The counseling, self-care, adherence approach to person-centered care and shared decision making : Moral psychology, executive autonomy, and ethics in multi-dimensional care decisions
(2016) In Health Communication 31(8). p.964-973- Abstract
- This article argues that standard models of person-centred care (PCC) and shared decision making (SDM)rely on simplistic, often unrealistic assumptions of patient capacities that entail that PCC/SDM mighthave detrimental effects in many applications. We suggest a complementary PCC/SDM approach toensure that patients are able to execute rational decisions taken jointly with care professionals whenperforming self-care. Illustrated by concrete examples from a study of adolescent diabetes care, wesuggest a combination of moral and psychological considerations to support the claim that standardPCC/SDM threatens to systematically undermine its own goals. This threat is due to a tension betweenthe ethical requirements of SDM in ideal... (More)
- This article argues that standard models of person-centred care (PCC) and shared decision making (SDM)rely on simplistic, often unrealistic assumptions of patient capacities that entail that PCC/SDM mighthave detrimental effects in many applications. We suggest a complementary PCC/SDM approach toensure that patients are able to execute rational decisions taken jointly with care professionals whenperforming self-care. Illustrated by concrete examples from a study of adolescent diabetes care, wesuggest a combination of moral and psychological considerations to support the claim that standardPCC/SDM threatens to systematically undermine its own goals. This threat is due to a tension betweenthe ethical requirements of SDM in ideal circumstances and more long-term needs actualized by thecontext of self-care handled by patients with limited capacities for taking responsibility and adhere totheir own rational decisions. To improve this situation, we suggest a counseling, self-care, adherenceapproach to PCC/SDM, where more attention is given to how treatment goals are internalized bypatients, how patients perceive choice situations, and what emotional feedback patients are given.This focus may involve less of a concentration on autonomous and rational clinical decision makingotherwise stressed in standard PCC/SDM advocacy. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/e9ee027f-dee0-45bf-94bb-4ed01f043196
- author
- Herlitz, Anders LU ; Munthe, Christian ; Törner, Marianne and Forsander, Gun
- publishing date
- 2016
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Health Communication
- volume
- 31
- issue
- 8
- pages
- 964 - 973
- publisher
- Routledge
- external identifiers
-
- scopus:84954241919
- ISSN
- 1041-0236
- DOI
- 10.1080/10410236.2015.1025332
- language
- English
- LU publication?
- no
- id
- e9ee027f-dee0-45bf-94bb-4ed01f043196
- date added to LUP
- 2024-12-10 15:01:21
- date last changed
- 2025-04-04 14:32:39
@article{e9ee027f-dee0-45bf-94bb-4ed01f043196,
abstract = {{This article argues that standard models of person-centred care (PCC) and shared decision making (SDM)rely on simplistic, often unrealistic assumptions of patient capacities that entail that PCC/SDM mighthave detrimental effects in many applications. We suggest a complementary PCC/SDM approach toensure that patients are able to execute rational decisions taken jointly with care professionals whenperforming self-care. Illustrated by concrete examples from a study of adolescent diabetes care, wesuggest a combination of moral and psychological considerations to support the claim that standardPCC/SDM threatens to systematically undermine its own goals. This threat is due to a tension betweenthe ethical requirements of SDM in ideal circumstances and more long-term needs actualized by thecontext of self-care handled by patients with limited capacities for taking responsibility and adhere totheir own rational decisions. To improve this situation, we suggest a counseling, self-care, adherenceapproach to PCC/SDM, where more attention is given to how treatment goals are internalized bypatients, how patients perceive choice situations, and what emotional feedback patients are given.This focus may involve less of a concentration on autonomous and rational clinical decision makingotherwise stressed in standard PCC/SDM advocacy.}},
author = {{Herlitz, Anders and Munthe, Christian and Törner, Marianne and Forsander, Gun}},
issn = {{1041-0236}},
language = {{eng}},
number = {{8}},
pages = {{964--973}},
publisher = {{Routledge}},
series = {{Health Communication}},
title = {{The counseling, self-care, adherence approach to person-centered care and shared decision making : Moral psychology, executive autonomy, and ethics in multi-dimensional care decisions}},
url = {{http://dx.doi.org/10.1080/10410236.2015.1025332}},
doi = {{10.1080/10410236.2015.1025332}},
volume = {{31}},
year = {{2016}},
}