[HTML][HTML] Systematic review on the prevalence of lack of capacity in medical and psychiatric settings

P Lepping, T Stanly, J Turner - Clinical Medicine, 2015 - ncbi.nlm.nih.gov
Recent court cases in England and Wales have refocused attention on patients' decision-
making capacity to consent. Little is known about the prevalence of incapacity across …

Systematic review and meta-analysis of factors that help or hinder treatment decision-making capacity in psychosis

A Larkin, P Hutton - The British Journal of Psychiatry, 2017 - cambridge.org
Background The evidence on factors that may influence treatment decisional capacity
('capacity') in psychosis has yet to be comprehensively synthesised, which limits the …

[HTML][HTML] Fluctuating capacity and advance decision-making in bipolar affective disorder—self-binding directives and self-determination

T Gergel, GS Owen - International journal of law and psychiatry, 2015 - Elsevier
Abstract 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 …

Paternalism v. autonomy–are we barking up the wrong tree?

P Lepping, T Palmstierna, BN Raveesh - The British Journal of …, 2016 - cambridge.org
We explore whether we can reduce paternalism by increasing patient autonomy. We argue
that autonomy should not have any automatic priority over other ethical values. Thus …

[HTML][HTML] Should assessments of decision-making capacity be risk-sensitive? A systematic review

NC Berens, SYH Kim - Frontiers in Psychology, 2022 - frontiersin.org
Background The concept of decision-making capacity (DMC) or competence remains
controversial, despite widespread use. Risk-sensitive DMC assessment (RS-DMC)—the …

Assessment of mental capacity to consent to treatment in anorexia nervosa: a comparison of clinical judgment and MacCAT-T and consequences for clinical practice

IFFM Elzakkers, UN Danner, T Grisso, HW Hoek… - International journal of …, 2018 - Elsevier
Informed consent requires adequate mental capacity to consent to treatment. Mental
capacity (MC) to consent to treatment refers to the ability to make medical decisions. MC is …

Factors influencing advance directives among psychiatric inpatients in India

GS Gowda, EO Noorthoorn, P Lepping… - International Journal of …, 2018 - Elsevier
Objectives Advance directives are documents stating treatment preferences in case of future
lack of decision making capacity. In India, as in many other countries, legislators advocate …

Comparing attitudes towards compulsory interventions in severe and persistent mental illness among psychiatrists in India and Switzerland

C Rickli, J Stoll, AL Westermair, M Trachsel - BMC psychiatry, 2024 - Springer
Background Psychiatrists face a major ethical challenge when deciding whether to make
use of coercive measures in the treatment process of patients suffering from severe and …

Responsibilities with conflicting priorities: a qualitative study of ACT providers' experiences with community treatment orders

HK Stuen, A Landheim, J Rugkåsa, R Wynn - BMC health services …, 2018 - Springer
Background Patients with severe mental illness may be subjected to Community Treatment
Orders (CTOs) in order to secure that the patients adhere to treatment. Few studies have …

[HTML][HTML] Compulsory interventions are challenging the identity of psychiatry

P Hoff - Frontiers in psychiatry, 2019 - frontiersin.org
Compulsory interventions severely restrict constitutional rights of the patients. They are
exceptional measures only to be considered under strict and clearly defined ethical and …