The Erosion of Autonomy in Long-Term Care
Department of Psychiatry
Long-Term Care; Aged; Homes for the Aged; Personal Autonomy
Health Services Research | Mental and Social Health | Psychiatric and Mental Health | Psychiatry | Psychiatry and Psychology
Summary: In few places in American society are adults so dependent on others as in nursing homes. Minimizing this dependency and promoting autonomy has become a major focus of policy and ethics in gerontology. Yet most of these discussions are divorced from the day-to-day reality of long-term care and are implicitly based on concepts of autonomy derived from acute medical care settings. Promoting autonomy in long-term care, however, is a complex task which requires close attention to everyday routines and a fundamental rethinking of the meaning of autonomy. This work is based on an observational study of two different types of settings which provide long-term care for the elderly. The authors offer a detailed description of the organizational patterns that erode autonomy of the elderly. Their observations lead to a substantial rethinking of what the concept of autonomy means in these settings. The book concludes with concrete suggestions on methods to increase the autonomy of elderly individuals in long-term care institutions.
Lidz CW, Fischer LB & Arnold RM: The Erosion of Autonomy in Long Term Care. New York: Oxford University Press, 1992. ISBN 0195073940, 9780195073942. Partial preview available via Google Books.
The Erosion of Autonomy in Long Term Care
Lidz CW, Fischer L, Arnold RM. (1992). The Erosion of Autonomy in Long-Term Care. Implementation Science and Practice Advances Research Center Publications. Retrieved from https://escholarship.umassmed.edu/psych_cmhsr/120