BIOETHICS, AUTONOMY, AND SELF-DETERMINATION IN PATIENTS ADMITTED TO A TEACHING HOSPITAL FOR TREATMENT OF SUBSTANCE USE DISORDER

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2017

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Acta Bioethica




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Lucas Franca et al., « BIOETHICS, AUTONOMY, AND SELF-DETERMINATION IN PATIENTS ADMITTED TO A TEACHING HOSPITAL FOR TREATMENT OF SUBSTANCE USE DISORDER », Acta Bioethica, ID : 10670/1.164b76...


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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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