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:	Franca-Garcia,Lucas, RochaTrindade,Fernanda da, MendesCalixto,Alessandra, Goldim,José Roberto
Lenguaje:	English
Publicado:	Centro Interdisciplinario de Estudios en Bioética, Universidad de Chile 2017
Materias:	bioethics substance use disorder personal autonomy.
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S1726-569X2017000200301
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spelling	oai:scielo:S1726-569X20170002003012018-03-13Bioethics, Autonomy, and Self-Determination in Patients Admitted to a Teaching Hospital for Treatment of Substance Use DisorderFranca-Garcia,LucasRochaTrindade,Fernanda daMendesCalixto,AlessandraGoldim,José Roberto bioethics substance use disorder personal autonomy. 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.info:eu-repo/semantics/openAccessCentro Interdisciplinario de Estudios en Bioética, Universidad de ChileActa bioethica v.23 n.2 20172017-07-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S1726-569X2017000200301en10.4067/S1726-569X2017000200301
institution	Scielo Chile
collection	Scielo Chile
language	English
topic	bioethics substance use disorder personal autonomy.
spellingShingle	bioethics substance use disorder personal autonomy. Franca-Garcia,Lucas RochaTrindade,Fernanda da MendesCalixto,Alessandra Goldim,José Roberto Bioethics, Autonomy, and Self-Determination in Patients Admitted to a Teaching Hospital for Treatment of Substance Use Disorder
description	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.
author	Franca-Garcia,Lucas RochaTrindade,Fernanda da MendesCalixto,Alessandra Goldim,José Roberto
author_facet	Franca-Garcia,Lucas RochaTrindade,Fernanda da MendesCalixto,Alessandra Goldim,José Roberto
author_sort	Franca-Garcia,Lucas
title	Bioethics, Autonomy, and Self-Determination in Patients Admitted to a Teaching Hospital for Treatment of Substance Use Disorder
title_short	Bioethics, Autonomy, and Self-Determination in Patients Admitted to a Teaching Hospital for Treatment of Substance Use Disorder
title_full	Bioethics, Autonomy, and Self-Determination in Patients Admitted to a Teaching Hospital for Treatment of Substance Use Disorder
title_fullStr	Bioethics, Autonomy, and Self-Determination in Patients Admitted to a Teaching Hospital for Treatment of Substance Use Disorder
title_full_unstemmed	Bioethics, Autonomy, and Self-Determination in Patients Admitted to a Teaching Hospital for Treatment of Substance Use Disorder
title_sort	bioethics, autonomy, and self-determination in patients admitted to a teaching hospital for treatment of substance use disorder
publisher	Centro Interdisciplinario de Estudios en Bioética, Universidad de Chile
publishDate	2017
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S1726-569X2017000200301
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Bioethics, Autonomy, and Self-Determination in Patients Admitted to a Teaching Hospital for Treatment of Substance Use Disorder

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