Anorexia Nervosa: The Diagnosis: A Postmodern Ethics Contribution to the Bioethics Debate on Involuntary Treatment for Anorexia Nervosa

Kendall, S

Anorexia Nervosa: The Diagnosis: A Postmodern Ethics Contribution to the Bioethics Debate on Involuntary Treatment for Anorexia Nervosa

Kendall, S

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Publication Type:: Journal Article
Citation:: Journal of Bioethical Inquiry, 2014, 11 (1), pp. 31 - 40
Issue Date:: 2014-01-01

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Field	Value	Language
dc.contributor.author	Kendall, S https://orcid.org/0000-0002-3627-827X	en_US
dc.date.available	2013-12-05	en_US
dc.date.issued	2014-01-01	en_US
dc.identifier.citation	Journal of Bioethical Inquiry, 2014, 11 (1), pp. 31 - 40	en_US
dc.identifier.issn	1176-7529	en_US
dc.identifier.uri	http://hdl.handle.net/10453/45497
dc.description.abstract	This paper argues that there is a relationship between understandings of anorexia nervosa (AN) and how the ethical issues associated with involuntary treatment for AN are identified, framed, and addressed. By positioning AN as a construct/discourse (hereinafter "AN: the diagnosis") several ethical issues are revealed. Firstly, "AN: the diagnosis" influences how the autonomy and competence of persons diagnosed with AN are understood by decision-makers in the treatment environment. Secondly, "AN: the diagnosis" impacts on how treatment and treatment efficacy are defined and the ethical justifiability of paternalism. Thirdly, "AN: the diagnosis" can limit the opportunity for persons with AN to construct an identity that casts them as a competent person. "AN: the diagnosis" can thus inherently affirm professional knowledge and values. Postmodern professional ethics can support professionals in managing these issues by highlighting the importance of taking responsibility for professional knowledge, values, and power and embracing moral uncertainty. © 2013 Springer Science+Business Media Dordrecht.	en_US
dc.relation.ispartof	Journal of Bioethical Inquiry	en_US
dc.relation.isbasedon	10.1007/s11673-013-9496-x	en_US
dc.subject.classification	Applied Ethics	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Patient Compliance	en_US
dc.subject.mesh	Treatment Refusal	en_US
dc.subject.mesh	Mental Competency	en_US
dc.subject.mesh	Personal Autonomy	en_US
dc.subject.mesh	Anorexia Nervosa	en_US
dc.subject.mesh	Coercion	en_US
dc.subject.mesh	Ethics, Professional	en_US
dc.subject.mesh	Moral Obligations	en_US
dc.subject.mesh	Beneficence	en_US
dc.subject.mesh	Postmodernism	en_US
dc.title	Anorexia Nervosa: The Diagnosis: A Postmodern Ethics Contribution to the Bioethics Debate on Involuntary Treatment for Anorexia Nervosa	en_US
dc.type	Journal Article
utslib.citation.volume	1	en_US
utslib.citation.volume	11	en_US
utslib.for	2201 Applied Ethics	en_US
utslib.for	1801 Law	en_US
utslib.for	2203 Philosophy	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Public Health
utslib.copyright.status	closed_access
pubs.issue	1	en_US
pubs.publication-status	Published	en_US
pubs.volume	11	en_US

Abstract:

This paper argues that there is a relationship between understandings of anorexia nervosa (AN) and how the ethical issues associated with involuntary treatment for AN are identified, framed, and addressed. By positioning AN as a construct/discourse (hereinafter "AN: the diagnosis") several ethical issues are revealed. Firstly, "AN: the diagnosis" influences how the autonomy and competence of persons diagnosed with AN are understood by decision-makers in the treatment environment. Secondly, "AN: the diagnosis" impacts on how treatment and treatment efficacy are defined and the ethical justifiability of paternalism. Thirdly, "AN: the diagnosis" can limit the opportunity for persons with AN to construct an identity that casts them as a competent person. "AN: the diagnosis" can thus inherently affirm professional knowledge and values. Postmodern professional ethics can support professionals in managing these issues by highlighting the importance of taking responsibility for professional knowledge, values, and power and embracing moral uncertainty. © 2013 Springer Science+Business Media Dordrecht.

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http://hdl.handle.net/10453/45497