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Self-determination and elder abuse do we know enough?

L René Bergeron1

  • 1Department of Social Work, University of New Hampshire, Durham, USA.

Journal of Gerontological Social Work
|June 29, 2006
PubMed
Summary

This study challenges the oversimplified application of self-determination for elder abuse victims, arguing it can enable dangerous choices. Professionals must balance autonomy with protection in elder abuse cases.

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Ethical dilemmas of reporting suspected elder abuse.

Social work·2003
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Area of Science:

  • Gerontology
  • Social Work Ethics
  • Legal Aspects of Elder Care

Background:

  • Elder abuse and neglect present complex ethical challenges for professionals.
  • The principle of self-determination is often applied in elder protection cases.
  • Existing literature may oversimplify the concepts of self-determination and competency.

Purpose of the Study:

  • To explore the application of self-determination for victims of elder abuse and neglect.
  • To challenge the interpretation of self-determination as an absolute right to refuse intervention.
  • To examine factors influencing professional interpretation of self-determination in elder abuse cases.

Main Methods:

  • Analysis of newspaper accounts related to elder abuse.
  • Review of case files from professional practice and consulting.
  • Exploration of factors influencing professional judgment regarding self-determination.

Main Results:

  • The principle of self-determination can be misused, allowing victims to remain in life-threatening situations.
  • Competency and self-determination are often oversimplified in social work and elder abuse literature.
  • Adult Protection Service workers require careful consideration of these principles.

Conclusions:

  • Self-determination and competency require nuanced application in elder abuse interventions.
  • A shared professional responsibility exists to protect older adults from abuse and neglect.
  • Creative interventions and service development are crucial for elder protection.

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