Ethics in psychotherapy. Plea for a dynamic notion of patient autonomy

被引:0
|
作者
Tress, Wolfgang [1 ,3 ]
Erny, Nicola [2 ]
机构
[1] Univ Dusseldorf, Klin Inst, D-40225 Dusseldorf, Germany
[2] Univ Dusseldorf, Philosoph Inst, Dusseldorf, Germany
[3] Univ Dusseldorf, Klin Psychosomat Med & Psychotherapie, D-40225 Dusseldorf, Germany
来源
PSYCHOTHERAPEUT | 2008年 / 53卷 / 05期
关键词
medical ethics; psychotherapy; patient autonomy; informed consent;
D O I
10.1007/s00278-008-0608-8
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
This contribution discusses some fundamental questions of medical ethics in psychotherapy. The problems discussed arise when "care ethics", which is based mainly on the Hippocratic Oath as the basis of medical ethics, is rejected. After a short overview of the relevant ethical theories, we ask for values and principles which might serve as a foundation for philosophical reasoning on the doctor-patient-relationship. In particular, we discuss the role of autonomy and informed consent in this relationship, following Beauchamp's and Childress' ethical principlism. We try to show the limited scope of the principle of autonomy in psychotherapy. Finally, we make a plea for a dynamic conception of patient autonomy for which we offer some pragmatic reasons. To round this conception off it is illustrated by the metaphor of the lighthouse.
引用
收藏
页码:328 / 337
页数:10
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