Commentary: Psychiatric advance directives as tools for enhancing treatment of the mentally ill.
نویسنده
چکیده
In this issue of the Journal, Swanson et al. explore the demand for and utilization of psychiatric advance directives (PADs), and discuss some of the barriers to their greater acceptance. This author suggests that PADs may be more widely accepted and utilized if they are viewed as tools for maximizing individual autonomy, with an emphasis on optimizing rather than merely restricting care.
منابع مشابه
Advance directives in psychiatric care: a narrative approach.
Advance directives for psychiatric care are the subject of debate in a number of Western societies. By using psychiatric advance directives (or so-called "Ulysses contracts"), it would be possible for mentally ill persons who are competent and with their disease in remission, and who want timely intervention in case of future mental crisis, to give prior authorisation to treatment at a later ti...
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The living will was first proposed more than 20 years ago,' and for almost that long commentators have suggested that it and other types of advance directives* could be used in the treatment of individuals with mental i l l n e ~ s . ~ The uses offered for advance directives vary considerably depending on the philosophy and goals of the commentator. Psychiatrists and families of mentally ill in...
متن کاملCommentary: toward resolving some dilemmas concerning psychiatric advance directives.
Dilemmas about when psychiatric advance directives (PADs) should be overridden are complicated by conflicting legal frameworks that may nonetheless operate concurrently-a legal scheme based on decision-making capacity (or competency) set against a legal scheme based on civil commitment, in which the latter may "trump" the former. A single statute in which the strengths of both schemes are "fuse...
متن کاملClinical decision making and views about psychiatric advance directives.
OBJECTIVES Psychiatric advance directives allow competent persons to document advance instructions or designate a health care agent to communicate their preferences for future mental health treatment in the event of an incapacitating crisis. Although laws authorizing psychiatric advance directives have proliferated, little is known about clinicians' understanding and perceptions of these legal ...
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عنوان ژورنال:
- The journal of the American Academy of Psychiatry and the Law
دوره 34 1 شماره
صفحات -
تاریخ انتشار 2006