Insight and the Capacity to Refuse Treatment with Electroconvulsive Therapy.
J Law Med
; 31(2): 273-323, 2024 Jun.
Article
em En
| MEDLINE
| ID: mdl-38963247
ABSTRACT
All Australian jurisdictions have statutory provisions governing the use of electroconvulsive therapy. Cases in which the patient lacks insight into their psychotic illness and need for treatment and refuses to have ECT are particularly poignant. In Re ICO [2023] QMHC 1, the Queensland Mental Health Court considered whether a patient with a treatment-resistant psychotic illness had decision-making capacity to refuse ECT. The Court also considered whether the patient had been provided with an adequate explanation of the proposed treatment including the expected benefits, risks and adverse effects of ECT. As well as deciding whether ECT was appropriate in the circumstances, the Court considered whether there were alternative treatments including another trial of the oral antipsychotic clozapine. This article reviews issues relating to lack of insight in persons with psychotic illness and relevant considerations for determining capacity to decline ECT.
Palavras-chave
Buscar no Google
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Recusa do Paciente ao Tratamento
/
Competência Mental
/
Eletroconvulsoterapia
Limite:
Humans
País/Região como assunto:
Oceania
Idioma:
En
Revista:
J Law Med
Assunto da revista:
JURISPRUDENCIA
Ano de publicação:
2024
Tipo de documento:
Article