Shared Decision Making in Psychiatry: Dissolving the Responsibility Problem

被引：1
|
作者：
El-Alti, Leila [1 ,2 ]
机构：
[1] Edinburgh Napier Univ, Sch Hlth & Social Care, Edinburgh EH11 4BN, Scotland
[2] Univ Gothenburg, Dept Philosophy Linguist & Theory Sci, Box 200, S-40530 Gothenburg, Sweden
来源：
HEALTH CARE ANALYSIS | 2023年 / 31卷 / 02期
基金：
瑞典研究理事会;
关键词：
healthcare ethics; mental illness; person centered care; patient responsibility; patient emancipation; PERSON-CENTERED CARE; RECOVERY; CAPACITY; SCHIZOPHRENIA; ILLNESS; PEOPLE;
D O I：
10.1007/s10728-022-00451-7
中图分类号：
B82 [伦理学（道德学）];
学科分类号：
摘要：
Person centered care (PCC) invites ideas of shared responsibility as a direct result of its shared decision making (SDM) process. The intersection of PCC and psychiatric contexts brings about what I refer to as the responsibility problem, which seemingly arises when SDM is applied in psychiatric settings due to (1) patients' potentially diminished capacities for responsibility, (2) tension prompted by professional reasons for and against sharing responsibility with patients, as well as (3) the responsibility/blame dilemma. This paper aims to do away with the responsibility problem through arguing for a functional approach to mental illness, a blameless responsibility ascription to the person with mental illness, as well as a nuanced understanding of SDM as part of an emancipation-oriented PCC model.
引用
收藏
页码：65 / 80
页数：16
相关论文
共 50 条
  • [21] PSYCHIATRY AND THE PROBLEM OF CRIMINAL RESPONSIBILITY
    Waelder, Robert
    [J]. UNIVERSITY OF PENNSYLVANIA LAW REVIEW, 1952, 101 (03) : 378 - 390
  • [22] Shared Decision Making
    Nugent, Catherine D.
    McManus, Sherrye C.
    [J]. JOURNAL OF MENTAL HEALTH POLICY AND ECONOMICS, 2012, 15 : S16 - S16
  • [23] Decision-making in nephrology: shared decision making?
    Lelie, A
    [J]. PATIENT EDUCATION AND COUNSELING, 2000, 39 (01) : 81 - 89
  • [24] The impact of carer 'shared (disease management) responsibility' on 'shared decision making' for older persons managing multimorbidity.
    Dinsmore, John
    Hannigan, Caoimhe
    Murphy, Emma
    Kuiper, Janneke
    Jacobs, An
    Smith, Suzanne
    Doyle, Julie
    [J]. EUROPEAN JOURNAL OF NEUROLOGY, 2017, 24 : 763 - 763
  • [25] Facilitating Shared Decision Making in Forensic Psychiatry: The HKT-R Spider App
    Ter Horst, Paul
    Spreen, Marinus
    de Vries, Esther
    Bogaerts, Stefan
    [J]. JOURNAL OF FORENSIC PSYCHOLOGY RESEARCH AND PRACTICE, 2023, 23 (03) : 328 - 343
  • [26] Shared Responsibility: A Case of and for "Real Life" Ethical Decision-Making in Sport Psychology
    Dzikus, Lars
    Fisher, Leslee A.
    Hays, Kate F.
    [J]. SPORT PSYCHOLOGIST, 2012, 26 (04): : 519 - 539
  • [27] Shared decision-making - A new concept in psychiatry: Results of a randomised controlled trial
    Hamann, J
    Langer, B
    Leucht, S
    Heres, S
    Kissling, W
    [J]. SCHIZOPHRENIA RESEARCH, 2004, 67 (01) : 144 - 145
  • [28] Shared responsibility promotes the benefit of interactive decision- making in novices: A hyperscanning study
    Cheng, Xiaojun
    Liu, Meihuan
    Pan, Yafeng
    [J]. ACTA PSYCHOLOGICA SINICA, 2022, 54 (11) : 1391 - 1402
  • [29] Risk assessment by client and case manager for shared decision making in outpatient forensic psychiatry
    van den Brink, Rob H. S.
    Troquete, Nadine A. C.
    Beintema, Harry
    Mulder, Tamara
    van Os, Titus W. D. P.
    Schoevers, Robert A.
    Wiersma, Durk
    [J]. BMC PSYCHIATRY, 2015, 15
  • [30] Therapist self-disclosure and the problem of shared-decision making
    Berg, Henrik
    Bjornestad, Jone
    Vapenstad, Eystein Victor
    Davidson, Larry
    Binder, Per-Einar
    [J]. JOURNAL OF EVALUATION IN CLINICAL PRACTICE, 2020, 26 (02) : 397 - 402
12345