- Title Pages
- Series Foreword
- Foreword
- Acknowledgments
-
I Foundational Questions -
1 Contested Boundaries: Psychiatry, Disease, and Diagnosis -
2 Moot Questions in Psychiatric Ethics -
3 The Ethics of Psychotherapy -
4 Character Virtues in Psychiatric Practice -
II Capacity, Coercion, and Consent -
5 Psychiatric Advance Directives and the Treatment of Committed Patients -
6 Denying Autonomy in Order to Create It: The Paradox of Forcing Treatment upon Addicts -
7 End-Stage Anorexia: Criteria for Competence to Refuse Treatment -
8 “Personality Disorder” and Capacity to Make Treatment Decisions -
III Violence, Trauma, and Treatment -
9 Sanctity of Human Life in War: Ethics and Post-traumatic Stress Disorder -
10 The Experience of Violent Injury for Young African American Men: The Meaning of Being a “Sucker” -
11 The Psychological Impact of Rape Victims’ Experiences with the Legal, Medical, and Mental Health Systems -
IV Addiction -
12 Addiction as Accomplishment: The Discursive Construction of Disease -
13 The Ethics of Addiction -
14 Myths about the Treatment of Addiction -
15 Ethical Considerations in Caring for People Living with Addictions -
V Mental Illness and the Courts -
16 Confidentiality and the Prediction of Dangerousness in Psychiatry -
17 Madness versus Badness: The Ethical Tension between the Recovery Movement and Forensic Psychiatry -
18 Ethical Considerations of Multiple Roles in Forensic Services -
19 Watch Your Language: A Review of the Use of Stigmatizing Language by Canadian Judges -
VI Therapeutic Boundaries -
20 Boundary Violation Ethics: Some Conceptual Clarifications -
21 The Price of a Gift: An Approach to Receiving Gifts from Patients in Psychiatric Practice -
22 How Certain Boundaries and Ethics Diminish Therapeutic Effectiveness -
23 Boundary Issues in Social Work: Managing Dual Relationships -
24 Patient-Targeted Googling: The Ethics of Searching Online for Patient Information -
25 Professional Boundaries in the Era of the Internet - Contributors
- Permissions and Credits
- Index
End-Stage Anorexia: Criteria for Competence to Refuse Treatment
End-Stage Anorexia: Criteria for Competence to Refuse Treatment
- Chapter:
- (p.91) 7 End-Stage Anorexia: Criteria for Competence to Refuse Treatment
- Source:
- Applied Ethics in Mental Health Care
- Author(s):
Margery Gans
Willam B. Gunn Jr.
- Publisher:
- The MIT Press
In this paper, the authors introduce a case in which the central question was the competence of a woman in the end stages of anorexia nervosa to refuse treatment when she knew that death was a likely outcome. Then, the authors identify the major issues relevant in this situation: the nature of anorexia nervosa, the notion of competence, and the complications inherent in determining competence to refuse life-saving treatment in a patient diagnosed with anorexia nervosa. Finally, the authors identify the criteria we used to determine competence in this patient and describe the process we used to assess her competence.
Keywords: Anorexia, Autonomy, Competence, Capacity, Ethics, Futility, Psychiatry
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- Title Pages
- Series Foreword
- Foreword
- Acknowledgments
-
I Foundational Questions -
1 Contested Boundaries: Psychiatry, Disease, and Diagnosis -
2 Moot Questions in Psychiatric Ethics -
3 The Ethics of Psychotherapy -
4 Character Virtues in Psychiatric Practice -
II Capacity, Coercion, and Consent -
5 Psychiatric Advance Directives and the Treatment of Committed Patients -
6 Denying Autonomy in Order to Create It: The Paradox of Forcing Treatment upon Addicts -
7 End-Stage Anorexia: Criteria for Competence to Refuse Treatment -
8 “Personality Disorder” and Capacity to Make Treatment Decisions -
III Violence, Trauma, and Treatment -
9 Sanctity of Human Life in War: Ethics and Post-traumatic Stress Disorder -
10 The Experience of Violent Injury for Young African American Men: The Meaning of Being a “Sucker” -
11 The Psychological Impact of Rape Victims’ Experiences with the Legal, Medical, and Mental Health Systems -
IV Addiction -
12 Addiction as Accomplishment: The Discursive Construction of Disease -
13 The Ethics of Addiction -
14 Myths about the Treatment of Addiction -
15 Ethical Considerations in Caring for People Living with Addictions -
V Mental Illness and the Courts -
16 Confidentiality and the Prediction of Dangerousness in Psychiatry -
17 Madness versus Badness: The Ethical Tension between the Recovery Movement and Forensic Psychiatry -
18 Ethical Considerations of Multiple Roles in Forensic Services -
19 Watch Your Language: A Review of the Use of Stigmatizing Language by Canadian Judges -
VI Therapeutic Boundaries -
20 Boundary Violation Ethics: Some Conceptual Clarifications -
21 The Price of a Gift: An Approach to Receiving Gifts from Patients in Psychiatric Practice -
22 How Certain Boundaries and Ethics Diminish Therapeutic Effectiveness -
23 Boundary Issues in Social Work: Managing Dual Relationships -
24 Patient-Targeted Googling: The Ethics of Searching Online for Patient Information -
25 Professional Boundaries in the Era of the Internet - Contributors
- Permissions and Credits
- Index
