This book is an attempt to address the ethical issues raised by
mental illness and its treatment by focusing on the question of
autonomy. The mentally ill may be regarded as non-autonomous by
virtue of irrationality, which may result in treatment models which
deny them a voice. As a counter to this, some have moved to the
other extreme and argued that the mentally ill must be regarded as
fully autonomous in all circumstances, and consequently that all
their wishes regarding treatment must be respected. This book
examines the ethical consequences of such simplistic approaches
towards autonomy and mental illness, and considers the ethical
issues raised by specific forms of treatment. It is suggested in
conclusion that improvement in the care and treatment of the
mentally ill requires not only a fundamental change in social
attitudes but also a less impoverished conception of autonomy than
some of those currently employed.
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