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The ethical imperative to honor autistic clients’ autonomy in mental health treatment

Bibliographic Data

ID15529635
AuthorsAlana J McVey (0000-0001-7651-8541, Seattle Children's Hospital, corresponding author), Katherine Jo Glaves (Antioch University Seattle), Samantha Seaver (0009-0007-0722-2705, Seattle Children's Hospital), Karís Casagrande (0000-0002-2996-3324, Seattle Children's Hospital), Karís A Casagrande
Year2023
Volume14
Pages1259025-1259025
Publication date2023-09-25
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Psychiatry (JOURNAL)
Journal identifiersISSN: 1664-0640 • E-ISSN: 1664-0640
PublisherFrontiers Media (PUBLISHER • CH)
DOI10.3389/fpsyt.2023.1259025
PMID37817832
OpenAlexW4387058860
LanguageEN
Citations received4
References cited17

Autistic adolescents and adults commonly experience mental health concerns; however, mental health clinicians may hold implicit stigmatizing views of autism that contribute to case conceptualization and treatment goal setting that align more with caregivers' than clients' goals. This impingement on client autonomy is concerning, problematic, and potentially harmful for autistic clients who are of an age to set their own treatment agenda regardless of co-occurring intellectual disability and/or language delays. An application of the shared decision-making framework, an evidence-based tool for promoting client autonomy, can help to avoid these challenges in treatment. In this perspective, we use a case vignette as an anchor for discussing the imperative of honoring autistic clients' autonomy in mental health treatment and guiding shared decision-making to reduce stigma, promote autonomy, and increase collaborative care for autistic clients in mental health treatment

Autism · Autonomy · Conceptualization · Honor · Mental health · Psychiatry · Psychotherapist · Set (abstract data type · Vignette · Ethics and Legal Issues in Pediatric Healthcare · Healthcare Decision-Making and Restraints · Patient-Provider Communication in Healthcare · Psychology · Social Psychology

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Unique citing works4
Citations per year4
Citation span2025 - 2025 (1)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 4

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