Artikel
(Assisted) decision-making in mental health
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Veröffentlicht: | 12. März 2015 |
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Gliederung
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Introduction: I am addressing the question how decision-making of people with (mental) health issues can be successful. I argue that assisted decision-making in mental health is often the best way to secure that the interests of the patient are best valued.
Method: For this purpose I conducted semi-structured interviews with mental health consumers, their relatives and professionals in 2013/2014.
Results: It turned out that there are several things that professionals, relatives and peer supporters can do in order to assist people with mental health problems in decision-making: They can give hope, they may contribute to individual and collective empowerment [4], they can guide patients on their way to recovery [1], e.g. by sharing their knowledge from experience with the patients.
Discussion: The issue of assisted decision-making in mental health has high clinical and also juridical relevance, since assisting (mental) health patients in decision-making may not mean taking over control and deciding for the patient [2]. The difficult topic of coercion and violence in mental health has been discussed recently [3] as well as issues of trust and collective autonomy [5].
References
- 1.
- Amering M, Schmolke M. Recovery. Das Ende der Unheilbarkeit (5th ed.). Bonn: Psychiatrie-Verlag; 2012.
- 2.
- Buchanan AE, Brock DW. Deciding for Others: The Ethics of Surrogate Decision Making. Cambridge: Cambridge University Press; 1990.
- 3.
- Henking T, Vollmann J. Gewalt und Psyche. Die Zwangsbehandlung auf dem Prüfstand. Baden-Baden: Nomos; 2014.
- 4.
- Knuf A. Empowerment in der psychiatrischen Arbeit. Bonn: Psychiatrie-Verlag; 2006.
- 5.
- Wiesemann C, Simon A. Patientenautonomie: Theoretische Grundlagen, praktische Anwendungen. Münster: mentis; 2013.