Document Detail


Adults with intellectual and developmental disabilities and participation in decision making: ethical considerations for professional-client practice.
MedLine Citation:
PMID:  20597745     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In this article, the authors challenge professionals to re-examine assumptions about basic concepts and their implications in supporting adults with intellectual and developmental disabilities. The authors focus on decisions with significant implications, such as planning transition from school to adult life, changing living environments, and managing health issues. The analysis highlights important concepts that are less often addressed: autonomy, empowerment, participation in decision making, asymmetrical power, outer-directedness, and respect for persons. The authors suggest that professionals adopt a moral principle of respect for persons as an overarching guiding principle in their work with adults with intellectual and developmental disabilities. The value of self-determination and person-centered planning processes are placed in the larger scope of ethical practice. The authors offer a set of practical considerations that encourage respect for these individuals by involving them in the decision-making process in situations that have a large impact on them.
Authors:
Gurit Lotan; Carolyn Ells
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Intellectual and developmental disabilities     Volume:  48     ISSN:  1934-9491     ISO Abbreviation:  Intellect Dev Disabil     Publication Date:  2010 Apr 
Date Detail:
Created Date:  2010-07-05     Completed Date:  2010-08-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101299965     Medline TA:  Intellect Dev Disabil     Country:  United States    
Other Details:
Languages:  eng     Pagination:  112-25     Citation Subset:  IM    
Affiliation:
Department of Psychology, Job Training and Job Integration Program, Summit School, Ville St. Laurent, Quebec, Canada. gurit@summit-school.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Decision Making / ethics*
Disabled Persons / psychology,  rehabilitation*
Humans
Mentally Disabled Persons / psychology,  rehabilitation*
Patient Care Team / ethics
Patient Education as Topic / ethics
Patient Participation*
Personal Autonomy
Power (Psychology)
Professional-Patient Relations / ethics*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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