scholarly journals Consent or Caring? Issues of Autonomy and Paternalism in the Treatment of Anorexia Nervosa

2021 ◽  
Author(s):  
◽  
Bridget Young
Keyword(s):  
Decision Making ◽  
Anorexia Nervosa ◽  
Mortality Rate ◽  
Ethical Issues ◽  
Evidence Base ◽  
Treatment Refusal ◽  
Risk Of Death ◽  
Autonomous Decision ◽  
Decision Making Model ◽  
Paternalistic Intervention

<p>Denial is a characteristic feature of anorexia nervosa (AN) that may lead to treatment refusal. If an individual is refusing treatment autonomously, it should be accepted, while a lack of autonomy indicates paternalistic intervention may be justified. AN has the highest mortality rate of any mental disorder, so accepting refusal means accepting the risk of death, so should only be done with the certainty that it is autonomous. The current research is theoretical, reviewing the literature on ethical issues relating to autonomy and paternalism in AN in order to evaluate the evidence base for these assumptions. The aim is to develop a procedural model for establishing autonomy in those with AN. The result is the anorexia nervosa autonomous decision-making model (ANDMM), which provides guidance for responding to autonomous and non-autonomous treatment refusal.</p>

scholarly journals Consent or Caring? Issues of Autonomy and Paternalism in the Treatment of Anorexia Nervosa

2021 ◽  
Author(s):  
◽  
Bridget Young
Keyword(s):  
Decision Making ◽  
Anorexia Nervosa ◽  
Mortality Rate ◽  
Ethical Issues ◽  
Evidence Base ◽  
Treatment Refusal ◽  
Risk Of Death ◽  
Autonomous Decision ◽  
Decision Making Model ◽  
Paternalistic Intervention

<p>Denial is a characteristic feature of anorexia nervosa (AN) that may lead to treatment refusal. If an individual is refusing treatment autonomously, it should be accepted, while a lack of autonomy indicates paternalistic intervention may be justified. AN has the highest mortality rate of any mental disorder, so accepting refusal means accepting the risk of death, so should only be done with the certainty that it is autonomous. The current research is theoretical, reviewing the literature on ethical issues relating to autonomy and paternalism in AN in order to evaluate the evidence base for these assumptions. The aim is to develop a procedural model for establishing autonomy in those with AN. The result is the anorexia nervosa autonomous decision-making model (ANDMM), which provides guidance for responding to autonomous and non-autonomous treatment refusal.</p>

Tele-Ethics in Communication Disorders: Asking the Right Questions, Finding the Right Answers

2022 ◽  
pp. 1-9
Author(s):  
Kellyn Dailey Hall
Keyword(s):  
Decision Making ◽  
Service Delivery ◽  
Ethical Decision ◽  
Ethical Decision Making ◽  
Ethical Issues ◽  
Communication Disorders ◽  
Service Delivery Model ◽  
Delivery Model ◽  
The Right ◽  
Decision Making Model

Purpose: A hypothetical case is used to illustrate legal and ethical issues involving the decision to replace the traditional in-person service delivery model with telepractice in schools beyond the context of the initial COVID-19 health emergency. In this clinical focus article, the reader follows Maria, the lead speech-language pathologist (SLP) in the district, as she determines the feasibility of continuing telepractice in her district now that students and clinicians are returning to schools. First, she considers the support needed to implement this service delivery model within the school setting given the anticipated changes to the rules and regulations governing lawful and ethical provision of telepractice after the health emergency ends. Next, she decides if telepractice is warranted in the district by considering the rationales behind the requests. Faced with balancing school, student, and clinician needs, Maria uses an ethical decision-making model to determine if requests for telepractice, tied to health safety concerns and potentially influenced by implicit bias, reflect legal, ethical, and/or moral issues driven by fear or unconscious discriminatory motives. Conclusions: The health emergency gave SLPs working in schools the unique opportunity to experience the benefits and utility of telepractice. Following the return to schools, continuation of telepractice services will require support and training of SLPs. Many factors must be considered including equivalency of services, technology, and protection of privacy as they relate to the changes to the laws and regulations governing telepractice after the health emergency allowances end. Of primary importance is the selection of telepractice to address student needs, not to avoid specific schools because of their characteristics or location. An ethical decision-making model can be used as a framework to guide service delivery model decisions that balance the needs of the student, the clinician, and the district.

Mental capacity in the shadow of suicide: What can the law do?

