David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Jack Alan Reynolds
Learn more about PhilPapers
HEC Forum 5 (5):289-301 (1993)
Since 1991, the Patient Self-Determination Act (PSDA) has required all health care institutions that receive Federal funds to inform patients upon admission of their rights to make decisions about medical care and to execute advance directives. Implementation of the PSDA presents a special challenge for state mental hospitals. The relevance and possible negative therapeutic impact of discussing end of life decisions at the time of an acute psychiatric admission has recently been raised in the literature. Other ethical dilemmas arising from the interplay between mental illness and informed consent for medical treatment, particularly for older patients committed to state mental hospitals, have been highlighted by the PSDA. In this article we discuss some of the issues raised by implementation of the PSDA in this setting
|Keywords||bipolar disorder civil commitment depression elderly mania mental hospital PSDA treatment refusal|
|Categories||categorize this paper)|
Setup an account with your affiliations in order to access resources via your University's proxy server
Configure custom proxy (use this if your affiliation does not provide a proxy)
|Through your library|
References found in this work BETA
L. Ganzini & M. A. Lee (1993). Authenticity, Autonomy, and Mental Disorders. Journal of Clinical Ethics 4 (1):58.
Citations of this work BETA
No citations found.
Similar books and articles
Nico Peruzzi, Andrew Canapary & Bruce Bongar (1996). Physician-Assisted Suicide: The Role of Mental Health Professionals. Ethics and Behavior 6 (4):353 – 366.
James F. Drane (1991). The Patient Self-Determination ACT (PSDA) and the Incapacitated Patient: Policy Suggestions for Healthcare Ethics Committees. [REVIEW] HEC Forum 3 (6):309-320.
Gentian Vyshka & Jera Kruja (2011). Inapplicability of Advance Directives in a Paternalistic Setting: The Case of a Post-Communist Health System. [REVIEW] BMC Medical Ethics 12 (1):12-.
Patricia Backlar & Bentson H. McFarland (1993). A National Survey of Ethics Committees in State Mental Hospitals. HEC Forum 5 (5):272-288.
J. Vollmann (2001). Advance Directives in Patients with Alzheimer's Disease; Ethical and Clinical Considerations. Medicine, Health Care and Philosophy 4 (2):161-167.
Renate G. Justin (1987). The Value History: A Necessary Family Document. Theoretical Medicine and Bioethics 8 (3).
Natalie F. Banner (2011). The 'Bournewood Gap' and the Deprivation of Liberty Safeguards in the Mental Capacity Act 2005. Philosophy, Psychiatry, and Psychology 18 (2):123-126.
Jillian Craigie (2011). Competence, Practical Rationality and What a Patient Values. Bioethics 25 (6):326-333.
William H. Bruening (1992). Autonomy and Futility. HEC Forum 4 (5):305-313.
Added to index2009-01-28
Total downloads2 ( #373,591 of 1,168,035 )
Recent downloads (6 months)1 ( #140,420 of 1,168,035 )
How can I increase my downloads?