Autonomy as a Goal of Psychotherapy

Paul Biegler

Research output: Chapter in Book/Report/Conference proceedingChapter (Book)Researchpeer-review

Abstract

Personal autonomy describes the exercise of self-determination through informed and ra-tional decisions that reflect an agent’s authentic values. The nexus between autonomy and psychotherapy is broad, with both respect for client autonomy through informed consent, and promotion of client autonomy through therapy itself representing key instances of the significance of autonomy in the consulting room. While inadequate disclosure of in-
formation poses a major threat to personal autonomy, so too do unjustified paternalism, coercion, and the injudicious use of therapeutic privilege. The capacity of psychotherapy to promote client autonomy, evidenced by more effective decision-making during periods where the risk of recurrent illness is high, is argued to be a key advantage of psychother-apy over treatment with medication alone. Ultimately, enhanced autonomy is a goal of treatment grounded in a more defensible conception of well-being for people with psycho-logical disorder and, it is concluded, should be sought specifically through psychotherapy.
Original languageEnglish
Title of host publicationThe Oxford Handbook of Psychotherapy Ethics
EditorsManuel Trachsel, Serife Tekin, Nikola Biller-Andorno, Jens Gaab, John Sadler
Place of PublicationOxford UK
PublisherOxford University Press
Number of pages15
ISBN (Print) 9780198817338
Publication statusAccepted/In press - 2019

Keywords

  • autonomy
  • paternalism
  • informed consent
  • prudential value
  • Cognitive behavioural therapy

Cite this

Biegler, P. (Accepted/In press). Autonomy as a Goal of Psychotherapy. In M. Trachsel, S. Tekin, N. Biller-Andorno, J. Gaab, & J. Sadler (Eds.), The Oxford Handbook of Psychotherapy Ethics Oxford UK: Oxford University Press.
Biegler, Paul. / Autonomy as a Goal of Psychotherapy. The Oxford Handbook of Psychotherapy Ethics. editor / Manuel Trachsel ; Serife Tekin ; Nikola Biller-Andorno ; Jens Gaab ; John Sadler. Oxford UK : Oxford University Press, 2019.
@inbook{deb4f85ea44b4bb8bd242314702de79c,
title = "Autonomy as a Goal of Psychotherapy",
abstract = "Personal autonomy describes the exercise of self-determination through informed and ra-tional decisions that reflect an agent’s authentic values. The nexus between autonomy and psychotherapy is broad, with both respect for client autonomy through informed consent, and promotion of client autonomy through therapy itself representing key instances of the significance of autonomy in the consulting room. While inadequate disclosure of in-formation poses a major threat to personal autonomy, so too do unjustified paternalism, coercion, and the injudicious use of therapeutic privilege. The capacity of psychotherapy to promote client autonomy, evidenced by more effective decision-making during periods where the risk of recurrent illness is high, is argued to be a key advantage of psychother-apy over treatment with medication alone. Ultimately, enhanced autonomy is a goal of treatment grounded in a more defensible conception of well-being for people with psycho-logical disorder and, it is concluded, should be sought specifically through psychotherapy.",
keywords = "autonomy, paternalism, informed consent, prudential value, Cognitive behavioural therapy",
author = "Paul Biegler",
year = "2019",
language = "English",
isbn = "9780198817338",
editor = "Trachsel, {Manuel } and Tekin, {Serife } and Biller-Andorno, {Nikola } and Gaab, {Jens } and Sadler, {John }",
booktitle = "The Oxford Handbook of Psychotherapy Ethics",
publisher = "Oxford University Press",
address = "United Kingdom",

}

Biegler, P 2019, Autonomy as a Goal of Psychotherapy. in M Trachsel, S Tekin, N Biller-Andorno, J Gaab & J Sadler (eds), The Oxford Handbook of Psychotherapy Ethics. Oxford University Press, Oxford UK.

Autonomy as a Goal of Psychotherapy. / Biegler, Paul.

The Oxford Handbook of Psychotherapy Ethics. ed. / Manuel Trachsel; Serife Tekin; Nikola Biller-Andorno; Jens Gaab; John Sadler. Oxford UK : Oxford University Press, 2019.

Research output: Chapter in Book/Report/Conference proceedingChapter (Book)Researchpeer-review

TY - CHAP

T1 - Autonomy as a Goal of Psychotherapy

AU - Biegler, Paul

PY - 2019

Y1 - 2019

N2 - Personal autonomy describes the exercise of self-determination through informed and ra-tional decisions that reflect an agent’s authentic values. The nexus between autonomy and psychotherapy is broad, with both respect for client autonomy through informed consent, and promotion of client autonomy through therapy itself representing key instances of the significance of autonomy in the consulting room. While inadequate disclosure of in-formation poses a major threat to personal autonomy, so too do unjustified paternalism, coercion, and the injudicious use of therapeutic privilege. The capacity of psychotherapy to promote client autonomy, evidenced by more effective decision-making during periods where the risk of recurrent illness is high, is argued to be a key advantage of psychother-apy over treatment with medication alone. Ultimately, enhanced autonomy is a goal of treatment grounded in a more defensible conception of well-being for people with psycho-logical disorder and, it is concluded, should be sought specifically through psychotherapy.

AB - Personal autonomy describes the exercise of self-determination through informed and ra-tional decisions that reflect an agent’s authentic values. The nexus between autonomy and psychotherapy is broad, with both respect for client autonomy through informed consent, and promotion of client autonomy through therapy itself representing key instances of the significance of autonomy in the consulting room. While inadequate disclosure of in-formation poses a major threat to personal autonomy, so too do unjustified paternalism, coercion, and the injudicious use of therapeutic privilege. The capacity of psychotherapy to promote client autonomy, evidenced by more effective decision-making during periods where the risk of recurrent illness is high, is argued to be a key advantage of psychother-apy over treatment with medication alone. Ultimately, enhanced autonomy is a goal of treatment grounded in a more defensible conception of well-being for people with psycho-logical disorder and, it is concluded, should be sought specifically through psychotherapy.

KW - autonomy

KW - paternalism

KW - informed consent

KW - prudential value

KW - Cognitive behavioural therapy

UR - https://www-oxfordhandbooks-com.ezproxy.lib.monash.edu.au/view/10.1093/oxfordhb/9780198817338.001.0001/oxfordhb-9780198817338-e-10

M3 - Chapter (Book)

SN - 9780198817338

BT - The Oxford Handbook of Psychotherapy Ethics

A2 - Trachsel, Manuel

A2 - Tekin, Serife

A2 - Biller-Andorno, Nikola

A2 - Gaab, Jens

A2 - Sadler, John

PB - Oxford University Press

CY - Oxford UK

ER -

Biegler P. Autonomy as a Goal of Psychotherapy. In Trachsel M, Tekin S, Biller-Andorno N, Gaab J, Sadler J, editors, The Oxford Handbook of Psychotherapy Ethics. Oxford UK: Oxford University Press. 2019