Psychosocial care and patient autonomy: a feminist argument in support of a "meaning-making" intervention

Abstract

Recent studies in psychosocial oncology that seek to address the social, psychological, emotional, spiritual, quality of life, and functional impacts of cancer, report positive findings for meaning-making interventions designed to help cancer patients cope with their illness experience. These interventions are successful in decreasing depression among cancer patients and increasing life satisfaction, self-esteem, coping, physical functioning, and optimism. Yet, despite these positive findings meaning-making interventions and, more generally psychosocial care, are not well integrated into hospital or healthcare organization routine cancer patient care.This thesis explores practical, theoretical, and bioethical barriers to integrating psychosocial care, focusing primarily on the latter considerations. I will argue that meaning-making interventions fall within the bounds of healthcare professionals’ capacities and duty to care, more to the point, as necessary for quality cancer patient care. The bioethical principle of respect for autonomy, when reconsidered from a feminist standpoint, morally requires the intervention’s inclusion in routine care.

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References found in this work

Principles of biomedical ethics.Tom L. Beauchamp - 1994 - New York: Oxford University Press. Edited by James F. Childress.
Necessity, Volition, and Love.Harry G. Frankfurt - 1998 - New York: Cambridge University Press.
No longer patient: feminist ethics and health care.Susan Sherwin - 1992 - Philadelphia: Temple University Press.
Autonomy, gender, politics.Marilyn Friedman - 2003 - New York: Oxford University Press.

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