Overvaluing autonomous decision-making
Open accessAbstract
Current capacity-based legislation and practice overvalues autonomy to the detriment of other ethical principles. A balanced ethical approach would consider the patient's right to treatment, their relationships and interactions with society and not solely the patient's right to liberty and autonomous decision-making.
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“A person ’ s degree of mental capacity may fl uctuate day to day with symptoms of illness (41), and clinician assessments may not catch subtly diminished capacity in individuals with complex psychiatric conditions (42, 43).”
Background
- Authors
- Lepping, P., & Raveesh, B. N.
- Affiliations
- Betsi Cadwaladr University Health Board (GB)
- Mysore Medical College (IN)
- Corresponding author
- Lepping, Peter
- Venue
- British Journal of Psychiatry
- Publisher
- Royal College of Psychiatrists
- Published
- 2014-01
- Volume
- 204
- Issue
- 1
- Pages
- 1-2
- ISSN
- 0007-1250 (ISSN-L)
- 1472-1465
- OpenAlex
- W2036848154
- Cited by
- 38
- References
- 14
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 6 · 2022: 2 · 2021: 4 · 2020: 1 · 2019: 3 · 2018: 3 · 2017: 5 · 2016: 2 · 2015: 7 · 2014: 2
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- The British Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Healthcare Decision-Making and Restraints
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Ethics and bioethics in healthcare
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Ethics and Legal Issues in Pediatric Healthcare
- Keywords
- patient autonomy, capacity assessment, right to liberty, right to treatment, ethical principles, mental health law, patient relationships
- MeSH terms
- Decision Making, Humans, India, Personal Autonomy, Patient Rights
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