Autonomy and mental health

Atkinson, Jaqueline

doi:10.1007/978-1-4899-3270-9_7

Cited by 9 publications

(3 citation statements)

References 9 publications

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“…Other attributes which recur repeatedly in definitions of autonomy include voluntariness, individuality and self‐direction ( Collopy, 1988; Atkinson, 1991; Hertz, 1993). There is a general consensus that autonomy is both multidimensional and context‐dependent ( Sciegaj & Capitman, 1994).…”

Section: Literature Reviewmentioning

confidence: 99%

Promoting autonomy and independence for older people within nursing practice: an observational study

Davies

Ellis

Laker

2000

Journal of Clinical Nursing

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Although autonomy and independence are widely held to be important goals of care for older people, these terms lack precise definition and operationalization in the literature. This paper reports on observational data gathered as part of an evaluation of educational programmes in the nursing care of older people. Strategies which appear both to promote and inhibit autonomy and independence of older patients in a range of care settings are described. Recommendations are made for further research to explore the extent to which autonomy and independence are appropriate goals of care for older people with cognitive impairment.

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Section: Literature Reviewmentioning

confidence: 99%

Promoting autonomy and independence for older people within nursing practice: an observational study

Davies

Ellis

Laker

2000

Journal of Clinical Nursing

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“…It is now enshrined in the liberties and rights of modern liberal states. One author has defined autonomy in terms of ‘mental state utilitarianism’, 9 or a state of self regulation, based upon reason and self-interest. Feinberg sees at least four aspects to autonomy – the capacity to govern oneself, the actual condition of self government, a personal ideal, and a set of rights expressive of one's sovereignty over oneself 10 .…”

Section: Autonomy In the ‘4ps’mentioning

confidence: 99%

Overview of Psychiatric Ethics III: Principles-Based Ethics

Robertson

Ryan

Walter

2007

Australas Psychiatry

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Principles-based medical ethics is a useful tool for resolving ethical dilemmas in psychiatry in that clinical aspects of ethical dilemmas can be better articulated then in other methods . The ethical dilemmas unique to psychiatry, such as those related to impairment of autonomy, present a challenge to the method. After considering a case example, we conclude that psychiatrists can best utilise a principles based approach to ethical dilemmas when they combine this with a level of critical reflection in the light of other ethical theories, such as virtue ethics, as well as close consideration of the clinical and social context of the ethical dilemma.

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“…The underlying logic of community mental health services is ‘to maximize the potential for natural improvement by implementing and carrying out effective intervention programmes’ (Puckett 1993; p. 1). Atkinson (1991) adds to this how mental health service can engender respect for a person's autonomy, through making it their core business to provide information as the basis for choice. A goal of the service can then be regarded as manifesting respect therapeutically for a client's own goals and for his/her way of pursuing them.…”

Section: Introductionmentioning

confidence: 99%

Rural community mental health nursing: A grounded theory account of sole practice

Gibb

2003

Int J Mental Health Nurs

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This paper examines community mental health in rural and remote settings, characterized as sole practice. Using a grounded theory approach, the research reported here explored how meanings of health and health care are advanced within the context of rural mental health care, dominated and in the main led by nurses. Five different practice sites in rural New South Wales were involved. The study articulated a model of therapeutics that foregrounds a relationship of intense professional intimacy and trust against a context of geographical disadvantage and professional isolation. The meanings of the relationship are elaborated in terms of unusually high levels of responsibility, professional ingenuity, powerlessness and the independent and risky character of life in the bush.

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Autonomy and mental health

Cited by 9 publications

References 9 publications

Promoting autonomy and independence for older people within nursing practice: an observational study

Promoting autonomy and independence for older people within nursing practice: an observational study

Overview of Psychiatric Ethics III: Principles-Based Ethics

Rural community mental health nursing: A grounded theory account of sole practice

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