Pregnancy and substance use – the Norwegian z 10–3 solution.1 Ethical and clinical reflections related to incarceration of pregnant women to protect the foetus from harmful substances:

Nordic Studies on Alcohol and Drugs

KerstinSöderström¹ 

关键词: Addiction;    coercive treatment;    ethical dilemmas;    motherhood;    pregnancy;    relational ethics;   

DOI  :  10.2478/v10199-012-0011-1

学科分类：生物化学/生物物理

来源: Sage Journals

【 摘 要 】

AimsThis article highlights ethical and clinical dilemmas of incarceration of pregnant drug addicts mandated by z 10–3 of the Norwegian Municipal Health and Care Services act.MaterialThe material consists of two cases, Siri and Anna, and the ethical dilemmas posed by the use of z 10–3 in these cases.MethodsSemi-structured in-depth individual interviews were conducted, audio-recorded and transcribed word for word. Transcripts were coded according to converging interests and possible ethical dilemmas and described in a case format. The practical and experiential consequences of the law are discussed in relation to the four main bioethical principles: respect for autonomy, non-maleficence, beneficence and social justice. These are supplemented by the principles of relational ethics.ResultsThe application of z 10–3 may lead to situations which distort the psychological preparation for parenthood and strains the helping relationship. The four principles approach seems to be an insufficient tool in grasping the...

【 授权许可】

CC BY