<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2594-2166</journal-id>
<journal-title><![CDATA[Medicina y ética]]></journal-title>
<abbrev-journal-title><![CDATA[Med. ética]]></abbrev-journal-title>
<issn>2594-2166</issn>
<publisher>
<publisher-name><![CDATA[Universidad Anáhuac México, Facultad de Bioética]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2594-21662021000401087</article-id>
<article-id pub-id-type="doi">10.36105/mye.2021v32n4.05</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Toma de decisiones compartidas en salud mental: una propuesta novedosa]]></article-title>
<article-title xml:lang="en"><![CDATA[Shared decision-making in mental health: a novel proposal]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Buedo]]></surname>
<given-names><![CDATA[Paola]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Luna]]></surname>
<given-names><![CDATA[Florencia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Facultad Latinoamericana de Ciencias Sociales  ]]></institution>
<addr-line><![CDATA[Buenos Aires ]]></addr-line>
<country>Argentina</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Facultad Latinoamericana de Ciencias Sociales  ]]></institution>
<addr-line><![CDATA[Buenos Aires ]]></addr-line>
<country>Argentina</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2021</year>
</pub-date>
<volume>32</volume>
<numero>4</numero>
<fpage>1087</fpage>
<lpage>1133</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2594-21662021000401087&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2594-21662021000401087&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2594-21662021000401087&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen El sistema de salud tiende a subestimar la capacidad de las personas con padecimientos mentales para tomar decisiones, caracterizándolas como vulnerables y adoptando una actitud estigmatizadora frente a esta vulnerabilidad. Por lo tanto, su autonomía, en el sentido clásico del término, se reduce o anula. Otra forma de responder a la vulnerabilidad es promoviendo la autonomía, concibiéndola como contextual y de una manera relacional. Esto podría ser beneficioso para las personas con sufrimiento mental, porque permite analizar qué condiciones podrían mejorar o dañar el ejercicio de la autonomía y considerar la ayuda de los demás en la toma de decisiones. El proceso de toma de decisiones compartidas es una forma de colaboración entre profesionales, pacientes y/o miembros de la familia, en el que la evidencia disponible se comparte con el paciente y se contextualiza cuando se enfrenta a la tarea de tomar decisiones en el entorno médico.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract The health system tends to underestimate the ability to make decisions of people with mental illnesses, characterizing them as vulnerable and adopting a stigmatizing attitude towards this vulnerability. Therefore, their autonomy, in the classical sense of the term, is reduced or nullified. Another way to respond to vulnerability is by promoting autonomy, conceiving it as contextual and autonomy in a relational way. This could be beneficial for people with mental suffering because it allows analyzing what conditions could improve or harm the exercise of autonomy and consider the help of others in decision-making. The shared decision-making process is a form of collaboration between professionals, patients and/or family members, in which the available evidence is shared with the patient and contextualized when faced with the task of making decisions in the medical environment.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[salud mental]]></kwd>
<kwd lng="es"><![CDATA[toma de decisiones conjunta]]></kwd>
<kwd lng="es"><![CDATA[autonomía relacional]]></kwd>
<kwd lng="es"><![CDATA[vulnerabilidad en salud]]></kwd>
<kwd lng="es"><![CDATA[estigma social]]></kwd>
<kwd lng="en"><![CDATA[Mental health]]></kwd>
<kwd lng="en"><![CDATA[joint decision making]]></kwd>
<kwd lng="en"><![CDATA[relational autonomy]]></kwd>
<kwd lng="en"><![CDATA[health vulnerability]]></kwd>
<kwd lng="en"><![CDATA[social stigma]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[De las Cuevas]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Peñate]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
<name>
<surname><![CDATA[de Rivera]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Psychiatric patients preferences andexperiences in clinical decision-making: Examining concordance and correlates of patients preferences]]></article-title>
<source><![CDATA[Patient Education and Counseling]]></source>
<year>2014</year>
<volume>96</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>222-8</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Stagnaro]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Algunos problemas de la psiquiatría contemporánea analizadosdesde la perspectiva bioética]]></article-title>
<source><![CDATA[Vertex Revista Argentina de Psiquiatría]]></source>
<year>2007</year>
<volume>18</volume>
<page-range>376-81</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Olofsson]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Jacobsson]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A plea for respect: Involuntary hospitalized psychiatricpatients narratives about being subjected to coercion]]></article-title>
<source><![CDATA[Journal of Psychiatric and Mental Health Nursing]]></source>
<year>2001</year>
<volume>8</volume>
