title: Paternalism v. autonomy - are we barking up the wrong tree?
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.
authors.affiliation: Peter Lepping, MSc, MD, MRCPsych, Wrexham Community Mental Health Team, Betsi Cadwaladr University Health Board, Ty Derbyn, Wrexham Maelor Hospital, Wrexham, Centre for Mental Health and Society, Bangor University, and Mysore Medical College and Research Institute, India; Tom Palmstierna, MD, PhD, Forensic Psychiatric Outpatient Unit, Stockholm Addiction Centre, Karolinska Institutet, Stockholm, Sweden, and Norwegian University of Science and Technology, Trondheim, Norway; Bevinahalli N. Raveesh, MSc, MD, MBA, LLB, LLM, Dharwad Institute of Mental Health and Neurosciences, India peter.lepping@wales.nhs.uk.
authors.forename: Peter
authors.initials: P
authors.lastname: Lepping
authors.affiliation: Peter Lepping, MSc, MD, MRCPsych, Wrexham Community Mental Health Team, Betsi Cadwaladr University Health Board, Ty Derbyn, Wrexham Maelor Hospital, Wrexham, Centre for Mental Health and Society, Bangor University, and Mysore Medical College and Research Institute, India; Tom Palmstierna, MD, PhD, Forensic Psychiatric Outpatient Unit, Stockholm Addiction Centre, Karolinska Institutet, Stockholm, Sweden, and Norwegian University of Science and Technology, Trondheim, Norway; Bevinahalli N. Raveesh, MSc, MD, MBA, LLB, LLM, Dharwad Institute of Mental Health and Neurosciences, India.
authors.forename: Tom
authors.initials: T
authors.lastname: Palmstierna
authors.affiliation: Peter Lepping, MSc, MD, MRCPsych, Wrexham Community Mental Health Team, Betsi Cadwaladr University Health Board, Ty Derbyn, Wrexham Maelor Hospital, Wrexham, Centre for Mental Health and Society, Bangor University, and Mysore Medical College and Research Institute, India; Tom Palmstierna, MD, PhD, Forensic Psychiatric Outpatient Unit, Stockholm Addiction Centre, Karolinska Institutet, Stockholm, Sweden, and Norwegian University of Science and Technology, Trondheim, Norway; Bevinahalli N. Raveesh, MSc, MD, MBA, LLB, LLM, Dharwad Institute of Mental Health and Neurosciences, India.
authors.forename: Bevinahalli N
authors.initials: BN
authors.lastname: Raveesh
mesh_terms: D006801:Humans; D026706:Paternalism; D026684:Personal Autonomy; D010817:Physician-Patient Relations / Q000941:ethics*