Autonomy should be the goal of every psychiatric encounter.
Too often, the goal instead is some form of restraint or overcoming of a
symptom of a diagnosis—quite the opposite. Every human being has the potential
for greatness in some skill or art, and it should be the goal of his or her
psychiatric clinicians to draw it out.
To me, autonomy means being
self-directed. This parses out to:
·
Being a connoisseur of the glory of the world;
·
Being an evaluator of what is presented to you; and
·
Not being a pawn of the last stimulus.
Being a connoisseur of the
glory of the world:
Appreciation of the greater world around you is central to being
able to be alone. In a world of screens, being able to be alone is to be able
to reach one’s spiritual center. You need a rich inner life, and this is
developed only through having lived a varied life of many sorts of experiences.
Being an evaluator of what is
presented to you:
All
stimuli are not created equal. That which enhances self-direction is preferable
to that created as a (mass-market) meme on the web.
Not being a pawn of the last
stimulus:
Self-direction requires having parsed out and thus knowing
your own values and seeking to promote them.
This involves looking to your own goals and objectives.
It also requires not being susceptible to outside
influences, beyond the needs and wants of any peson or creature central to your
values.
Autonomy segues into living a life that you direct. Not responsive
to what outside influences say is to be valued, unless you have examined those
values and found them worth integrated into your life. Instead, you need to
live according to your own values and encourage others to support you in that
endeavor—as you will reciprocate for them.