Arc Research and Consultancy Ltd, Sheffield, UK.
J Health Psychol. 2013 Feb;18(2):272-81. doi: 10.1177/1359105312437265. Epub 2012 Mar 9.
Social psychological theories of illness and health decision making place the individual with the symptoms at the centre. In the case of dementia it is often a relative who is first to contact health care professionals. The article illustrates how the autonomy of both the individual with symptoms and their carers is bounded by the actions of others. An over arching theme of 'bounded autonomy in decision making', and four subthemes emerged. Bounded autonomy is where a person's actions are constrained or contested by another person. There are implications for interventions to bring forward the point at which diagnosis occurs.
社会心理学的疾病和健康决策理论将出现症状的个体置于中心位置。在痴呆症的情况下,通常是患者的亲属首先联系医疗保健专业人员。本文说明了症状患者及其照顾者的自主权如何受到他人行为的限制。“决策中的有限自主权”是一个总体主题,出现了四个子主题。有限自主权是指一个人的行为受到另一个人的限制或争议。这对提前进行诊断的干预措施有一定的启示。