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55 found
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  1. Considering the Welfare Impact of a Choice When Assessing Capacity: Always Wrong?Jennifer Hawkins - forthcoming - In C. Carrozzo & Elspeth C. Ritchie (eds.), Decisional Capacity: Medical and Philosophical Perspectives. Oxford University Press.
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  2. Can being told you ’re ill make you ill? A discussion of psychiatry, religion, and out of the ordinary experiences.‘.Anastasia Philippa Scrutton - forthcoming - Think.
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  3. Do Suicide Attempters Have a Right Not to Be Stabilized in an Emergency?Aleksy Tarasenko-Struc - forthcoming - Hastings Center Report.
    The standard of care in the United States favors stabilizing any adult who arrives in an emergency department after a failed suicide attempt, even if he appears decisionally capacitated and refuses life-sustaining treatment. I challenge this ubiquitous practice. Emergency clinicians generally have a moral obligation to err on the side of stabilizing even suicide attempters who refuse such interventions. This obligation reflects the fact that it is typically infeasible to determine these patients’ level of decisional capacitation—among other relevant information—in this (...)
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  4. The Ethics of Automating Therapy.Jake Burley, James J. Hughes, Alec Stubbs & Nir Eisikovits - 2024 - Ieet White Papers.
    The mental health crisis and loneliness epidemic have sparked a growing interest in leveraging artificial intelligence (AI) and chatbots as a potential solution. This report examines the benefits and risks of incorporating chatbots in mental health treatment. AI is used for mental health diagnosis and treatment decision-making and to train therapists on virtual patients. Chatbots are employed as always-available intermediaries with therapists, flagging symptoms for human intervention. But chatbots are also sold as stand-alone virtual therapists or as friends and lovers. (...)
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  5. Basic Liberties, Consent, and Chemical Restraints.Parker Crutchfield & Michael Redinger - 2024 - American Journal of Bioethics Neuroscience 15 (2).
    We thank all the thoughtful authors for their insightful comments. In this response, we try to address some of themes that emerged from the commentaries. We leave aside some of those comments that...
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  6. The Lived Realities of Chemical Restraint: Prioritizing Patient Experience.Ryan Dougherty, Joanna Smolenski & Jared N. Smith - 2024 - American Journal of Bioethics Neuroscience 15 (1):29-31.
    In The Conditions for Ethical Chemical Restraint, Crutchfield and Redinger (2024) propose ethical standards for the use of chemical restraints, which they consider normatively distinct from physica...
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  7. A narrative review of the active ingredients in psychotherapy delivered by conversational agents.Arthur Herbener, Michal Klincewicz & Malene Flensborg Damholdt A. Show More - 2024 - Computers in Human Behavior Reports 14.
    The present narrative review seeks to unravel where we are now, and where we need to go to delineate the active ingredients in psychotherapy delivered by conversational agents (e.g., chatbots). While psychotherapy delivered by conversational agents has shown promising effectiveness for depression, anxiety, and psychological distress across several randomized controlled trials, little emphasis has been placed on the therapeutic processes in these interventions. The theoretical framework of this narrative review is grounded in prominent perspectives on the active ingredients in psychotherapy. (...)
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  8. (1 other version)Hermeneutical Injustice in the Attribution of Psychotic Symptoms with Religious Content.José Eduardo Porcher - 2024 - Philosophy Psychiatry and Psychology 31 (3):223-234.
    In this paper, I argue that a special kind of hermeneutical injustice occurs when someone is not permitted to interpret their experiences in a meaning-making way. I suggest that this occurs in certain cases where the possibility that the patient has a genuine religious experience is excluded by a medical diagnosis. In such cases, it is not that an experience is incomprehensible because of the absence of a valid interpretation. Instead, one perspective is not only dominant but exclusive, so the (...)
