Abstract
Although the individuality of people is clear, independence is a more relative concept. Ideas about autonomy are inherently philosophical, if not even cultural. People are assumed to be self-determining, self-governing individuals. People reason, people choose: these functions set us apart from other animals. Traditionally, this concept has been challenged when applied to people with intellectual impairments or other ‘mental’ disabilities such as the major mental ‘illnesses’. If the person’s reasoning process is impaired, for whatever reason, is autonomy relinquished?
Keywords
- Mental Health
- Mental Health Problem
- Informal Carer
- Irrational Belief
- Autonomous Person
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.
This is a preview of subscription content, access via your institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsPreview
Unable to display preview. Download preview PDF.
References
Atkinson, J. M. (1986) Schizophrenia at Home Croom Helm, London.
Atkinson, J. M. (1989) To tell or not to tell the diagnosis of schizophrenia. Journal of Medical Ethics, 15, 21–24.
Atkinson, J. M. (1990) Health education in mental health. In Doxiodis, S. (ed.) Ethics in Health Education. John Wiley, Chichester.
Atkinson, J. M. and Coia, D. A. (1989) Responsibility to carers — an ethical dilemma. Psychiatric Bulletin, 13, 602–604.
Bateson, G., Jackson, D. D., Haley, J. and Weakland, J. (1956) Towards a theory of schizophrenia. Behavioural Science, 1, 251–264.
Baum, M., Zilkha, K. and Houghton, J. (1989) Ethics of clinical research: lessons for the future. British Medical Journal, 299 251–253.
Brandon, D., Towe, N. (1989) Free to Choose. An Introduction to Service Brokerage. Good Impressions, London.
Campbell, A. V. (1988) Profession and vocation. In Fairburn, C. and Fairburn, S. (eds.) Ethical Issues in Caring. Gower Publishing, Aldershot.
Daube, D. (1972) The linguistics of suicide. Philosophy and Public Affairs, 1, 415–417.
Downie, R. S. and Calman, K. C. (1987) Health Respect: Ethics in Health Care. Faber and Faber, London.
Dyer, C. (1989) Public interest and a psychiatrist’s duty of confidentiality. British Medical Journal, 229, 1301.
Ellis, A. (1962) Reason and Emotion in Psychotherapy. Lyle Stuart, Secaucus, N. J.
Fadden, R. and Fadden, A. (1977) False belief and the refusal of medical treatment. Journal of Medical Ethics, 3, 133–136.
Finch, J. and Groves, D. (1983) A Labour of Love: Women, Work and Caring. Routledge and Kegan Paul, London.
Gilhooly, M. L. M. (1986) Legal and ethical issues in the management of the dementing elderly. In Gilhooly, M. L. M., Zarit S. H. and Birren, J. E. The Dementias. Prentice Hall, New Jersey.
Green, H. (1988) Informal Carers. (General Household Survey 18985 GHS No 15 Supplement A). HMSO, London.
Griffiths, Sir R. (Chairman) (1988) Community Care. Agenda for Action — A Report to the Secretary of State for Social Services. HMSO, London.
Gurevitz, H. (1977) Tarasoff: Protective privilege versus public peril. American Journal of Psychiatry, 134, 289–292.
Heyd, D. and Bloch S. (1984) The ethics of suicide. In Bloch, S. and Chodoff, P. (eds.) Psychiatric Ethics. Oxford University Press, Oxford.
Hicks, C. (1988) Who Cares: Looking After People At Home. Virago, London.
Hirsch, S. R. and Harris, J. (1988) Consent and the Incompetent Patient: Ethics, Law and Medicine. Gaskell, London.
Karasu, T. B. (1986) The specificity versus non-specificity dilemmas: toward identifying therapeutic change agents. American Journal of Psychiatry, 143, 687–695.
Laing, R. D. (1960) The Divided Self: A Study of Sanity, Madness and the Family. Tavistock Publications, London.
Laing, R. D. (1967) The Politics of Experience. Penguin, Harmondsworth.
Leff, J. P. (1976) Schizophrenia and sensitivity to the family environment. Schizophrenia Bulletin 2, 566–574.
Leff, J. P. (1988) Psychiatry Around the Globe. A Transcultural View 2nd ed. Gaskell, London.
Lindley, R. (1988) Paternalism and caring. In Fairburn, G. and Fairburn, S. (eds.) Ethical Issues in Caring. Gower Publishing, Aldershot.
Mill, J. S. (1859) On Liberty and (1861) Utilitarianism (edition quoted from, for both: Utilitarianism. Warnock, M. (ed.) ( 1969 ) Fontana, London.
Newton, J. (1988) Preventing Mental Illness. Routledge and Kegan Paul, London.
Ney, H. and Sone, O. (1988) Service brokerage. Rehabilitation Digest, 18, 16–17.
Paton, H. J. (1969) The Moral Law. Kant’s Groundwork of the Metaphysics of Morals. Hutchinson, London.
Raphael, B. (1986) When Disaster Strikes. A Handbook for the Caring Professionals. Hutchinson, London.
Rees, W. D. (1971) The hallucinations of widowhood. British Medical Journal, iv, 37–41.
Roth, L. H. and Meisel, A, (1977) Dangerousness, confidentiality, and the duty to warn. American Journal of Psychiatry, 134, 508–511.
Sherlock, R. (1986) My brother’s Keeper? Mental health policy and the new psychiatry. In Kentsmith, D. K., Salladay, S. and Miya, P. A. Ethics in Mental Health Practice. Grune and Stratton, New York.
Szasz, T. (1962) The Myth of Mental Illness. Secker and Warburg, London.
Szasz, T. (1979) Schizophrenia. Oxford University Press, Oxford.
Tarasoff vs. the Regents of the University of Calfornia (1974) 118 California Reporter. 129 529, p 2d 553.
Thoreau, H. D. (1854) Walden. (Rpt. 1951 ) Hendrick House, New York.
Townsend P. and Davidson N. (1982) Inequalities in Health. Penguin, Harmondsworth.
Wing, J. K. (1984) Ethics and psychiatric research. In Bloch, S. and Chodoff, P. (eds.) Psychiatric Ethics. Oxford University Press, Oxford.
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1991 Springer Science+Business Media Dordrecht
About this chapter
Cite this chapter
Atkinson, J. (1991). Autonomy and mental health. In: Barker, P.J., Baldwin, S. (eds) Ethical Issues in Mental Health. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-3270-9_7
Download citation
DOI: https://doi.org/10.1007/978-1-4899-3270-9_7
Publisher Name: Springer, Boston, MA
Print ISBN: 978-0-412-32950-0
Online ISBN: 978-1-4899-3270-9
eBook Packages: Springer Book Archive