Invited Public Lecture, “Psychiatric Advance Directives: Between Paternalism and Autonomy,” Ethics Grand Rounds, Grand River Hospital, Kitchener (Ontario), June 17, 2014.
In this talk I take up the claim that psychiatric advance directives pose difficulties due to competing ethics: paternalism vs. autonomy. Conversely, I contend that this ethical divide is a false dichotomy. I argue that we need to think of autonomy more broadly—as consonant with paternalism. Indeed, autonomy is the capability to transform one’s possibilities and capacities which may (or may not) be shaped by health care professionals.