Complexities of competency and informed consent as applied to individuals with symptoms of Anosognosia.

IF 3.4 3区 医学 Q2 CLINICAL NEUROLOGY
Nina M Labovich
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引用次数: 0

Abstract

Anosognosia, commonly understood as a lack of insight, renders individuals with schizophrenia and schizoaffective disorder unable to understand that they are living with a disease, often resulting in a refusal to accept treatment. Typically, to impose involuntary commitment in an effort to obtain treatment, an individual must be a danger to others or themselves. Even if involuntary commitment is imposed, however, an individual may remain competent to refuse medication-despite symptoms of anosognosia and an inability to understand that they are ill. This article examines the existing legal theories of competency and informed consent and proposes a statutory definition of competency that encompasses the specific needs of people with anosognosia, while considering the significant interests at stake when taking away an individual's right to choose or refuse treatment.

能力和知情同意的复杂性适用于有病感失认症症状的个体。
失认症(anosognosia)通常被理解为缺乏洞察力,它使精神分裂症和分裂情感障碍患者无法理解自己患有疾病,往往导致他们拒绝接受治疗。通常情况下,要实施非自愿住院治疗以获得治疗,患者必须对他人或自己构成威胁。然而,即使实施了非自愿住院治疗,患者仍可能有能力拒绝接受药物治疗--尽管患者出现了失认症状,无法理解自己患有疾病。本文研究了关于能力和知情同意的现有法律理论,并提出了能力的法定定义,该定义涵盖了无认知症患者的特殊需求,同时考虑了剥夺个人选择或拒绝治疗的权利所涉及的重大利益。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CNS Spectrums
CNS Spectrums 医学-精神病学
CiteScore
6.20
自引率
6.10%
发文量
239
审稿时长
>12 weeks
期刊介绍: CNS Spectrums covers all aspects of the clinical neurosciences, neurotherapeutics, and neuropsychopharmacology, particularly those pertinent to the clinician and clinical investigator. The journal features focused, in-depth reviews, perspectives, and original research articles. New therapeutics of all types in psychiatry, mental health, and neurology are emphasized, especially first in man studies, proof of concept studies, and translational basic neuroscience studies. Subject coverage spans the full spectrum of neuropsychiatry, focusing on those crossing traditional boundaries between neurology and psychiatry.
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