Coercion in the treatment of anorexia nervosa: clinical, ethical and legal implications.

作者: Tait D , Ingvarson M , Touyz S , Carney T , Wakefield A

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摘要: Because of its high mortality and treatment resistence, clinicians sometimes invoke the law in aid retaining their most acutely ill-patients or re-feeding programs. Depending on jurisdiction, various laws, including mental health adult guardianship have been invoked to achieve this objective (Carney, Tait, Saunders, Touyz & Beumont, 2003). Until recently, little was known about therapeutic impact coercion patients (Saunders, 2001, Carney Saunders 2003), relative advantages different avenues Ingvarson 2004). Most obscure all, however, has our understanding factors influencing clinical decisions within specialist anorexia units regarding which in-patients will be selected for coerced treatment. This paper reports legal ethical implications findings from analysis data gathered a major Australian facility over nearly 5 years.

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