Autonomy and protection in self-neglect work: the ethical complexity of decision-making

2.50
Hdl Handle:
http://hdl.handle.net/10547/622116
Title:
Autonomy and protection in self-neglect work: the ethical complexity of decision-making
Authors:
Braye, Suzy; Orr, David ( 0000-0003-2107-2671 ) ; Preston-Shoot, Michael ( 0000-0002-9347-0524 )
Abstract:
Self-neglect, in which an individual does not attend to their hygiene, health or home surroundings, is one of the most challenging aspects of adult social care practice. In England, its inclusion within the remit of adult safeguarding, as a result of changes in adult social care law introduced under the Care Act 2014, has thrown into relief the ethical dilemmas arising from tensions between respect for autonomy on the one hand and the exercise of a protective duty of care on the other hand. This paper draws on serious case reviews and safeguarding adult reviews in self-neglect cases, along with findings from adult safeguarding research, to propose that an appropriate balance between these two moral imperatives is not always achieved in self-neglect practice. It considers why autonomy appears to be privileged over other considerations, illustrating the complex interplay between law and ethics that gives autonomy pre-eminence. It then considers how a more nuanced, situated and relational approach to autonomy can enable practitioners to move away from dichotomous interpretations of the moral imperatives present in self-neglect work, and can support more nuanced understandings of the ethics of professional decision-making. Finally, it considers the personal and organisational implications of this enhanced ethical literacy.
Citation:
Braye S, Orr D, Preston-Shoot M (2017) 'Autonomy and protection in self-neglect work: the ethical complexity of decision-making', Ethics and Social Welfare, pp.1-16.
Publisher:
Taylor & Francis
Journal:
Ethics and Social Welfare
Issue Date:
20-Feb-2017
URI:
http://hdl.handle.net/10547/622116
DOI:
10.1080/17496535.2017.1290814
Additional Links:
http://www.tandfonline.com/doi/abs/10.1080/17496535.2017.1290814
Type:
Article
Language:
en
ISSN:
1749-6535
Appears in Collections:
Applied social sciences

Full metadata record

DC FieldValue Language
dc.contributor.authorBraye, Suzyen
dc.contributor.authorOrr, Daviden
dc.contributor.authorPreston-Shoot, Michaelen
dc.date.accessioned2017-06-05T11:12:27Z-
dc.date.available2017-06-05T11:12:27Z-
dc.date.issued2017-02-20-
dc.identifier.citationBraye S, Orr D, Preston-Shoot M (2017) 'Autonomy and protection in self-neglect work: the ethical complexity of decision-making', Ethics and Social Welfare, pp.1-16.en
dc.identifier.issn1749-6535-
dc.identifier.doi10.1080/17496535.2017.1290814-
dc.identifier.urihttp://hdl.handle.net/10547/622116-
dc.description.abstractSelf-neglect, in which an individual does not attend to their hygiene, health or home surroundings, is one of the most challenging aspects of adult social care practice. In England, its inclusion within the remit of adult safeguarding, as a result of changes in adult social care law introduced under the Care Act 2014, has thrown into relief the ethical dilemmas arising from tensions between respect for autonomy on the one hand and the exercise of a protective duty of care on the other hand. This paper draws on serious case reviews and safeguarding adult reviews in self-neglect cases, along with findings from adult safeguarding research, to propose that an appropriate balance between these two moral imperatives is not always achieved in self-neglect practice. It considers why autonomy appears to be privileged over other considerations, illustrating the complex interplay between law and ethics that gives autonomy pre-eminence. It then considers how a more nuanced, situated and relational approach to autonomy can enable practitioners to move away from dichotomous interpretations of the moral imperatives present in self-neglect work, and can support more nuanced understandings of the ethics of professional decision-making. Finally, it considers the personal and organisational implications of this enhanced ethical literacy.en
dc.language.isoenen
dc.publisherTaylor & Francisen
dc.relation.urlhttp://www.tandfonline.com/doi/abs/10.1080/17496535.2017.1290814en
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subjectself-neglecten
dc.subjectautonomyen
dc.subjectprotectionen
dc.subjectadult safeguardingen
dc.subjectethical dilemmasen
dc.subjectethical literacyen
dc.subjectdecision makingen
dc.subjectL500 Social Worken
dc.titleAutonomy and protection in self-neglect work: the ethical complexity of decision-makingen
dc.typeArticleen
dc.identifier.journalEthics and Social Welfareen
dc.date.updated2017-06-05T10:58:03Z-
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