Saturday, 13 April 2013

Autonomy v paternalism in mental health treatment, outline and review of the nys case on Jacob Gordon

The assignment for this Ethics class was to review Mr. Jacobs treatment, as describe by the

New York State Commission on Quality of fearfulness for the Mentally disabled (1994). The class was

further asked to comment on the study issues for each of the three perspectives. The agencies,

family and review board were to be included. This assimilator will begin with a fourth perspective;

that of Mr. Gordon.

In the issuance of Jacob Gordon (1994), is the story of the last eight years of a psychiatrically

disabled mans life. Mr. Gordon appeared to flitter between striving for autonomy and

accepting the support of his family. Unfortunately, it appeared by this broadside that the families

support was not synonymous with autonomy. It did not appear that Mr. Gordon had ever desired

or want agency intervention for himself. Mr. Gordons association with the mental health

system appeared to be pronounced by power and control issues. Consumers/ex-patients often report a

feeling of invisibility; they spirit that their views and desires do not matter (Carling, 1995, p.79 ).

The commissions report (1995) spoke of some(prenominal) incidences where Mr. Gordon eluded to his

desire for autonomy. Mr. Gordon did not coveting to live in a supervise setting. Mr. Gordon did not

wish to attend group day treatment settings. Mr.

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Gordon did not wish to use medication in the

treatment of his mental health disorder. Without medication his fashion was deemed

unacceptable and did not permit him the opportunity to have each of these choices. Choice is a

right-not a privilege to be afforded by good behavior (Penny, 1994, p. 29). Mr. Gordons right of

choice was limited even though he lived in his apartment independently. The condition of his

apartment was scrutinized. His medication was closely monitored; sometimes to the distributor point that he

was...

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