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"The article talks about four principles of biomedical ethics, respect for autonomy, non-maleficence, beneficence, and justice. The methodology which was a critique against the present biomedical ethics, was formulated in 1979 by Tom Beauchamp and James Childress. By applying principlism, the paramedics have to constantly understand three components: application, balancing efforts, and specification. The four fundamental principles of biomedical ethics (autonomy, non-maleficence, beneficence, and justice) have proposed a useful methodology to deal with cases, such as the doctor-patient relations, the use of life support systems, or any research using man as subject."

"In the legal aspect, one diagnosed by a doctor or psychiatrist with mental illness, has autonomy and rights as citizen, Very likely, the competence of the patient may build a sense of autonomy. During the therapy, one may even propose his rejection, even before or after the verdict by the doctor who speaks as expert in the field."