2013 ◽  
Vol 9 (1) ◽  
pp. 87-105 ◽  
Author(s):  
Genevra Richardson
Keyword(s):  
Decision Making ◽  
Mental Disorder ◽  
Mental Capacity ◽  
Best Interests ◽  
Treatment Refusal ◽  
Persons With Disabilities ◽  
Life Threatening ◽  
The Law ◽  
Legal Concepts ◽  
Decision Making Model

AbstractIn a society where suicide is lawful how should we respond to a life-threatening treatment refusal by someone whose decision-making might be affected by a mental disorder? In considering this question this article examines the three established concepts currently employed by the law to analyse such cases: mental capacity, best interests and mental disorder. It then considers whether a supported decision-making model based on a notion of universal capacity, such as that espoused by the Convention on the Rights of Persons with Disabilities, might alleviate some of the dilemmas arising from the application of the traditional legal concepts.

scholarly journals Ethical Issues in Building and Maintaining Coalitions -- A 10-Step Decision-Making Model for Choosing between Right and Right

EDIS ◽  
1969 ◽  
Vol 2004 (8) ◽  
Author(s):  
Carolyn S. Wilken ◽  
Katey Walker
Keyword(s):  
Decision Making ◽  
Human Services ◽  
Ethical Issues ◽  
Extension Services ◽  
University Of Florida ◽  
Non Profit ◽  
Common Purpose ◽  
Working Together ◽  
Decision Making Model

A coalition is a group of organizations and individuals working together for a common purpose. In effective coalitions, organizations share talents and resources to address the complex issues that frequently occur in human services, education, and other non-profit spheres of activity. This document is FCS9203, one of a series of publications of the Department of Family, Youth and Community Sciences, Florida Extension Services, University of Florida, UF/IFAS. First published. April 2004. FCS9203/FY664: Ethical Issues in Building and Maintaining Coalitions: A 10-Step Decision-Making Model for Choosing between Right and Right (ufl.edu)

Ethical Decision-Making in Marriage and Family Therapy: A Review of the Literature

2020 ◽  
Vol 39 (4) ◽  
pp. 29-39
Author(s):  
Heather Katafiasz ◽  
Rikki Patton ◽  
David Tefteller ◽  
Momoko Takeda
Keyword(s):  
Decision Making ◽  
Marriage And Family Therapy ◽  
Ethical Decision ◽  
Ethical Decision Making ◽  
Ethical Issues ◽  
Common Knowledge ◽  
Review Of The Literature ◽  
Marriage And Family ◽  
Decision Making Processes ◽  
Decision Making Model

It is common knowledge that marriage and family therapists are ethically obligated to provide competent care to their clients and that they need to engage in systematic decision-making processes to ensure they are providing the best care. Yet, a comprehensive guide for ethical decision-making specifically accounting for the unique nuances of working with relational-systemic clients from a relational-systemic conceptual lens is lacking. Thus, the aim of this article is to outline the current understandings of the unique ethical issues experienced when working with relational-systemic clients and to review currently utilized ethical decision making models in the hopes of providing guidance regarding the development of a specific relational-systemic ethical decision-making model.

Applying the Multi-Criteria Decision Making Model for Ranking Commercial Banks: The Case of Vietnam

2019 ◽  
pp. 125-133
Author(s):  
Duong Truong Thi Thuy ◽  
Anh Pham Thi Hoang
Keyword(s):  
Decision Making ◽  
Commercial Banks ◽  
Decision Model ◽  
Business Models ◽  
Multi Criteria Decision Making ◽  
Ideal Solution ◽  
Topsis Method ◽  
Decision Making Model

Banking has always played an important role in the economy because of its effects on individuals as well as on the economy. In the process of renovation and modernization of the country, the system of commercial banks has changed dramatically. Business models and services have become more diversified. Therefore, the performance of commercial banks is always attracting the attention of managers, supervisors, banks and customers. Bank ranking can be viewed as a multi-criteria decision model. This article uses the technique for order of preference by similarity to ideal solution (TOPSIS) method to rank some commercial banks in Vietnam.

Multi-Attribute Decision-Making Model by Applying Grey Numbers

Informatica ◽  
2009 ◽  
Vol 20 (2) ◽  
pp. 305-320 ◽  
Author(s):  
Edmundas Kazimieras Zavadskas ◽  
Arturas Kaklauskas ◽  
Zenonas Turskis ◽  
Jolanta Tamošaitienė
Keyword(s):  
Decision Making ◽  
Multi Attribute Decision Making ◽  
Decision Making Model
Sign in / Sign up

Export Citation Format

Share Document