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自主的限度:为学习障碍者提供护理的理想模式

The Limits of Autonomy: Ideals in Care for People with Learning Disabilities.

作者信息

Pols Jeannette, Althoff Brigitte, Bransen Els

机构信息

a Department of General Practice, Section of Medical Ethics , Academic Medical Centre, University of Amsterdam , Amsterdam , the Netherlands.

b Department of Anthropology , University of Amsterdam , Amsterdam , the Netherlands.

出版信息

Med Anthropol. 2017 Nov-Dec;36(8):772-785. doi: 10.1080/01459740.2017.1367776. Epub 2017 Aug 24.

DOI:10.1080/01459740.2017.1367776
PMID:28836876
Abstract

In the Netherlands, autonomy is a key ideal in visions of care for people with learning disability. This ideal can lead to tension when clients, in the opinion of their caregivers, overuse alcohol or drugs. In this article, we analyze how professional caregivers understand the ideal of autonomy in care for people with learning disability, and articulate the tacit attempts of caregivers to provide "good care," which can be understood as care for relationships. This relational view includes caregivers, care recipients, and their networks and infrastructures in the vision of care.

摘要

在荷兰,自主权是为学习障碍者提供护理愿景中的关键理念。当照护者认为服务对象过度饮酒或吸毒时,这一理念可能会引发紧张关系。在本文中,我们分析了专业照护者如何理解为学习障碍者提供护理时的自主权理念,并阐述了照护者为提供“优质护理”(可理解为对人际关系的护理)所做出的隐性努力。这种关系视角在护理愿景中涵盖了照护者、受护理者及其网络和基础设施。

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