Information, consent and perceived coercion: patients' perspectives on electroconvulsive therapy.
Br J Psychiatry
; 186: 54-9, 2005 Jan.
Article
en En
| MEDLINE
| ID: mdl-15630124
ABSTRACT
BACKGROUND:
Electroconvulsive therapy (ECT) is a procedure that attracts special safeguards under common law for voluntary patients and under both current and proposed mental health legislation, for those receiving compulsory treatment.AIMS:
To review patients' views on issues of information, consent and perceived coercion.METHOD:
Seventeen papers and reports were identified that dealt with patients' views on information and consent in relation to ECT; 134 'testimonies' or first-hand accounts were identified. The papers and reports were subjected to a descriptive systematic review. The testimony data were analysed qualitatively.RESULTS:
Approximately half the patients reported that they had received sufficient information about ECT and side-effects. Approximately a third did not feel they had freely consented to ECT even when they had signed a consent form. Clinician-led research evaluates these findings to mean that patients trust their doctors, whereas user-led work evaluates similar findings as showing inadequacies in informed consent.CONCLUSION:
Neither current nor proposed safeguards for patients are sufficient to ensure informed consent with respect to ECT, at least in England and Wales.Palabras clave
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Educación del Paciente como Asunto
/
Terapia Electroconvulsiva
/
Consentimiento Informado
/
Trastornos Mentales
Tipo de estudio:
Diagnostic_studies
/
Prognostic_studies
/
Systematic_reviews
Límite:
Humans
País/Región como asunto:
Europa
Idioma:
En
Revista:
Br J Psychiatry
Año:
2005
Tipo del documento:
Article
País de afiliación:
Reino Unido