Supported Decision‐Making and Personal Autonomy for Persons with Intellectual Disabilities: Article 12 of the UN Convention on the Rights of Persons with Disabilities

Journal of Law, Medicine and Ethics 41 (4):792-806 (2013)
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Abstract

Making decisions is an important component of everyday living, and issues surrounding autonomy and self-determination are crucial for persons with intellectual disabilities. Article 12 (Equal Recognition before the Law) of the UN Convention on the Rights of Persons with Disabilities addresses this issue of decision-making for persons with disabilities: the recognition of legal capacity. Legal capacity means recognizing the right to make decisions for oneself. Article 12 is also moving in the direction of supported decision-making, as an alternative to substituted decision-making. The objective of this paper is to show conceptually the connection between supported decisionmaking and the preservation of personal autonomy for persons with intellectual disabilities. This paper discusses supported decision-making based on Bach and Kerzner's model: (a) legally independent status, (b) supported decision- making status, and (c) facilitated decision-making status. Arguments will be made based on John Stuart Mill's concept of autonomy and arguments against it using Sarah Conly's argument for paternalism

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Citations of this work

Minors and Contested Medical-Surgical Treatment.Jeanne Snelling - 2016 - Cambridge Quarterly of Healthcare Ethics 25 (1):50-62.
Removing obstacles to equal recognition for persons with intellectual disability: Taking exception to the way things are.Anne-Marie Callus - 2018 - Alter - European Journal of Disability Research / Revue Européenne de Recherche Sur le Handicap 12 (3):153-165.

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References found in this work

Against Autonomy: Justifying Coercive Paternalism.Sarah Conly - 2012 - Cambridge: Cambridge University Press.
On liberty.John Stuart Mill - 2000 - In Steven M. Cahn (ed.), Exploring Philosophy: An Introductory Anthology. New York, NY, United States of America: Oxford University Press USA. pp. 519-522.
Against autonomy: justifying coercive paternalism.Sarah Conly - 2012 - Journal of Medical Ethics 40 (5):349-349.
Legal Paternalism.Joel Feinberg - 1971 - Canadian Journal of Philosophy 1 (1):105 - 124.

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