Decision-making capacity in rehabilitation psychology practice: Historical, contemporary, and future perspectives.

IF 1.7 4区医学 Q3 PSYCHOLOGY, CLINICAL Rehabilitation Psychology Pub Date : 2025-01-13 DOI:10.1037/rep0000604

Kathleen T Bechtold, James W Mikesell

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Abstract

Purpose: This article will review the historical underpinnings of informed consent and decisional capacity, current practices, and potential evolving future modifications or elaborations of decision-making practices in clinical settings.

Method: Ethical and legal foundations for informed consent for health care are reviewed. Contemporary issues with decision making, clinical capacity, and proxy decision making in rehabilitation psychology practice are discussed with a specific focus on health care decision making.

Conclusions: As a subspecialist in psychology, a rehabilitation psychologist necessarily seeks to incorporate a working knowledge of its historical anchors while simultaneously seeking changes sensitive to honoring and advocating for the rights of the individuals whom they serve. The contributions of the disability rights movement have been immeasurable in ensuring that those most impacted with potential challenges to their right to self-determine their choices across a wide range of psycholegal issues are safeguarded. As rehabilitation psychologists, we must remain steadfast stewards and constructive supporters of those under our care through protecting and advocating for their rights. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

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康复心理学实践中的决策能力：历史、当代和未来的观点。

目的：本文将回顾知情同意和决策能力的历史基础，当前的实践，以及临床环境中决策实践的潜在演变或阐述。方法：回顾卫生保健知情同意的伦理和法律基础。当代问题与决策，临床能力和代理决策在康复心理学实践讨论与卫生保健决策的具体重点。结论：作为心理学的一个分支专家，康复心理学家必须寻求将其历史锚的工作知识纳入其中，同时寻求敏感的变化，以尊重和倡导他们所服务的个人的权利。残疾人权利运动的贡献是不可估量的，它确保了那些受影响最严重的人在各种心理问题上的自我决定选择权受到潜在挑战的权利得到保障。作为康复心理学家，我们必须通过保护和倡导他们的权利，成为我们所照顾的人的坚定管家和建设性支持者。（PsycInfo Database Record (c) 2025 APA，版权所有）。

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来源期刊

Rehabilitation Psychology Multiple-

CiteScore

4.80

自引率

7.40%

发文量

期刊介绍： Rehabilitation Psychology is a quarterly peer-reviewed journal that publishes articles in furtherance of the mission of Division 22 (Rehabilitation Psychology) of the American Psychological Association and to advance the science and practice of rehabilitation psychology. Rehabilitation psychologists consider the entire network of biological, psychological, social, environmental, and political factors that affect the functioning of persons with disabilities or chronic illness. Given the breadth of rehabilitation psychology, the journal"s scope is broadly defined.