Reconsidering the 'self' in self-management of chronic illness: Lessons from relational autonomy.
Identifieur interne : 000452 ( Main/Exploration ); précédent : 000451; suivant : 000453Reconsidering the 'self' in self-management of chronic illness: Lessons from relational autonomy.
Auteurs : Lydia Ould Brahim [Canada]Source :
- Nursing inquiry [ 1440-1800 ] ; 2019.
Descripteurs français
- KwdFr :
- MESH :
- psychologie : Gestion de soi, Maladie chronique.
- thérapie : Maladie chronique.
- Féminisme, Humains, Moi.
English descriptors
- KwdEn :
- MESH :
- psychology : Chronic Disease, Self-Management.
- therapy : Chronic Disease.
- Ego, Feminism, Humans, Relational Autonomy.
Abstract
Self-management is often presented as a panacea for chronic disease care. It plays an important role at the policy level and increasingly guides the delivery of health care services. Self-management approaches to care are founded on traditional individualistic views of autonomy in which the patient is understood as being independent, rational, self-interested, and self-governing. This conceptualization of autonomy has been challenged, particularly by feminist scholars. In this paper I review predominant critiques of self-management and the traditional individualistic view of autonomy. I propose that a relational approach to autonomy, which is premised on social embeddedness and attends to social, political, and material conditions, is a more sound conception of autonomy capable of taking into consideration the complexities of illness experiences. I suggest that integrating a relational perspective of autonomy into self-management will be valuable in guiding its progression and elaborate ways in which self-management research and practice could benefit from incorporating a relational approach to autonomy.
DOI: 10.1111/nin.12292
PubMed: 31020781
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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<front><div type="abstract" xml:lang="en">Self-management is often presented as a panacea for chronic disease care. It plays an important role at the policy level and increasingly guides the delivery of health care services. Self-management approaches to care are founded on traditional individualistic views of autonomy in which the patient is understood as being independent, rational, self-interested, and self-governing. This conceptualization of autonomy has been challenged, particularly by feminist scholars. In this paper I review predominant critiques of self-management and the traditional individualistic view of autonomy. I propose that a relational approach to autonomy, which is premised on social embeddedness and attends to social, political, and material conditions, is a more sound conception of autonomy capable of taking into consideration the complexities of illness experiences. I suggest that integrating a relational perspective of autonomy into self-management will be valuable in guiding its progression and elaborate ways in which self-management research and practice could benefit from incorporating a relational approach to autonomy.</div>
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<CopyrightInformation>© 2019 John Wiley & Sons Ltd.</CopyrightInformation>
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