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  9. Epistemic Injustice and Suicide Claims.Lucienne Spencer & Matthew Broome - 2024 - Epistemic Injustice and Violence. Lena Schützle, Barbara Schellhammer, Anupam Yadav, Cara-Julie Kather, Lou Thomine (Eds.).
    Reports of the intent to kill oneself are not always met with the credibility they deserve, with potentially fatal results. We recognise this as testimonial injustice, whereby a person’s testimony is not taken seriously due to a pervasive identity prejudice attached to the speaker (Fricker 2007). To meet the government’s ‘zero suicide ambition’ for mental health patients, we need to adopt epistemically just methods of evaluating suicide claims.
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  10. Psychedelic therapy in practice. Case studies of self-treatment, individual therapy, and group therapy.Mika Turkia - 2024
    This compilation focuses on success stories—cases of courage, innovation, and the application of knowledge and power in overcoming illness and suffering. It features thirteen ethnographic case studies that describe how people were able to alleviate or overcome serious issues including alcoholism, severe anxiety and depression, suicidal behavior, and psychotic disorders caused by ignorance, neglect, violence, war, and sexual abuse. It is a tribute to the possibility of healing.
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  11. Affect, Values and Problems Assessing Decision-Making Capacity.Jennifer Hawkins - 2023 - American Journal of Bioethics 24 (8):1-12.
    The dominant approach to assessing decision-making capacity in medicine focuses on determining the extent to which individuals possess certain core cognitive abilities. Critics have argued that this model delivers the wrong verdict in certain cases where patient values that are the product of mental disorder or disordered affective states undermine decision-making without undermining cognition. I argue for a re-conceptualization of what it is to possess the capacity to make medical treatment decisions. It is, I argue, the ability to track one’s (...)
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  12. A Philosophical Psychotherapy: Logic-Based Therapy in the Treatment of Addicted Populations.Guy Pierre Du Plessis - 2022 - Presentation at the 4th International Conference on Philosophical Counseling and Practice, National Philosophical Counseling Association, 11-12 February 2022.
    In my presentation I argue for the utility of a philosophical counseling method, called logic-based therapy (LBT), in the treatment of addicted populations. In the context of addiction treatment LBT could be also classified as a philosophical psychotherapy. Philosophical psychotherapy can be understood as an umbrella term for interventions designed to treat mental health disorders, with theoretical foundations that are philosophical. Philosophical psychotherapy would be distinct from philosophical counseling, as the latter does not directly treat mental health disorders. I suggest (...)
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  13. Non-Consensuality Pathologised: Analysing Non-Consensuality as a Determiner for Paraphilic Disorders (2nd edition).Shirah Theron - 2022 - Stellenbosch Socratic Journal 2:1-11.
    The fifth text-revised iteration of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5-TR) defines paraphilia as “any intense and persistent sexual interest other than sexual interest in genital stimulation or preparatory fondling with phenotypically normal, physically mature, consenting human partners”. Paraphilic disorders specifically denote a paraphilia that is “currently causing distress or impairment to the individual or a paraphilia whose satisfaction has entailed personal harm, or risk of harm, to others”. A diagnosis of paraphilic disorder either demands the personal (...)
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  14. Self-treatment of psychosis and complex post-traumatic stress disorder with LSD and DMT—A retrospective case study.Mika Turkia - 2022 - Psychiatry Research Case Reports 1 (2):100029.
    This article describes a case of a teenager with early complex trauma due to chronic domestic violence. Cannabis use triggered auditory hallucinations, after which the teenager was diagnosed with an acute schizophrenia-like psychotic disorder. Antipsychotic medication did not fully resolve symptoms. Eventually the teenager chose to self-medicate with LSD in order to resolve a suicidal condition. The teenager carried out six unsupervised LSD sessions, followed by an extended period of almost daily use of inhaled low-dose DMT. Psychotic symptoms were mostly (...)
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  15. Prevalence of Potentially Morally Injurious Events in Operationally Deployed Canadian Armed Forces Members.Kevin T. Hansen, Charles G. Nelson & Ken Kirkwood - 2021 - Journal of Traumatic Stress 34:764-772.
