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Strengthening autonomy in mental health care through a relational approach

Respect for autonomy is foundational to all types of clinical care, and receiving mental health care places people in a vulnerable situation that has a direct impact on their ability to live as they choose, making concerns about autonomy central. The classical understanding of personal autonomy, which still influences medical guidelines, is based on an individualistic framework and is inadequate for ethical mental health care. The goal of this Comment is to articulate why the relational autonomy model, developed in feminist bioethics, is a necessary approach for the mental health field.

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Fig. 1: The relational approach to mental health.

References

  1. Fineman, M. Yale J. Law Fem. 20, 177–191 (2008).

    Google Scholar 

  2. Dove, E. S. et al. Clin. Ethics 12, 150–165 (2017).

    Article  PubMed  PubMed Central  Google Scholar 

  3. Buedo, P. & Daly, T. Nat. Ment. Health 1, 813–814 (2023).

    Article  Google Scholar 

  4. Mascayano, F. et al. Salud Ment. 38, 53–58 (2015).

    Article  Google Scholar 

  5. Mackenzie, C. Womens. Stud. Int. Forum 72, 144–151 (2019).

    Article  Google Scholar 

  6. Nedelsky, J. Rev. Const. Stud. Rev. Etud. Const. 1, 1–26 (1993).

    Google Scholar 

  7. Corrigan, P. Am. Psychol. 59, 614–625 (2004).

    Article  PubMed  Google Scholar 

  8. Buedo, P. & Luna, F. Med. Etica 32, 1111–1133 (2021).

    PubMed  PubMed Central  Google Scholar 

  9. Ells, C., Hunt, M. R. & Chambers-Evans, J. Intl J. Fem. Approaches Bioethics 4, 79–101 (2011).

    Article  Google Scholar 

  10. Scully, J. L. In The Stanford Encyclopedia of Philosophy (eds Zalta, E. N. & Nodelman, U.) (Stanford University, 2023).

  11. Buchanan, D., Gubrium, A., Scott, L. & Douglas, H. Jr. Int. J. Qual. Stud. Health Well-being. 13, 1549920 (2018).

    Article  PubMed  PubMed Central  Google Scholar 

  12. Buedo, P. & Silberman, P. Interdiscip. 33, 251–265 (2016).

    Google Scholar 

  13. Patel, V. Lancet 402, 1412–1413 (2023).

    Article  PubMed  Google Scholar 

  14. Buedo, P. & Daly, T. Lancet Reg. Health Am. 32, 100717 (2024).

    PubMed  PubMed Central  Google Scholar 

Download references

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Correspondence to Paola Buedo or Timothy Daly.

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Nature Mental Health thanks the anonymous reviewer(s) for their contribution to the peer review of this work.

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Buedo, P., Daly, T. Strengthening autonomy in mental health care through a relational approach. Nat. Mental Health 2, 1271–1272 (2024). https://doi.org/10.1038/s44220-024-00337-8

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