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Democracy and dilemmas of self‐determination

Bibliographic Data

ID12312281
AuthorsKristina Karlsson (Linköping University, corresponding author), Claes Nilholm (0000-0001-8613-906X, Örebro University)
Year2006
Volume21
Issue2
Pages193-207
Publication date2006-03-01
Open AccessNo
TypeARTICLE
VenueDisability & Society (JOURNAL)
Journal identifiersISSN: 0968-7599 • E-ISSN: 1360-0508
PublisherTaylor & Francis (PUBLISHER • GB)
DOI10.1080/09687590500498267
OpenAlexW2081262083
LanguageEN
Citations received2
References cited13

Results from analyses of interactions in ‘user‐centred’ meetings within the Swedish rehabilitation sector are reported. Transcripts of team meetings are used to discern situations in which dilemmas of self‐determination versus paternalism may possibly need to be treated when the ‘user’ with impairment is to exercise his/her social citizenship. The analyses illustrate how the liberal ideal of self‐determination makes certain demands on the ‘user’. These demands are categorised as ‘physical presence’, ‘interpretable voice’, ‘purposeful voice’, ‘sincere voice’ and ‘realisable voice’. It is argued that dilemmas of self‐determination are impossible to avoid completely. To deal with the complexity of implementing self‐determination, it is important to try to adjust the preparations and the organisation of the meetings, increase user control of services provided, combine individualised support with collective and political action, and allow expressions of different models of democracy. The possibility of appreciating interdependence and justifying paternalistic actions also needs to be acknowledged

Action (physics · Citizenship · Collective action · Control (management · Democracy · Ideal (ethics · Law and economics · Paternalism · Political science · Politics · Public relations · Self-determination · Social dilemma · Sociology · Computer Science · Law · Mental Health and Patient Involvement · Psychology · Social Psychology · Social Sciences and Governance · Artificial Intelligence

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  • Whose body is it anyway? Verbalization, embodiment, and the creation of narratives

    Open Access•Eleonor Antelius•Health An Interdisciplinary…•2009

  • Citizenship and Social Class

    T H Marshall, Tom Bottomore•Citizenship and Social Class•1987

  • Democracy and Its Critics

    Carlo Invernizzi Accetti•Excellence and Leadership in a…•1962

  • Modernity and Self-Identity

    Anthony Giddens•New Social Theory Reader•2020

  • The Politics of Disablement

    Open Access•Michael Oliver, M H Oliver et al.•The Politics of Disablement…•1990

  • The struggle for citizenship

    Len Barton•Disability Handicap & Society•1993

  • Improving service approaches and outcomes for people with complex needs through consultation and involvement

    L Clare, Sylvia Cox et al.•Disability & Society•2003

Citations per year0.11
Citation span2007 - 2009 (3)
Highly citedNo

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