Severe and enduring anorexia nervosa and futility: a time for every purpose?

P Westmoreland, L Parks, K Lohse… - The Psychiatric Clinics of …, 2021 - europepmc.org
The concept of futility in the treatment of individuals with severe and enduring anorexia
nervosa remains controversial and has significant legal and ethical considerations. For …

Medical futility and psychiatry: palliative care and hospice care as a last resort in the treatment of refractory anorexia nervosa

A Lopez, J Yager, RE Feinstein - International Journal of Eating …, 2010 - Wiley Online Library
Objective The concept of medical futility is accepted in general medicine, yet little attention
has been paid to its application in psychiatry. We explore how medical futility and principles …

Palliative psychiatry for severe and enduring anorexia nervosa includes but goes beyond harm reduction

AL Westermair, DZ Buchman, S Levitt… - The American Journal …, 2021 - Taylor & Francis
Bianchi et al.(2021) argue that for some patients with severe and enduring anorexia nervosa
(SEAN) approaches that do not aim for complete clinical recovery are ethically warranted …

RETRACTED ARTICLE: Regardless of inequities in care, terminal anorexia nervosa exists: a response to Sharpe et al.

J Yager, JL Gaudiani, J Treem - Journal of eating disorders, 2023 - Springer
We are pleased that the concept of terminal anorexia nervosa is being considered in serious
discussion. Our previous presentations were not intended to assess eating disorders care …

Futility in chronic anorexia nervosa: a concept whose time has not yet come

CMA Geppert - The American Journal of Bioethics, 2015 - Taylor & Francis
Comparatively little scholarly attention has been given to the question of futility in chronic
psychiatric disorders, with the exception of a small body of work on so-called end-stage …

Harm minimization in severe and enduring anorexia nervosa

J Russell, B Mulvey, H Bennett… - International review of …, 2019 - Taylor & Francis
For many sufferers of anorexia nervosa, the time course is long, and the prospect of
disability and family burden great. This is all too often the case, even with early diagnosis …

Terminal anorexia nervosa cannot currently be identified

SJ Crow - International Journal of Eating Disorders, 2023 - Wiley Online Library
Objective To review the recent literature on the proposed entity of “terminal anorexia
nervosa.” Method Review of recent literature on the concept of “terminal AN” as well as past …

End-stage anorexia: Criteria for competence to refuse treatment

M Gans, WB Gunn - Applied ethics in mental health care: an …, 2013 - books.google.com
Anorexia nervosa is a complex disorder that primarily afflicts women. It can be fatal; the
mortality rate is thought to be between 6 and 20 percent (Griffiths & Russell, 1998; Mitchell …

A life-affirming palliative care model for severe and enduring anorexia nervosa

J Treem, J Yager, JL Gaudiani - AMA Journal of …, 2023 - journalofethics.ama-assn.org
Some individuals with severe and enduring anorexia nervosa experience dramatically
degraded quality of life in the face of refractory illness and compulsory treatment. We …

Caring for patients with severe and enduring eating disorders (SEED): certification, harm reduction, palliative care, and the question of futility

P Westmoreland, PS Mehler - Journal of Psychiatric Practice®, 2016 - journals.lww.com
Anorexia nervosa is a serious mental illness with a high mortality rate. The body image
distortion inherent to this disorder and the impaired judgment and cognition due to …