    As moral injury is a still-emerging concept within the area of military mental health, prevalence estimates for moral injury and its precursor, potentially morally injurious events (PMIEs), remain unknown for many of the world’s militaries. The present study sought to estimate the prevalence of PMIEs in the Canadian Armed Forces (CAF), using data collected from CAF personnel deployed to Afghanistan, via logistic regressions controlling for relevant sociodemographic, military, and deployment characteristics. Analyses revealed that over 65% of CAF members reported exposure (...)
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  16. Why Even a Liberal Can Justify Limited Paternalistic Intervention in Anorexia Nervosa.Jennifer Hawkins - 2021 - Philosophy, Psychiatry, and Psychology 28 (2):155-158.
    Most adult persons with anorexia satisfy the existing criteria widely used to assess decision-making capacity, meaning that incapacity typically cannot be used to justify coercive intervention. After rejecting two other approaches to justification, Professor Radden concludes that it is most likely not possible to justify coercive medical intervention for persons with anorexia in liberal terms, though she leaves it open whether some other framework might succeed. I shall assume here that the standard approach to assessing decisionmaking capacity is adequate.1 The (...)
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  17. How to obtain informed consent for psychotherapy: a reply to criticism.Garson Leder - 2021 - Journal of Medical Ethics 47 (7):450-451.
    In ‘Psychotherapy, Placebos and Informed Consent’, I argued that the minimal standard for informed consent in psychotherapy requires that ‘patients understand that there is currently no consensus about the mechanisms of change in psychotherapy, and that the therapy on offer…is based on disputed theoretical foundations’, and that the dissemination of this information is compatible with the delivery of many theory-specific forms of psychotherapy (including cognitive behavioural therapy [CBT]). I also argued that the minimal requirements for informed consent do not include (...)
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  18. Mental Health Without Well-being.Sam Wren-Lewis & Anna Alexandrova - 2021 - Journal of Medicine and Philosophy 46 (6):684-703.
    What is it to be mentally healthy? In the ongoing movement to promote mental health, to reduce stigma, and to establish parity between mental and physical health, there is a clear enthusiasm about this concept and a recognition of its value in human life. However, it is often unclear what mental health means in all these efforts and whether there is a single concept underlying them. Sometimes, the initiatives for the sake of mental health are aimed just at reducing mental (...)
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  19. (1 other version)From Phenomenological Psychopathology to Neurodiversity and Mad Pride: Reflections on Prejudice.Anthony Vincent Fernandez - 2020 - Puncta 3 (2):19-22.
    Musing for Puncta special issue "Critically Sick: New Phenomenologies Of Illness, Madness, And Disability.".
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  20. Empathy and indifference: philosophical reflections on schizophrenia.Ignace Haaz - 2020 - Geneva, Switzerland: Globethics Publications.
    The professional application of ethics often lacks the necessary conceptual tools to construct adequate theoretical foundations that can be used for practical enterprise. This book focuses on an anthropological approach to mental illness, describing how schizophrenia can distort one's experience of empathy and of the presence in the world through pathological indifference. It describes factual and phenomenological perspectives on a case of schizophrenia, based on the method of Eugène Minkowski.
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  21. Clean Hands? Philosophical Lessons from Scrupulosity. Jesse S. Summers and Walter Sinnott‐Armstrong, 2019. New York, Oxford University Press. xii 202pp, $74. [REVIEW]Pei-hua Huang - 2020 - Journal of Applied Philosophy 37 (3):505-507.
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  22. Moral Self-Orientation in Alzheimer's Dementia.Steve Matthews - 2020 - Kennedy Institute of Ethics Journal 30 (2):141-166.
