Autonomy Vs. Paternalism In Mental Health Treatment Essay -- essays re

Autonomy Vs. Paternalism In Mental Health TreatmentThe denomination for this Ethics class was to review Mr. Jacobs intercession,as described by the brand-new York State Commission on bore of upkeep for theMentally disenable (1994). The class was further asked to comment on the majorissues for each of the deuce-ace perspectives. The agencies, family and reviewboard were to be included. This student will begin with a fourth perspectivethat of Mr. Gordon.In the Matter of Jacob Gordon (1994), is the story of the last cardinal yearsof a psychiatrically disabled mans life. Mr. Gordon appeared to vacillatebetween striving for self-reliance and accepting the support of his family.Unfortunately, it appeared by this account that the families support was not equivalent with autonomy. It did not appear that Mr. Gordon had ever desired orsought mode intervention for himself. Mr. Gordons association with the amiable health system appeared to be marked by power and control issues."C onsumers/ex-patients often report a odor of "invisibility" they sense thattheir views and desires do not matter (Carling, 1995, p.79 )."The commissions report (1995) wheel spoke of several incidences where Mr. Gordoneluded to his desire for autonomy. Mr. Gordon did not wish to live in asupervised setting. Mr. Gordon did not wish to attend group day treatmentsettings. Mr. Gordon did not wish to use medical specialty in the treatment of hismental health disorder. Without medication his behavior was deemed unacceptableand did not permit him the fortune to have any of these elections. " natural selection isa right-not a privilege to be afforded by good behavior (Penny, 1994, p. 29)."Mr. Gordons right of choice was limited unconstipated though he lived in his apartmentindependently. The condition of his apartment was scrutinized. His medicationwas closely monitored sometimes to the degree that he was directed to leave his theater to receive medication that was g iven to him crushed, in an attempt toinsure its ingestion. " plane peoples liberties in a highly controlled board andcare home whitethorn be just now greater than in a hospital hospital ward (Rubenstien, 1994,p.54)." In Mr. Gordons case even within the sanctity of his own home, hisliberties were scarcely greater than in a hospital ward.Other than his autonomy the uphold issue for Mr. Gordon appears to be theneed for safety and suppor... ... on timbre of assistance for the Mentally Disabled. New York StateCommission on Quality of kick for the Mentally Disabled.A Pamphlet. What is The Commission? New York Commission on Quality ofCare for the Mentally Disabled. Corey, G., Corey, M.S., Callanan, P. (1993).Issues and Ethics in the Helping Professions. (4th ed.). California contain/Cole Publishing Co. Penny, D.J. (1994).Choice, common sense, and responsibility the systems obligations torecipients. In C. J Sundram (Ed.), Choice & Responsibility (pp. 29-32). NewYork NYS Co mmission on Quality of Care for the Mentally Disabled. Rooney,R. (1992).The ethical foundation for work with involuntary clients. Strategies forWork with voluntary Clients. (pp. 53-74). New York Columbia UniversityPress. Sundram, C.J. (1994).A framework of thinking about choice and responsibility. In C. J.Sundram (Ed.), Choice & Responsibility (pp. 3-16). New York NYS Commissionon Quality of Care for the Mentally Disabled. Surles, R.C. (1994).Free choice, informed choice, and dangerous choices. In C.J. Sundram(Ed.), Choice & Responsibility (pp. 17-24). New York NYS Commission onQuality of Care for the Mentally Disabled.