Bannerman D J, Sheldon J B, Sherman J A, Harchik A E
Department of Human Development, University of Kansas, Lawrence 66045.
J Appl Behav Anal. 1990 Spring;23(1):79-89. doi: 10.1901/jaba.1990.23-79.
In the pursuit of efficient habilitation, many service providers exercise a great deal of control over the lives of clients with developmental disabilities. For example, service providers often choose the client's habilitative goals, determine the daily schedule, and regulate access to preferred activities. This paper examines the advantages and disadvantages of allowing clients to exercise personal liberties, such as the right to choose and refuse daily activities. On one hand, poor choices on the part of the client could hinder habilitation. On the other hand, moral and legal issues arise when the client's right to choice is abridged. Recommendations are offered to protect both the right to habilitation and the freedom to choose.
在追求高效康复训练的过程中，许多服务提供者对发育障碍患者的生活施加了很大的控制。例如，服务提供者常常选择患者的康复目标，确定日常时间表，并对患者参与偏好活动的机会进行管控。本文探讨了允许患者行使个人自由（如选择和拒绝日常活动的权利）的利弊。一方面，患者做出的糟糕选择可能会妨碍康复训练。另一方面，当患者的选择权被剥夺时，就会出现道德和法律问题。本文提出了一些建议，以保护康复训练权和选择权。
