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International Journal of Mental Health and Addiction

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01-04-2020 | Original Article

An Exploration of the Relational Autonomy of People with Substance Use Disorders: Constraints and Limitations

Authors: Rozilaine Redi Lago, Cláudia Maria Bógus, Elizabeth Peter

Published in: International Journal of Mental Health and Addiction | Issue 2/2020

Abstract

The concept of relational autonomy was used to investigate how people with substance use disorders (SUDs) exercise their autonomy when using mental health services, according to stakeholders’ perspectives. A qualitative study, using a critical approach, was conducted with participants from a mental health service facility. We performed in-depth individual and group interviews with 15 participants, conducted observations, and analyzed patients’ records and service reports. People with SUDs’ autonomy were constrained by three relational dimensions: (a) the broader social context of coercion and its influence on the values and attitudes of stakeholders; (b) the oppressive systems and structures within the treatment setting; and (c) the limited personal capacity to exercise autonomy in people with SUDs. This work revealed the multidimensionality of people with SUDs’ limitations in exercising their autonomy within a mental health care setting. An understanding of autonomy as relational could promote reflection and stimulate innovation when approaching patients within these facilities.

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Title: An Exploration of the Relational Autonomy of People with Substance Use Disorders: Constraints and Limitations
Authors: Rozilaine Redi Lago
Cláudia Maria Bógus
Elizabeth Peter
Publication date: 01-04-2020
Publisher: Springer US
Published in: International Journal of Mental Health and Addiction / Issue 2/2020
Print ISSN: 1557-1874
Electronic ISSN: 1557-1882
DOI: https://doi.org/10.1007/s11469-018-9957-x

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An Exploration of the Relational Autonomy of People with Substance Use Disorders: Constraints and Limitations

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