Another View of Autonomy: Arranging for Consent in Advance

A review of the issues surrounding a Ulysses contract-a prior consent agreement-juxtaposes the autonomy expressed by a stabilized patient who gives consent in advance for treatment during an acute break and the exercise of a patient's right to refuse as protected by legal advocates. Ideally, th...

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Bibliographic Details
Published in:Schizophrenia bulletin 1991, Vol.17 (1), p.1-7
Main Authors: Rosenson, Marilyn K., Kasten, Agnes Marie
Format: Article
Language:English
Subjects:
Advance Directives
Autonomy
Biological and medical sciences
Client Rights
Combined Modality Therapy
Commitment of Mentally Ill - legislation & jurisprudence
Human
Humans
Informed Consent
Informed Consent - legislation & jurisprudence
Medical sciences
Mentally Ill Persons
Miscellaneous
Patient Participation - legislation & jurisprudence
Personal Autonomy
Psychiatric Patients
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Psychotropic Drugs - adverse effects
Psychotropic Drugs - therapeutic use
Risk Assessment
Schizophrenia - rehabilitation
Schizophrenic Psychology
Treatment
Treatments
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Summary:A review of the issues surrounding a Ulysses contract-a prior consent agreement-juxtaposes the autonomy expressed by a stabilized patient who gives consent in advance for treatment during an acute break and the exercise of a patient's right to refuse as protected by legal advocates. Ideally, the first approach would enable persons to claim control over their lives and promote a collaborative process involving patient, family members, and professionals. But feedback from an informal canvassing of individuals representing various vantage points emphasizes concern about safeguards and monitoring the use of these contracts. Although several legal avenues may be open, both theoretical and technical obstacles can block the road to voluntary involuntary treatment. We hope this article will serve as a stimulus for an open exchange about ways to ensure one's right to protect oneself from the consequences of psychosis.
ISSN:0586-7614
1745-1701
DOI:10.1093/schbul/17.1.1