Otonomi VS Paternalisme: Pengambilan Keputusan Medis pada Pasien dengan Skizofrenia

  • Liauw Djai Yen Faculty of Medicine and Health Sciences, Krida Wacana Christian University, Jakarta, Indonesia
  • Vionita Simanjuntak Departemen Forensik dan Medikolegal, Rumah Sakit Umum Kabupaten Tangerang, Banten, Indonesia
  • Danadipa Yoga Mahardika Faculty of Medicine and Health Sciences, Atma Jaya Catholic University of Indonesia
  • Felicia Cynthiadewi Yantoro Faculty of Medicine and Health Sciences, Atma Jaya Catholic University of Indonesia
  • Kezia Adelize Aurelia Junus Faculty of Medicine and Health Sciences, Atma Jaya Catholic University of Indonesia
  • Richard Wijaya Faculty of Medicine and Health Sciences, Atma Jaya Catholic University of Indonesia
  • Kezia Nathania Limbong Allo Faculty of Medicine and Health Sciences, Atma Jaya Catholic University of Indonesia
  • Patricia Michelle Lukito Faculty of Medicine and Health Sciences, Atma Jaya Catholic University of Indonesia
  • Anna Sakurai Dananjaya Faculty of Medicine and Health Sciences, Atma Jaya Catholic University of Indonesia
  • Yurike Wijaya Faculty of Medicine and Health Sciences, Atma Jaya Catholic University of Indonesia
  • James Sugiarto Faculty of Medicine and Health Sciences, Atma Jaya Catholic University of Indonesia
  • Danadipa Yoga Mahardika Faculty of Medicine and Health Sciences, Atma Jaya Catholic University of Indonesia
  • Alicia Gani Faculty of Medicine and Health Sciences, Atma Jaya Catholic University of Indonesia

Abstract

Background: Balance between autonomy and paternalism in the context of decision making of individuals with schizophrenia is a complicated and ethical problem. Collaboration between healthcare workers, family members, and individuals with schizophrenia is crucial to ensure decision made is for the individual’s best interest whilst upholding their dignity and rights.


Methods: This is a literature review study. References used are literature from journal articles, law texts, and other textbooks in Indonesian and English.


Results and Discussion: In clinical practice, doctors and patients both have autonomy to make the best decision. In patients with schizophrenia, autonomy conflicts with paternalism due to errors in cognitive function and decision making. Some studies have shown that schizophrenia patients can increase their understanding through information repetition, or by using improved information delivery procedures. Loss of capacity of decision making in patients with schizophrenia is temporary and can recover with time. 


Conclusion: It is important to find balance between autonomy and paternalism in medical practice. Doctors need to give clear information to patients, discussing benefits, downfalls, and risks from a certain procedure, respecting patient preference. However, doctors also have the responsibility to use their clinical judgement to give the best medical outcomes for patients.

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Author Biography

Patricia Michelle Lukito, Faculty of Medicine and Health Sciences, Atma Jaya Catholic University of Indonesia

References

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Published
2024-01-05
How to Cite
YEN, Liauw Djai et al. Otonomi VS Paternalisme: Pengambilan Keputusan Medis pada Pasien dengan Skizofrenia. Indonesian Journal of Legal and Forensic Sciences (IJLFS), [S.l.], v. 13, n. 2, p. 78 - 87, jan. 2024. ISSN 2657-0815. Available at: <https://ojs.unud.ac.id/index.php/ijlfs/article/view/103243>. Date accessed: 05 nov. 2024. doi: https://doi.org/10.24843/IJLFS.2023.v13.i02.p02.