<page-range>357-66</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hernández Figaredo]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Psiquiatría y ética médica]]></article-title>
<source><![CDATA[Humanidades Médicas]]></source>
<year>2007</year>
<volume>7</volume>
<numero>2</numero>
<issue>2</issue>
</nlm-citation>
</ref>
<ref id="B5">
<label>5.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mascayano Tapia]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Lips Castro]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
<name>
<surname><![CDATA[Mena Poblete]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Manchego Soza]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Estigma hacia los trastornos mentales: características e intervenciones]]></article-title>
<source><![CDATA[Salud Mental]]></source>
<year>2015</year>
<volume>38</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>53-8</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ben-Zeev]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Young]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Corrigan]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[DSM-V and the stigma of mental illness]]></article-title>
<source><![CDATA[Journal of Mental Health]]></source>
<year>2010</year>
<volume>19</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>318-27</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Corrigan]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Kerr]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Knudsen]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The stigma of mental illness: Explanatory models and methods for change]]></article-title>
<source><![CDATA[Applied and Preventive Psychology]]></source>
<year>2005</year>
<volume>11</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>179-90</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Castro]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Estigma y enfermedad mental: un punto de vista histórico-social]]></article-title>
<source><![CDATA[Revista de Psiquiatría y Salud Mental Hermilio Valdizán]]></source>
<year>2005</year>
<volume>6</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>33-42</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Link]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Phelan]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Conceptualizing stigma]]></article-title>
<source><![CDATA[Annual Review of Sociology]]></source>
<year>2001</year>
<volume>27</volume>
<page-range>363-85</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Slade]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Implementing shared decision making in routine mental health care]]></article-title>
<source><![CDATA[World Psychiatry]]></source>
<year>2017</year>
<volume>16</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>146-53</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11.</label><nlm-citation citation-type="">
<collab>Organización Mundial de la Salud</collab>
<source><![CDATA[Mental health: Central to human development]]></source>
<year>2010</year>
</nlm-citation>
</ref>
<ref id="B12">
<label>12.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Nott]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Shared decision-making in psychiatry: A study of patient attitudes]]></article-title>
<source><![CDATA[Australasian Psychiatry]]></source>
<year>2018</year>
<volume>25</volume>
<numero>6</numero>
<issue>6</issue>
</nlm-citation>
</ref>
<ref id="B13">
<label>13.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hamann]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Leucht]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Kissling]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Shared decision making in psychiatry]]></article-title>
<source><![CDATA[Acta Psychiatrica Scandinavica]]></source>
<year>2003</year>
<volume>107</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>403-9</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14.</label><nlm-citation citation-type="">
<collab>NHS England</collab>
<source><![CDATA[]]></source>
<year>2019</year>
</nlm-citation>
</ref>
<ref id="B15">
<label>15.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Barani]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Kopitowski]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Toma de decisiones compartidas: centrando los cuidados médicos realmente en nuestros pacientes]]></article-title>
<source><![CDATA[Rev. Hosp. Ital. B. Aires.]]></source>
<year>2013</year>
<volume>33</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>60-4</page-range></nlm-citation>
</ref>
<ref id="B16">
<label>16.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Elwyn]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Shared decision making: A model for clinical practice]]></article-title>
<source><![CDATA[Journal of General Internal Medicine]]></source>
<year>2012</year>
<volume>27</volume>
<numero>10</numero>
<issue>10</issue>
<page-range>1361-7</page-range></nlm-citation>
</ref>
<ref id="B17">
<label>17.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Christman]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Relational autonomy, liberal individualism, and the social constitution of selves. Philosophical Studies]]></article-title>
<source><![CDATA[An International Journal for Philosophy in the Analytic Tradition]]></source>
<year>2004</year>
<volume>117</volume>
<numero>1/2</numero>
<issue>1/2</issue>
