Literature DB >> 20526466

To empower or to protect? Constructing the 'vulnerable adult' in English law and public policy.

Michael C Dunn, Isabel C H Clare, Anthony J Holland.   

Abstract

Recent judgments in England and Wales have confirmed and extended the High Court's inherent jurisdiction to make declarations about interventions into the lives of 'vulnerable', rather than simply 'mentally incapacitated' adults. We argue that this shift is problematic because of the ways that the 'vulnerable adult' has been constructed in order to justify such interventions. The accounts of vulnerability drawn upon in the constructive process highlight the person's inherent characteristics and/or the circumstances within which that person might be denied the ability to make a free choice. Such an approach parallels the public policy protection of 'vulnerable adults' from abuse in care services and the statutory protection of 'vulnerable witnesses' in the criminal justice system, and is built on an external and objective assessment of being 'at risk', rather than an understanding of the subjective experience of being vulnerable. We argue that this imbalance might act to disempower the 'vulnerable adult' by reducing that person's life to a series of risk factors that fail, first, to place him/her at the heart of the decision to intervene, and, secondly, to engage adequately with the experiences through which that person ascribes meaning to his/her life.

Entities:  

Year:  2008        PMID: 20526466      PMCID: PMC2880439          DOI: 10.1111/j.1748-121X.2008.00085.x

Source DB:  PubMed          Journal:  Leg Stud (Soc Leg Scholars)        ISSN: 0261-3875


  9 in total

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Journal:  Age Ageing       Date:  2001-03       Impact factor: 10.668

Review 2.  New perspectives on vulnerability using emic and etic approaches.

Authors:  J Spiers
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3.  Adult protection legislation in Canada. Models, issues, and problems.

Authors:  R M Gordon
Journal:  Int J Law Psychiatry       Date:  2001 Mar-Jun

4.  Transforming vulnerability.

Authors:  Patricia S Jones; Xinwei Esther Zhang; Afaf I Meleis
Journal:  West J Nurs Res       Date:  2003-11       Impact factor: 1.967

5.  What does vulnerability mean?

Authors:  Barry Hoffmaster
Journal:  Hastings Cent Rep       Date:  2006 Mar-Apr       Impact factor: 2.683

6.  Towards an understanding of nursing as a response to human vulnerability.

Authors:  Derek Sellman
Journal:  Nurs Philos       Date:  2005-01       Impact factor: 1.279

Review 7.  Compounding vulnerability: pregnancy and schizophrenia.

Authors:  Denise M Dudzinski
Journal:  Am J Bioeth       Date:  2006 Mar-Apr       Impact factor: 11.229

8.  Self-transcendence and well-being in homeless adults.

Authors:  Jennifer J Runquist; Pamela G Reed
Journal:  J Holist Nurs       Date:  2007-03

9.  Associations between the impact of terrorism and health perceptions of patients.

Authors:  Paul Haidet; Kimberly J O'Malley; Barbara F Sharf; Alicia P Gladney; Anh N Tran; Anthony J Greisinger; Carol M Ashton; Richard L Street
Journal:  Int J Psychiatry Med       Date:  2005       Impact factor: 1.210

  9 in total
  4 in total

1.  Evaluating medico-legal decisional competency criteria.

Authors:  Demian Whiting
Journal:  Health Care Anal       Date:  2015-06

2.  AUTONOMY, LIBERTY, AND MEDICAL DECISION-MAKING.

Authors:  John Coggon; José Miola
Journal:  Camb Law J       Date:  2011-11

3.  Taking Wishes and Feelings Seriously: The Views of People Lacking Capacity in Court of Protection Decision-Making.

Authors:  Nell Munro
Journal:  J Soc Welf Fam Law       Date:  2014-03

4.  Ensuring Risk Awareness of Vulnerable Patients in the Post-Montgomery Era: Treading a Fine Line.

Authors:  Sandip Talukdar
Journal:  Health Care Anal       Date:  2020-09
  4 in total

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