    It is ordinarily thought that in Alzheimer's dementia, memory loss leads to a loss of the self. There is a familiar sense in which this is true given that there is, evidently, a close connection between episodic memory and personal identity. This view goes back to John Locke who argued that remembering our own experiences enabled the continuity of consciousness he thought constitutive of personal identity. Locke was also motivated by the idea—to be applied in "forensic" contexts—that continuity of consciousness (...)
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  23. Prologue: Eugenics and its Study.Robert A. Wilson - 2020 - In Frank Stahnisch & Erna Kurbegovic (eds.), Exploring the Relationship of Eugenics and Psychiatry: Canadian and Trans-Atlantic Perspectives 1905 – 1972. Athabasca University Press.
    This is the prologue to a collection of essays on eugenics and psychiatry.
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  24. Hormone replacement therapy: informed consent without assessment?Toni C. Saad, Bruce Philip Blackshaw & Daniel Rodger - 2019 - Journal of Medical Ethics 45 (12):1-2.
    Florence Ashley has argued that requiring patients with gender dysphoria to undergo an assessment and referral from a mental health professional before undergoing hormone replacement therapy (HRT) is unethical and may represent an unconscious hostility towards transgender people. We respond, first, by showing that Ashley has conflated the self-reporting of symptoms with self-diagnosis, and that this is not consistent with the standard model of informed consent to medical treatment. Second, we note that the model of informed consent involved in cosmetic (...)
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  25. Artistic Creativity and Suffering.Jennifer Hawkins - 2018 - In Berys Nigel Gaut & Matthew Kieran (eds.), Creativity and Philosophy. New York: Routledge.
    What is the relationship between negative experience, artistic production, and prudential value? If it were true that (for some people) artistic creativity must be purchased at the price of negative experience (to be clear: currently no one knows whether this is true), what should we conclude about the value of such experiences? Are they worth it for the sake of art? The first part of this essay considers general questions about how to establish the positive extrinsic value of something intrinsically (...)
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  26. Deep brain stimulation and revising the Mental Health Act: the case for intervention-specific safeguards.Jonathan Pugh, Tipu Aziz, Jonathan Herring & Julian Savulescu - 2018 - British Journal of Psychiatry 214 (3).
    Under the current Mental Health Act of England and Wales, it is lawful to perform deep brain stimulation in the absence of consent and independent approval. We argue against the Care Quality Commission's preferred strategy of addressing this problematic issue, and offer recommendations for deep brain stimulation-specific provisions in a revised Mental Health Act.
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  27. The Moral Obligation to Prioritize Research Into Deep Brain Stimulation Over Brain Lesioning Procedures for Severe Enduring Anorexia Nervosa.Jonathan Pugh, Jacinta Tan, Tipu Aziz & Rebecca J. Park - 2018 - Frontiers in Psychiatry 9:523.
    Deep Brain Stimulation is currently being investigated as an experimental treatment for patients suffering from treatment-refractory AN, with an increasing number of case reports and small-scale trials published. Although still at an exploratory and experimental stage, initial results have been promising. Despite the risks associated with an invasive neurosurgical procedure and the long-term implantation of a foreign body, DBS has a number of advantageous features for patients with SE-AN. Stimulation can be fine-tuned to the specific needs of the particular patient, (...)
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  28. Forgetting ourselves: epistemic costs and ethical concerns in mindfulness exercises.Sahanika Ratnayake & David Merry - 2018 - Journal of Medical Ethics 44 (8):567-574.
    Mindfulness exercises are presented as being compatible with almost any spiritual, religious or philosophical beliefs. In this paper, we argue that they in fact involve imagining and conceptualising rather striking and controversial claims about the self, and the self’s relationship to thoughts and feelings. For this reason, practising mindfulness exercises is likely to be in tension with many people’s core beliefs and values, a tension that should be treated as a downside of therapeutic interventions involving mindfulness exercises, not unlike a (...)
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  29. Smart Pills for Psychosis: The Tricky Ethical Challenges of Digital Medicine for Serious Mental Illness.Anna K. Swartz - 2018 - American Journal of Bioethics 18 (9):65-67.
