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Self-Determination and Elder Abuse: Do We Know Enough?
Abstract
This article explores the principle of self-determination as it relates to victims of elder abuse and neglect. Using newspaper accounts and cases from the author's practice and consulting files, various factors influencing the professional's interpretation of this principle are explored. The notion that self-determination allows victims of abuse and neglect to refuse intervention is challenged. The author concludes that the principle of self-determination and the notion of competency are overly simplified in the social work and elder abuse literature and may be misused by allowing abused older victims to choose to remain in often life-threatening situations. Special focus is given to Adult Protection Service worker, but the author asserts that protecting older people, assisting in creative interventions and developing needed services is a shared professional responsibility.
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References 19 · Cited by 36
Research works printed but not linked: 26
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- Bergeron , L. R. 2003 . “ Elder abuse: Clinical assessment & obligation to report ” . In Health Consequences of Abuse in the Family: A Clinical Guide for Evidence-Based Practice , Edited by: Kendall-Tackett , K. 109 – 128 . Washington, DC : American Psychological Association .
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- 10.1093/hsw/22.4.243 · DOI
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- Ganzini , L. , Lee , M. , Heintz , R. and Bloom , J. 1993 . Is the patient self-determination act appropriate for elderly persons hospitalized for depression? . The Journal of Clinical Ethics , 4 ( 1 ) : 46 – 50 . · DOI
- Hancock , L. June 13 2004 . Judge, lawyer fight elder neglect: Cases show agency did little to fix elderly's deplorable conditions June 13 , http://www.dallasnews.com/cgi-bin/gold_print.cgiRetrieved June 25, 2004. The Dallas Morning News
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- National Adult Protective Services Association. 2004 . Ethical Principles and Best Practice Guidelines , Boulder, CO : Author .
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- 10.1080/13607869756985 · DOI
- Phillips , L. and Rempusheski , V. 1986 . Making decisions about elder abuse . The Journal of Contemporary Social Work , March : 131 – 140 .
- Rein , J. 1992 . Preserving dignity and self-determination of the elderly in the face of competing interests and grim alternatives: A proposal for statutory refocus and reform . The George Law Review , 60 ( 6 ) : 1818 – 1887 .
- 10.1300/J083v19n03_11 · DOI
- Simon , M. L. 1992 . An Exploratory Study of Adult Protective Service Programs; Repeat Elder Abuse Clients , Washington, DC : AARP .
- St. James , P. 2001 . Challenges in elder mistreatment programs and policy . Journal of Gerontological Social Work , 36 ( 3/4 ) : 127 – 140 .
- 10.1300/J083v29n01_04 · DOI
- 10.1093/hsw/21.2.115 · DOI
- Wolf , R. and Pillemer , K. 1989 . Helping Elderly Victims: The Reality of Elder Abuse , New York : Columbia University Press .
Metadata
- Authors
- Bergeron, L. R.
- Affiliations
- University of New Hampshire (US)
- Corresponding author
- Bergeron, L. René
- Venue
- Journal of Gerontological Social Work
- Publisher
- Informa UK Limited
- Published
- 2006-07-18
- Volume
- 46
- Issue
- 3-4
- Pages
- 81-102
- ISSN
- 0163-4372 (ISSN-L)
- 1540-4048
- OpenAlex
- W1488413906
- Cited by
- 36
- References
- 19
- Citations by year
- 2025: 3 · 2024: 2 · 2023: 2 · 2021: 1 · 2020: 3 · 2019: 1 · 2018: 1 · 2017: 4 · 2016: 1 · 2015: 4 · 2014: 1 · 2013: 1 · 2012: 2
- FWCI
- 1.72
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Gerontological Social Work (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Geriatrics and Gerontology › Elder Abuse and Neglect
- Social Sciences › Psychology › Clinical Psychology › Healthcare Decision-Making and Restraints
- Social Sciences › Life-span and Life-course Studies › Aging, Elder Care, and Social Issues
- Keywords
- self-determination, elder abuse, elder neglect, competencies, adult protective services, older adults, professional responsibility, social work practice
- MeSH terms
- Aged, Aged, 80 and over, Clinical Competence, Decision Making, Elder Abuse, Health Services for the Aged, Humans, Social Responsibility, Social Work, United States, Geriatric Assessment, Mental Competency, Mandatory Reporting, Personal Autonomy
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