翻。本文讨论了这一问题与某些精神疾病的关系。它的出发点是最近对神经性厌食症患者的经历和想法的定性研究，其中与真实性相关的问题似乎特别相关。本文考察了与自治相关的真实性的不同解释，并得出结论，这个概念，因为它已经在最近的辩论中阐述，是高度成问题的，作为医疗保健自主决策的标准。
In healthcare ethics there is a discussion regarding whether autonomy of personal preferences, what sometimes is referred to as authenticity, is necessary for autonomous decision-making. It has been argued that patients' decisions that lack sufficient authenticity could be deemed as non-autonomous and be justifiably overruled by healthcare staff. The present paper discusses this issue in relation certain psychiatric disorders. It takes its starting point in recent qualitative studies of the experiences and thoughts of patients' with anorexia nervosa where issues related to authenticity seem particularly relevant. The paper examines different interpretations of authenticity relevant for autonomy and concludes that the concept, as it has been elaborated in recent debate, is highly problematic to use as a criterion for autonomous decision-making in healthcare.