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  30. Deep Brain Stimulation, Authenticity and Value.Pugh Jonathan, Maslen Hannah & Savulescu Julian - 2017 - Cambridge Quarterly of Healthcare Ethics 26 (4):640-657.
    Deep brain stimulation has been of considerable interest to bioethicists, in large part because of the effects that the intervention can occasionally have on central features of the recipient’s personality. These effects raise questions regarding the philosophical concept of authenticity. In this article, we expand on our earlier work on the concept of authenticity in the context of deep brain stimulation by developing a diachronic, value-based account of authenticity. Our account draws on both existentialist and essentialist approaches to authenticity, and (...)
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  31. Adverse consequences of article 12 of the UN Convention on the Rights of Persons with Disabilities for persons with mental disabilities and an alternative way forward.Matthé Scholten & Jakov Gather - 2017 - Journal of Medical Ethics 44 (4):226-233.
    It is widely accepted among medical ethicists that competence is a necessary condition for informed consent. In this view, if a patient is incompetent to make a particular treatment decision, the decision must be based on an advance directive or made by a substitute decision-maker on behalf of the patient. We call this the competence model. According to a recent report of the United Nations (UN) High Commissioner for Human Rights, article 12 of the UN Convention on the Rights of (...)
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  32. How Autonomy Can Legitimate Beneficial Coercion.Lucie White - 2017 - In Jakov Gather, Tanja Henking, Alexa Nossek & Jochen Vollmann (eds.), Beneficial Coercion in Psychiatry?: Foundations and Challenges. Münster: Mentis. pp. 85-99.
    Respect for autonomy and beneficence are frequently regarded as the two essential principles of medical ethics, and the potential for these two principles to come into conflict is often emphasised as a fundamental problem. On the one hand, we have the value of beneficence, the driving force of medicine, which demands that medical professionals act to protect or promote the wellbeing of patients or research subjects. On the other, we have a principle of respect for autonomy, which demands that we (...)
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  33. Personal Identity and Patient-Centered Medical Decision Making.Lucie White - 2017 - American Journal of Bioethics Neuroscience 8 (3):194-195.
    Nancy Jecker and Andrew Ko (2017) wish to present an account of personal identity which captures what matters to the patient and places the patient at the center of medical decisions. They focus particularly on medical interventions in the brain that can cause drastic changes in personality; under what circumstances should we say the patient has 'survived' these changes? More specifically, how can we best understand the notion of survival in a way that captures what is of concern to the (...)
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  34. Coercion in community health care-an ethical analysis.Tania Gergel & George Szmukler - 2016 - In A. Molodynski, J. Rugkasa & T. Burns (eds.), Coercion in Community Mental Health Care: International Perspectives. Oxford University Press.
    A book chapter exploring the potential consquences and ethical ramifications of using coercive measures within community mental healthcare. We argue that, althogh the move towards 'care in the community' may have had liberalising motivations, the subsequent reduction in inpatient or other supported residential provision, means that there has been an increasing move towards coercive measures outside of formal inpatient detention. We consider measures such as Community Treatment Orders, inducements, and other forms of leverage, explaining the underlying concepts, aims, and exploring (...)
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  35. Fluctuating capacity and advanced decision making – self-binding directives and self-determination’.Tania Gergel & Gareth Owen - 2015 - International Journal of Law and Psychiatry 105 (40):92-101.
    For people with Bipolar Affective Disorder, a self-binding (advance) directive (SBD), by which they commit themselves to treatment during future episodes of mania, even if unwilling, can seem the most rational way to deal with an imperfect predicament. Knowing that mania will almost certainly cause enormous damage to themselves, their preferred solution may well be to allow trusted others to enforce treatment and constraint, traumatic though this may be. No adequate provision exists for drafting a truly effective SBD and efforts (...)
