Autonomy Vs. Paternalism In Mental Health Treatment The assignment for this Ethics class was to review Mr. Jacob's 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 man's life. Mr. Gordon appeared to vacillate between striving for autonomy and accepting the suppor