Taking a closer look at Autonomy we see that there are some obstacles that might become involved. First, by definition, it must involve a human of "adult years," and a "sound mind." This brings in some constraints that need to be addressed, other then the obvious age constraint. Terrence Ackerman in his report dated 1982 called "Why Doctors should intervene" gives light to various kinds of constraints. These include: Physical constraints; such as prison or bodily prevention, Cognitive constraints; someone with the inability to understand the information given to them, Psychological constraints; this would involve someone who is depressed or suffers from something like Alzheimer's disease, and Social constraints; a peer pressure or the cultural background of a patient playing a role in autonomous decisions. Considering the previous constraints from Ackerman's report, the answer is paternalism. When a patient has one or more of these constraints, the best way to make a decision concerning the welfare and needs of a patient is to allow the... [continues]
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