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  36. Freud, S.Jim Hopkins - 2015 - In E. Neukrug (ed.), The SAGE Encyclopedia of Theory in Counseling and Psychotherapy. Sage Publications.
    Brief description of Freud's life and work, emphasising the role of fictive belief and experience (phantasy) in his account of mental disorder.
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  37. Hyponarrativity and Context-Specific Limitations of the DSM-5.Şerife Tekin & Melissa Mosko - 2015 - Public Affairs Quarterly 29 (1).
    his article develops a set of recommendations for the psychiatric and medical community in the treatment of mental disorders in response to the recently published fifth edition of the Diagnostic and Statistical Manual of Mental Disorders, that is, DSM-5. We focus primarily on the limitations of the DSM-5 in its individuation of Complicated Grief, which can be diagnosed as Major Depression under its new criteria, and Post-Traumatic Stress Disorder (PTSD). We argue that the hyponarrativity of the descriptions of these disorders (...)
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  38. Rationality, diagnosis and patient autonomy.Jillian Craigie & Lisa Bortolotti - 2014 - Oxford Handbook Psychiatric Ethics.
    In this chapter, our focus is the role played by notions of rationality in the diagnosis of mental disorders, and in the practice of overriding patient autonomy in psychiatry. We describe and evaluate different hypotheses concerning the relationship between rationality and diagnosis, raising questions about what features underpin psychiatric categories. These questions reinforce widely held concerns about the use of diagnosis as a justification for overriding autonomy, which have motivated a shift to mental incapacity as an alternative justification. However, this (...)
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  39. Too similar, too different? The paradoxical dualism of psychiatric stigma.Tania Gergel - 2014 - The Psychiatric Bulletin 38 (4):148-151.
    Challenges to psychiatric stigma fall between a rock and a hard place. Decreasing one prejudice may inadvertently increase another. Emphasising similarities between mental illness and ‘ordinary’ experience to escape the fear-related prejudices associated with the imagined ‘otherness’ of persons with mental illness risks conclusions that mental illness indicates moral weakness and the loss of any benefits of a medical model. An emphasis on illness and difference from normal experience risks a response of fear of the alien. Thus, a ‘likeness-based’ and (...)
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  40. The Tarasoff rule: the implications of interstate variation and gaps in professional training.Rebecca Johnson, Govind Persad & Dominic Sisti - 2014 - Journal of the American Academy of Psychiatry and the Law Online 42 (4):469-477.
    Recent events have revived questions about the circumstances that ought to trigger therapists' duty to warn or protect. There is extensive interstate variation in duty to warn or protect statutes enacted and rulings made in the wake of the California Tarasoff ruling. These duties may be codified in legislative statutes, established in common law through court rulings, or remain unspecified. Furthermore, the duty to warn or protect is not only variable between states but also has been dynamic across time. In (...)
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  41. The Consumer Protection Model of Decisional Capacity Evaluation.Daniel D. Moseley & Gary J. Gala - 2013 - Southwest Philosophy Review 29 (1):241-248.
    Decisional capacity evaluations (DCEs) occur in clinical settings where it is unclear whether a consumer of medical services has the capacity to make an informed decision about the relevant medical options. DCEs are localized interventions, not the global loss of competence, that assign a surrogate decision maker to make the decision on behalf of the medical consumer. We maintain that one important necessary condition for a DCE to be morally justified, in cases of medical necessity, is that the health care (...)
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  42. “Will I Be Pretty, Will I Be Rich?”: The Missing Self in Antidepressant Commercials.Serife Tekin - 2013 - American Journal of Bioethics 13 (5):19 - 21.
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  43. (1 other version)A philosophical investigation into coercive psychiatric practices_Vol 2.Gerry Roche - 2012 - Dissertation, University of Limerick
    This dissertation seeks to examine the validity of the justification commonly offered for a coercive (1) psychiatric intervention, namely that the intervention was in the ‘best interests’ of the subject and/or that the subject posed a danger to others. As a first step,it was decided to analyse justifications based on ‘best interests’ [the ‘Stage 1’ argument] separately from those based on dangerousness [the ‘Stage 2’ argument]. Justifications based on both were the focus of the ‘Stage 3’ argument. Legal and philosophical (...)
