Bioethics, Autonomy, and Self-Determination in Patients Admitted to a Teaching Hospital for Treatment of Substance Use Disorder
Abstract: The aim of this article is to evaluate moral-psychological development, autonomy, and self-determination in patients with substance use disorder (SUD). Moral-psychological development was assessed using a tool to determine individuals’ decision-making ability. Our qualitative app...
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| Autores principales: | , , , |
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| Lenguaje: | English |
| Publicado: |
Centro Interdisciplinario de Estudios en Bioética, Universidad de Chile
2017
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| Materias: | |
| Acceso en línea: | http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S1726-569X2017000200301 |
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| Sumario: | Abstract: The aim of this article is to evaluate moral-psychological development, autonomy, and self-determination in patients with substance use disorder (SUD). Moral-psychological development was assessed using a tool to determine individuals’ decision-making ability. Our qualitative approach was based on ethnographic research and participant observation. Fifty per cent of the patients (n = 9) were found to be in the conformist stage, 39 per cent (n = 7) were in the conscientious stage, and 11 per cent (n = 2) were in the autonomous stage, according to Loevinger’s stages of ego development. Our field observations revealed issues of social belonging, symbolic aspects of the treatment, distinction between autonomy and self-determination, and re-signification of the meaning of autonomy. All patients were considered able to make decisions in their best interests, taking into account their stage of moral-psychological development according to Loevinger’s stages. They were also equipped to produce moral arguments to legitimize their actions. |
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