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Applied Ethics in Mental Health CareAn Interdisciplinary Reader$
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Dominic A. Sisti, Arthur L. Caplan, and Hila Rimon-Greenspan

Print publication date: 2013

Print ISBN-13: 9780262019682

Published to MIT Press Scholarship Online: May 2014

DOI: 10.7551/mitpress/9780262019682.001.0001

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“Personality Disorder” and Capacity to Make Treatment Decisions

“Personality Disorder” and Capacity to Make Treatment Decisions

Chapter:
(p.115) 8 “Personality Disorder” and Capacity to Make Treatment Decisions
Source:
Applied Ethics in Mental Health Care
Author(s):

George Szmukler

Publisher:
The MIT Press
DOI:10.7551/mitpress/9780262019682.003.0008

Whether treatment decision-making capacity can be meaningfully applied to patients with a diagnosis of “personality disorder” is examined. Patients presenting to a psychiatric emergency clinic with threats of self-harm are considered, two having been assessed and reviewed in detail. It was found that capacity can be meaningfully assessed in such patients, although the process is more complex than in patients with diagnoses of a more conventional kind. The process of assessing capacity in such patients is very time-consuming and may become, in itself, a therapeutic intervention.

Keywords:   Capacity, Coercion, Consent, Personality Disorder, Psychiatry

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