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  1.  22
    Authenticity and Psychiatric Disorder: Does Autonomy of Personal Preferences Matter? [REVIEW]Manne Sjöstrand & Niklas Juth - 2014 - Medicine, Health Care and Philosophy 17 (1):115-122.
    In healthcare ethics there is a discussion regarding whether autonomy of personal preferences, what sometimes is referred to as authenticity, is necessary for autonomous decision-making. It has been argued that patients’ decisions that lack sufficient authenticity could be deemed as non-autonomous and be justifiably overruled by healthcare staff. The present paper discusses this issue in relation certain psychiatric disorders. It takes its starting point in recent qualitative studies of the experiences and thoughts of patients’ with anorexia nervosa where issues related (...)
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  2.  35
    Paternalism in the Name of Autonomy.Manne Sjöstrand, Stefan Eriksson, Niklas Juth & Gert Helgesson - 2013 - Journal of Medicine and Philosophy 38 (6):jht049.
    Different ideas of the normative relevance of autonomy can give rise to profoundly different action-guiding principles in healthcare. If autonomy is seen as a value rather than as a right, it can be argued that patients’ decisions should sometimes be overruled in order to protect or promote their own autonomy. We refer to this as paternalism in the name of autonomy. In this paper, we discuss different elements of autonomy (decision-making capacity, efficiency, and authenticity) and arguments in favor of paternalism (...)
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  3.  5
    Skepticism Towards the Swedish Vision Zero for Suicide: Interviews with 12 Psychiatrists.Petter Karlsson, Gert Helgesson, David Titelman, Manne Sjöstrand & Niklas Juth - 2018 - BMC Medical Ethics 19 (1):26.
    The main causes of suicide and how suicide could and should be prevented are ongoing controversies in the scientific literature as well as in public media. In the bill on public health from 2008, the Swedish Parliament adopted an overarching “Vision Zero for Suicide” and nine strategies for suicide prevention. However, how the VZ should be interpreted in healthcare is unclear. The VZ has been criticized both from a philosophical perspective and against the background of clinical experience and alleged empirical (...)
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  4.  19
    Ethical Deliberations About Involuntary Treatment: Interviews with Swedish Psychiatrists.Manne Sjöstrand, Lars Sandman, Petter Karlsson, Gert Helgesson, Stefan Eriksson & Niklas Juth - 2015 - BMC Medical Ethics 16 (1):1-12.
    BackgroundInvoluntary treatment is a key issue in healthcare ethics. In this study, ethical issues relating to involuntary psychiatric treatment are investigated through interviews with Swedish psychiatrists.MethodsIn-depth interviews were conducted with eight Swedish psychiatrists, focusing on their experiences of and views on compulsory treatment. In relation to this, issues about patient autonomy were also discussed. The interviews were analysed using a descriptive qualitative approach.ResultsThe answers focus on two main aspects of compulsory treatment. Firstly, deliberations about when and why it was justifiable (...)
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  5.  48
    Coercive Treatment and Autonomy in Psychiatry.Manne Sjöstrand & Gert Helgesson - 2008 - Bioethics 22 (2):113–120.
  6. Autonomy-Based Arguments Against Physician-Assisted Suicide and Euthanasia: A Critique. [REVIEW]Manne Sjöstrand, Gert Helgesson, Stefan Eriksson & Niklas Juth - 2013 - Medicine, Health Care and Philosophy 16 (2):225-230.
    Respect for autonomy is typically considered a key reason for allowing physician assisted suicide and euthanasia. However, several recent papers have claimed this to be grounded in a misconception of the normative relevance of autonomy. It has been argued that autonomy is properly conceived of as a value, and that this makes assisted suicide as well as euthanasia wrong, since they destroy the autonomy of the patient. This paper evaluates this line of reasoning by investigating the conception of valuable autonomy. (...)
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  7.  10
    Conceptions of Decision-Making Capacity in Psychiatry: Interviews with Swedish Psychiatrists.Manne Sjöstrand, Petter Karlsson, Lars Sandman, Gert Helgesson, Stefan Eriksson & Niklas Juth - 2015 - BMC Medical Ethics 16 (1):34.
    Decision-making capacity is a key concept in contemporary healthcare ethics. Previous research has mainly focused on philosophical, conceptual issues or on evaluation of different tools for assessing patients’ capacity. The aim of the present study is to investigate how the concept and its normative role are understood in Swedish psychiatric care. Of special interest for present purposes are the relationships between decisional capacity and psychiatric disorders and between health law and practical ethics.
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  8.  8
    Self‐Admission in Psychiatry: The Ethics.Mattias Strand & Manne Sjöstrand - 2019 - Bioethics 33 (1):132-137.
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  9.  5
    Towards a Palliative Care Approach in Psychiatry: Do We Need a New Definition?Anna Lindblad, Gert Helgesson & Manne Sjöstrand - 2019 - Journal of Medical Ethics 45 (1):26-30.
    Psychiatry today is mainly practised within a curative framework. However, many mental disorders are persistent and negatively affect quality of life as well as life expectancy. This tension between treatment goals and the actual illness trajectory has evoked a growing academic interest in ‘palliative psychiatry’, namely the application of a palliative care approach in patients with severe persistent mental illness. Recently, Trachsel et al presented a working definition of palliative psychiatry. This first official attempt to capture the concept is based (...)
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  10. Adding Lithium to Drinking Water for Suicide Prevention—The Ethics.Jared Ng, Manne Sjöstrand & Nir Eyal - forthcoming - Public Health Ethics:phz002.
    Recent observations associate naturally occurring trace levels of Lithium in ground water with significantly lower suicide rates. It has been suggested that adding trace Lithium to drinking water could be a safe and effective way to reduce suicide. This article discusses the many ethical implications of such population-wide Lithium medication. It compares this policy to more targeted solutions that introduce trace amounts of Lithium to groups at higher risk of suicide or lower risk of adverse effects. The question of mass (...)
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