<page-range>143-64</page-range></nlm-citation>
</ref>
<ref id="B18">
<label>18.</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Childress]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[El lugar de la autonomía en la bioética]]></article-title>
<person-group person-group-type="editor">
<name>
<surname><![CDATA[Luna]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Salles]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<source><![CDATA[Bioética. Investigación, muerte, procreación y otros temas de ética aplicada]]></source>
<year>1998</year>
<publisher-loc><![CDATA[Buenos Aires ]]></publisher-loc>
<publisher-name><![CDATA[Editorial Sudamericana]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B19">
<label>19.</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Beauchamp]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Childress]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<source><![CDATA[Principles of Biomedical Ethics]]></source>
<year>2009</year>
<publisher-loc><![CDATA[New York ]]></publisher-loc>
<publisher-name><![CDATA[Oxford University Press]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B20">
<label>20.</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Butler]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<source><![CDATA[Dar cuenta de sí mismo. Violencia ética y responsabilidad]]></source>
<year>2009</year>
<publisher-loc><![CDATA[Buenos Aires ]]></publisher-loc>
<publisher-name><![CDATA[Amorrortu]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B21">
<label>21.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Nedelsky]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Reconceiving rights as relationship]]></article-title>
<source><![CDATA[Review of Constitutional Studies]]></source>
<year>1993</year>
<volume>1</volume>
<numero>1</numero>
<issue>1</issue>
</nlm-citation>
</ref>
<ref id="B22">
<label>22.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ells]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Hunt]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Chambers-Evans]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Relational autonomy as an essential component of patient-centered care]]></article-title>
<source><![CDATA[International Journal of Feminist Approaches to Bioethics]]></source>
<year>2011</year>
<volume>4</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>79-101</page-range></nlm-citation>
</ref>
<ref id="B23">
<label>23.</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Salles]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Enfoques éticos alternativos]]></article-title>
<person-group person-group-type="editor">
<name>
<surname><![CDATA[Luna]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Salles]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<source><![CDATA[Bioética: nuevas reflexiones sobre debates clásicos]]></source>
<year>2008</year>
<page-range>92-8</page-range><publisher-loc><![CDATA[Buenos Aires ]]></publisher-loc>
<publisher-name><![CDATA[Fondo de Cultura Económica]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B24">
<label>24.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mackenzie]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Feminist innovation in philosophy: Relational autonomy and social justice]]></article-title>
<source><![CDATA[Women&#8217;s Studies International Forum]]></source>
<year>2019</year>
<volume>72</volume>
<page-range>144-51</page-range></nlm-citation>
</ref>
<ref id="B25">
<label>25.</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pichón-Riviere]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<source><![CDATA[El proceso grupal. Del psicoanálisis a la psicología social]]></source>
<year>2012</year>
<publisher-loc><![CDATA[Buenos Aires ]]></publisher-loc>
<publisher-name><![CDATA[Editorial Nueva Visión]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B26">
<label>26.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Galende]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Ardila]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[El concepto de comunidad en la salud mental comunitaria]]></article-title>
<source><![CDATA[Revista Salud Mental y Comunidad]]></source>
<year>2011</year>
</nlm-citation>
</ref>
<ref id="B27">
<label>27.</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bleichmar]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<source><![CDATA[La construcción del sujeto ético]]></source>
<year>2011</year>
<publisher-loc><![CDATA[Buenos Aires ]]></publisher-loc>
<publisher-name><![CDATA[Editorial Paidós]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B28">
<label>28.</label><nlm-citation citation-type="">
<collab>Organización Mundial de la Salud</collab>
<source><![CDATA[Mental health and development: Targeting people with mental health conditions as a vulnerable group]]></source>
<year>2010</year>
</nlm-citation>
</ref>
<ref id="B29">
<label>29.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Luna]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Vulnerabilidad: la metáfora de las capas]]></article-title>
<source><![CDATA[Jurisprudencia Argentina]]></source>
<year>2008</year>
<volume>4</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>60-7</page-range></nlm-citation>
</ref>
<ref id="B30">
<label>30.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Luna]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Vulnerabilidad: un concepto muy útil. Abandonando los &#8220;corsés teóricos&#8221;]]></article-title>
