Download Coercive Care: The Ethics of Choice in Health and Medicine by Torbjorn Tannsjo PDF

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By Torbjorn Tannsjo

Coercive Care asks probing and not easy questions concerning the use of coercion in well-being care and the social companies. The publication combines philosophical research with comparative stories of social coverage and legislation in various industrialized nations.

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There are no references to thinkers such as Laing and Illich in this book. I do return to the question of controversial therapies within psychiatry, however, when I discuss compulsory treatment of mentally ill persons. An important aspect of my argument are facts about Western law, regulating the use of coercion in care. I have gathered these facts from many sources, specified when I make references to them. , The Rights of Patients in Europe (1993) and Tor Sverne, ‘Comments on the Legislation Concerning Impaired Capacity and Decision-Making in the Health Care Field in England and Wales, the Netherlands, Spain, and Sweden’ (1997).

We should resist this line of argument. The reason for doing so is that it makes the patient’s right to a veto much too weak. I concede that if the patient has not reached an autonomous decision because he or she is not capable of doing so (because of, say, mental illness), then we may exercise his or her right on his or her behalf, treating the patient as we see fit, in his or her own best interest. When doing so we act on the presumption that this is what the patient would have decided, had she or he been capable of reaching an autonomous 24 SOMATIC HEALTH CARE decision.

Moreover, this planned and medically assisted death of ours, should it turn out to be necessary, would be far preferable to third parties, who need not run us down with the trains they drive, or find us hanging where they did not expect to, and so forth. It would also render euthanasia unnecessary in the circumstances. Side-effects So far I have concentrated on possible direct effects of a system of suicide clinics. However, much of the discussion of assisted suicide, as well as of euthanasia, has been focused on possible side-effects of the practice.

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