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The assignment for this Ethics class was to review Mr Jacobs treatment as described by the New York State Commission on Quality of Care for the Mentally disabled 1994 The class was further asked to comment on the major issues for each of the three perspectives The agencies family and review board were to be included This student will begin with a fourth perspective that of Mr Gordon In the Matter of Jacob Gordon 1994 is the story of the last eight years of a psychiatrically disabled mans life Mr Gordon appeared to vacillate between striving for autonomy and accepting the support of his family Unfortunately it appeared by this account that the families support was not synonymous with autonomy It did not appear that Mr Gordon had ever desired or sought agency intervention for himself Mr Gordons association with the mental health system appeared to be marked by power and control issues Consumersex-patients often report a feeling of invisibility they sense that their views and desires do not matter Carling 1995 p79 The commissions report 1995 spoke of several incidences where Mr Gordon eluded to his desire for autonomy Mr Gordon did not wish to live in a supervised setting Mr Gordon did not wish to attend group day treatment settings Mr Gordon did not wish to use medication in the treatment of his mental health disorder Without medication his behavior was deemed unacceptable and did not permit him the opportunity to have any of these choices Choice is a right-not a privilege to be afforded by good behavior Penny 1994 p 29 Mr Gordons right of choice was limited even though he lived in his apartment independently The condition of his apartment was scrutinized His medication was closely monitored sometimes to the degree that he was directed to leave his home to receive medication that was given to him crushed in an attempt to insure its ingestion Even peoples liberties in
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