Samenvatting
Summary 4.3 Severe mental illness - Week 5Notes
- Instelling
- Erasmus Universiteit Rotterdam (EUR)
Notes for Slade, Greenhalgh and NIP
[Meer zien]Voorbeeld 2 van de 8 pagina's
Voorbeeld 2 van de 8 pagina's
In winkelwagengesponsord bericht van onze partner
Voorbeeld van de inhoud
Notes for week 5 – 4.3C SMISlade Chapter 5 Ethical rationale
Working with the consumer
- services should be oriented towards to individual to achieve personally valued goals /
life goals rather than goals professionals might have for them
- treatment should be a means to an end of individual life goals, not the end in itself
- professional expertise is resource to be offered to the consumer
- this is the ethical justification for a focus on personal recovery
- there are sometimes obligations to do things not based on life goals with which
person might not agree
Compulsion justification 1: benefit society
- social values are mandated behavioral constraints and they can change over time
- in relation to mental health: no one will be left to die (suicide or neglect) or allowed
to harm others non-negotiable behavioral constraints
- mental health professionals can justify constraints on behavior to uphold these
societal values
- professional judgement about whether the person has crossed these values?
- compulsion is not necessarily in the patient’s best interest, some respond positively
and some respond negatively
- the justification is to uphold societal values rather than to benefit the patient
Compulsion justification: best interests
- ethical justification to intervene when there’s a risk to damage a person’s life, health,
well-being
- a recovery orientation doesn’t mean standing back when a person refuses help while
their life is slipping away
- ethical justification is paternalism: a clinician acts paternal when: his action benefits
the patient, involves violating a moral rule to the patient, does not have patient’s
past, present, future consent
- doing things to a person on the basis of professional beliefs about what’s in their best
interest
- actions are justified on the basis of duty; one group knows what is best for another
group leading to an assumption that best interests are necessarily defined by
professionals should NOT be the case
- challenges to this^ assumption:
o now, ethical imperative emphasizes personal responsibility > societal values
o professionals no longer have sole access to info about treatment
o interests of people with mental illnesses have not been served well when the
responsibility is assumed by others
o inconsistent with modern capacity-based legislation
- so: best interests are a justification for compulsion in a recovery focused system
o the closer the person’s view of their own best interest the compulsion is, the
more ethically it can be justified
o the person can state their wishes prior, if not family/friends can be consulted
, o if this is not possible, then clinician’s perspective on best interest is the
remaining approach
Balancing ethical imperatives
- 4 guiding principles:
o respect for autonomy: importance of personal choice and self determination
o non-maleficence: avoiding hopelessness and dependency
o beneficence: focus on providing effective treatments and interventions
o justice: support to exercise citizenship rights
- emphasis on values positions the application of scientific knowledge as a means not
an end
- debates about method get recognized as debates about values and ethics
- goal of services become based on what the person aspires in their life
Slade Chapter 13 Professional relationships
types of clinician-consumer relationships
- real relationship: genuineness and realism
- partnership relationship: collaboration and joint working mental health context
- detached relationships: context-based involve therapeutic models
- the key point within this continuum is power
- detached relationships give the power to interpret, understand, define and control
the experience of mental illness to the professional at worst promotes neglect,
abuse, at best promotes paternalism and tokenism
- partnership relationships share power promotes genuine co-working, context in
which self-determination can develop
- real relationships promote self-determination even more
- in mental health context most emphasis on detached relationships, some
important for partnership relationships but real relationships are seen unprofessional
detached and partnership relationships
- detached the power to make decision is with professional, it’s nominally shared,
but in realist lies with the professional
o contains professional jargon, not the patient’s words
o plan targets reducing deficits not strengthening to build on them
o goal is to avoid bad things from happening, not making good things happen
o responsibility of actions lies on staff, not patient
o authored by professional, not patient, family or an advocate
o collaboration is shown by patient’s signature or patient having a copy of plan
o care plan rarely created ethical, organizational or behavioral challenges for
the system
o listening is done for careful assessment, monitor mental state and fit the
person into a clinical model, might make the person not understood
- partnership user is the decision maker, clinician in this relationship seeks to be led
by the individual and their wishes, goals and dreams
o experience of mental illness is normally meaningful
Voordelen van het kopen van samenvattingen bij Stuvia op een rij:
Verzekerd van kwaliteit door reviews
Stuvia-klanten hebben meer dan 700.000 samenvattingen beoordeeld. Zo weet je zeker dat je de beste documenten koopt!
Snel en makkelijk kopen
Je betaalt supersnel en eenmalig met iDeal, creditcard of Stuvia-tegoed voor de samenvatting. Zonder lidmaatschap.
Focus op de essentie
Samenvattingen worden geschreven voor en door anderen. Daarom zijn de samenvattingen altijd betrouwbaar en actueel. Zo kom je snel tot de kern!
Veelgestelde vragen
Wat krijg ik als ik dit document koop?
Je krijgt een PDF, die direct beschikbaar is na je aankoop. Het gekochte document is altijd, overal en oneindig toegankelijk via je profiel.
Tevredenheidsgarantie: hoe werkt dat?
Onze tevredenheidsgarantie zorgt ervoor dat je altijd een studiedocument vindt dat goed bij je past. Je vult een formulier in en onze klantenservice regelt de rest.
Van wie koop ik deze samenvatting?
Stuvia is een marktplaats, je koop dit document dus niet van ons, maar van verkoper ebru1365. Stuvia faciliteert de betaling aan de verkoper.
Zit ik meteen vast aan een abonnement?
Nee, je koopt alleen deze samenvatting voor €6,49. Je zit daarna nergens aan vast.
Is Stuvia te vertrouwen?
4,6 sterren op Google & Trustpilot (+1000 reviews)
Afgelopen 30 dagen zijn er 73918 samenvattingen verkocht
Opgericht in 2010, al 14 jaar dé plek om samenvattingen te kopen