2016The British Journal of PsychiatryOpen access

Paternalismv. autonomy – are we barking up the wrong tree?

Peter Lepping, Tom Palmstierna, Bevinahalli Nanjegowda Raveesh

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Abstract

We explore whether we can reduce paternalism by increasing patient autonomy. We argue that autonomy should not have any automatic priority over other ethical values. Thus, balancing autonomy v. other ethical pillars and finding the optimal balance between the patient's wishes and those of other relevant stakeholders such as the patient's family has to be dynamic over time.

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What this paper is about

We explore whether we can reduce paternalism by increasing patient autonomy. We argue that autonomy should not have any automatic priority over other ethical values. Thus, balancing autonomy v. other ethical pillars and finding the optimal balance between the patient's wishes and those of other relevant stakeholders such as the patient's family has to be dynamic over time.

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Available abstract

We explore whether we can reduce paternalism by increasing patient autonomy. We argue that autonomy should not have any automatic priority over other ethical values. Thus, balancing autonomy v. other ethical pillars and finding the optimal balance between the patient's wishes and those of other relevant stakeholders such as the patient's family has to be dynamic over time.

Key concepts: Paternalism, Autonomy, Balance (ability), Personal autonomy, Psychology, Social psychology, Law and economics, Law

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