A. Sutton, AUTHORITY, AUTONOMY, RESPONSIBILITY AND AUTHORIZATION - WITH SPECIFICREFERENCE TO ADOLESCENT MENTAL-HEALTH PRACTICE, Journal of medical ethics, 23(1), 1997, pp. 26-31
Standards for professional training and practice are defined by accred
iting organisations or statutory bodies. These describe the arena in w
hich the practitioner may speak with authority. The sphere of authoris
ed authorised practice is further delineated by the external resources
available. Within this explicit framework, unconscious mental process
es can affect the professional response in potentially adverse ways. T
his is particularly important in mental health practice. Professionals
must be prepared to examine their own responses on this basis in orde
r to enhance their knowledge of the patient and minimise the possibili
ties of the patient becoming the victim of the professional's own psyc
hopathology. The maintenance of such a position in an institution or o
rganisation requires a similar process within its structure in order t
o provide the necessary setting and define the limits of good practice
. In this paper, the field of adolescent mental health is specifically
examined.