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  44. Moral significance of phenomenal consciousness.Neil Levy & Julian Savulescu - 2009 - Progress in Brain Research.
    Recent work in neuroimaging suggests that some patients diagnosed as being in the persistent vegetative state are actually conscious. In this paper, we critically examine this new evidence. We argue that though it remains open to alternative interpretations, it strongly suggests the presence of consciousness in some patients. However, we argue that its ethical significance is less than many people seem to think. There are several different kinds of consciousness, and though all kinds of consciousness have some ethical significance, different (...)
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  45. (1 other version)Moral Understanding in the Psychopath.Luca Malatesti - 2009 - Synthesis Philosophica 24 (2):337-348.
    A pressing and difficult practical problem concerns the general issue of the right social response to offenders classified as having antisocial personality disorder. This paper approaches this general problem by focusing, from a philosophical perspective, on the still relevant but more approachable question whether psychopathic offenders are morally responsible. In particular, I investigate whether psychopaths possess moral understanding. A plausible way to approach the last question requires a satisfactory philosophical interpretation of the empirical evidence that appears to show that psychopaths (...)
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  46. Sulle tracce della malinconia. Un approccio filosofico-sociale.Marco Solinas - 2009 - Costruzioni Psicoanalitiche (17):83-102.
    The essay aims to analyse the gradual historical process of the partial overlap, replacement and expansion of the theoretical paradigm of depression with respect to that of melancholy. The first part is devoted to analysing some of the central features of the multivalent thematizations of melancholy drawn up during modernity, also with relation to the spirit of capitalism (in its Weberian acceptation). This is followed by an overview of the birth of the modern category of depression, and the process that (...)
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  47. In two minds: a casebook of psychiatric ethics.Donna Dickenson, Bill Fulford & K. W. M. Fulford - 2000 - Oxford: Oxford University Press. Edited by K. W. M. Fulford.
    In Two Minds is a practical casebook of problem solving in psychiatric ethics. Written in a lively and accessible style, it builds on a series of detailed case histories to illustrate the central place of ethical reasoning as a key competency for clinical work and research in psychiatry. Topics include risk, dangerousness and confidentiality; judgements of responsibility; involuntary treatment and mental health legislation; consent to genetic screening; dual role issues in child and adolescent psychiatry; needs assessment; cross-cultural and gender issues; (...)
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  48. Consent in children.Donna Dickenson - 1998 - Current Opinion in Psychiatry 11:389-393.
    Children and young people under 18 years old should no longer be regarded as incompetent to give or withhold consent in decisions involving their health care, Recent research suggests a functional test of cognitive and emotional maturity, rather than a strict age cut-off point. However, it is often difficult to implement these recommendations in practice, not least because the law is, if anything, increasingly 'hard-line' about children's autonomy.
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  49. (1 other version)True wishes: the philosophy and developmental psychology of informed consent.Donna Dickenson & David Jones - 1995 - Philosophy, Psychiatry, and Psychology 2 (4):287-303.
    In this article we explore the underpinnings of what we view as a recent "backlash" in English law, a judicial reaction against considering children's and young people's expressions of their own feelings about treatment as their "true" wishes. We use this case law as a springboard to conceptual discussion, rooted in (a) empirical psychological work on child development and (b) three key philosophical ideas: rationality, autonomy and identity. Using these three concepts, we explore different understandings of our central theme, true (...)
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  50. Children's informed consent to treatment: is the law an ass?D. Dickenson - 1994 - Journal of Medical Ethics 20 (4):205-222.
    Anomaly in English law between age of children's permitted consent to treatment and much lower age of criminal responsibility.
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