<source><![CDATA[Revista Redbioética/UNESCO]]></source>
<year>2011</year>
<volume>2</volume>
<numero>4</numero>
<issue>4</issue>
</nlm-citation>
</ref>
<ref id="B31">
<label>31.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Levine]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Faden]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Grady]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Hammerschmidt]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Eckenwiler]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Sugarman]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The limitations of vulnerability as a protection for human research participants. Consortium to examine clinical research ethics]]></article-title>
<source><![CDATA[American Journal of Bioethics]]></source>
<year>2004</year>
<volume>4</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>44-9</page-range></nlm-citation>
</ref>
<ref id="B32">
<label>32.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Luna]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Rubens, corsets and taxonomies: A response to Meek Lange, Rogersand Dodds]]></article-title>
<source><![CDATA[Bioethics]]></source>
<year>2015</year>
<volume>29</volume>
<page-range>448-50</page-range></nlm-citation>
</ref>
<ref id="B33">
<label>33.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Luna]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Identifying and evaluating layers of vulnerability, a way forward]]></article-title>
<source><![CDATA[Developing World Bioeth]]></source>
<year>2018</year>
<page-range>1-10</page-range></nlm-citation>
</ref>
<ref id="B34">
<label>34.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kilbride]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Joffe]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The new age of patient autonomy. Implications for the patient-physician relationship]]></article-title>
<source><![CDATA[JAMA]]></source>
<year>2018</year>
<volume>320</volume>
<numero>19</numero>
<issue>19</issue>
<page-range>1973-4</page-range></nlm-citation>
</ref>
<ref id="B35">
<label>35.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ubel]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Scherr]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Fagerlin]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Autonomy: What&#8217;s shared decision making have to do with it?]]></article-title>
<source><![CDATA[The American Journal of Bioethics]]></source>
<year>2018</year>
<volume>18</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>W11-2</page-range></nlm-citation>
</ref>
<ref id="B36">
<label>36.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Van Nistelrooij]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[How shared is shared decision-making? A care-ethical view on the role of partner and family]]></article-title>
<source><![CDATA[J Med Ethics]]></source>
<year>2017</year>
<volume>0</volume>
<page-range>1-8</page-range></nlm-citation>
</ref>
<ref id="B37">
<label>37.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sandman]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Munthe]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Shared decision-making and patient autonomy]]></article-title>
<source><![CDATA[Theor Med Bioeth]]></source>
<year>2009</year>
<volume>30</volume>
<page-range>289-310</page-range></nlm-citation>
</ref>
<ref id="B38">
<label>38.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lewis]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Does shared decision making respect a patient&#8217;s relational autonomy?]]></article-title>
<source><![CDATA[J Eval Clin Pract]]></source>
<year>2019</year>
<page-range>1-7</page-range></nlm-citation>
</ref>
<ref id="B39">
<label>39.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Berger]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Informed consent is inadequate and shared decision making is ineffective: Arguing for the primacy of authenticity in decision-making paradigms]]></article-title>
<source><![CDATA[The American Journal of Bioethics]]></source>
<year>2017</year>
<volume>17</volume>
<numero>11</numero>
<issue>11</issue>
<page-range>45-7</page-range></nlm-citation>
</ref>
<ref id="B40">
<label>40.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Childress]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Needed: A more rigorous analysis of models of decision makin gand a richer account of respect for autonomy]]></article-title>
<source><![CDATA[American Journal of Bioethics]]></source>
<year>2017</year>
<volume>17</volume>
<numero>11</numero>
<issue>11</issue>
<page-range>52-4</page-range></nlm-citation>
</ref>
<ref id="B41">
<label>41.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bae]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Shared decision making: Relevant concepts and facilitating strategies]]></article-title>
<source><![CDATA[Epidemiol Health]]></source>
<year>2017</year>
<volume>39</volume>
<page-range>1-5</page-range></nlm-citation>
</ref>
<ref id="B42">
<label>42.</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cudd]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<source><![CDATA[Analyzing oppression]]></source>
<year>2006</year>
<publisher-loc><![CDATA[New York ]]></publisher-loc>
<publisher-name><![CDATA[Oxford University Press]]></publisher-name>
</nlm-citation>
</ref>
</ref-list>
</back>
</article>
