refusing care forced treatment and the rights of the mentally ill

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Refusing Care

Author : Elyn R. Saks
ISBN : 0226733998
Genre : Psychology
File Size : 22. 3 MB
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It has been said that how a society treats its least well-off members speaks volumes about its humanity. If so, our treatment of the mentally ill suggests that American society is inhumane: swinging between overintervention and utter neglect, we sometimes force extreme treatments on those who do not want them, and at other times discharge mentally ill patients who do want treatment without providing adequate resources for their care in the community. Focusing on overinterventionist approaches, Refusing Care explores when, if ever, the mentally ill should be treated against their will. Basing her analysis on case and empirical studies, Elyn R. Saks explores dilemmas raised by forced treatment in three contexts—civil commitment (forced hospitalization for noncriminals), medication, and seclusion and restraints. Saks argues that the best way to solve each of these dilemmas is, paradoxically, to be both more protective of individual autonomy and more paternalistic than current law calls for. For instance, while Saks advocates relaxing the standards for first commitment after a psychotic episode, she also would prohibit extreme mechanical restraints (such as tying someone spread-eagled to a bed). Finally, because of the often extreme prejudice against the mentally ill in American society, Saks proposes standards that, as much as possible, should apply equally to non-mentally ill and mentally ill people alike. Mental health professionals, lawyers, disability rights activists, and anyone who wants to learn more about the way the mentally ill are treated—and ought to be treated—in the United States should read Refusing Care.

Refusing Care

Author : Elyn R. Saks
ISBN : 0226733971
Genre : Psychology
File Size : 66. 87 MB
Format : PDF, Kindle
Download : 157
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It has been said that how a society treats its least well-off members speaks volumes about its humanity. If so, our treatment of the mentally ill suggests that American society is inhumane: swinging between overintervention and utter neglect, we sometimes force extreme treatments on those who do not want them, and at other times discharge mentally ill patients who do want treatment without providing adequate resources for their care in the community. Focusing on overinterventionist approaches, Refusing Care explores when, if ever, the mentally ill should be treated against their will. Basing her analysis on case and empirical studies, Elyn R. Saks explores dilemmas raised by forced treatment in three contexts—civil commitment (forced hospitalization for noncriminals), medication, and seclusion and restraints. Saks argues that the best way to solve each of these dilemmas is, paradoxically, to be both more protective of individual autonomy and more paternalistic than current law calls for. For instance, while Saks advocates relaxing the standards for first commitment after a psychotic episode, she also would prohibit extreme mechanical restraints (such as tying someone spread-eagled to a bed). Finally, because of the often extreme prejudice against the mentally ill in American society, Saks proposes standards that, as much as possible, should apply equally to non-mentally ill and mentally ill people alike. Mental health professionals, lawyers, disability rights activists, and anyone who wants to learn more about the way the mentally ill are treated—and ought to be treated—in the United States should read Refusing Care.

The Right To Refuse Mental Health Treatment

Author : Bruce J. Winick
ISBN : 1557983690
Genre : Medical
File Size : 22. 9 MB
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"The Right to Refuse Mental Health Treatment" is the most comprehensive analysis in print of the legal issues raised by involuntary treatment. Under our legal system, the state has the right to impose mental health treatment on certain people--treatment that includes everything from psychotropic medication to shock therapy to psychosurgery. This book provides a systematic analysis of the mental health treatment techniques and the constitutional issues implicated by involuntary treatment.

Informed Consent To Psychoanalysis

Author : Elyn R. Saks
ISBN : 9780823249763
Genre : Law
File Size : 85. 25 MB
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"This book examines informed consent to psychoanalysis. It reviews the law. It examines informed consent as a theoretical matter: e.g., is it possible, is it countertherapeutic? It reports on a survey of analysts. The goal is to shed psychoanalytic light on a concept which has changed the delivery of healthcare"--Provided by publisher.

Committed

Author : Dinah Miller
ISBN : 9781421420783
Genre : Health & Fitness
File Size : 67. 46 MB
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"Every mass shooting in America raises the question of whether there would be fewer such shootings if people who have mental illness were locked away. Of course, some perpetrators were already being treated when they acted, and some never gave any sign that they might be dangerous before they acted. Nevertheless, the question of involuntary commitment comes up over and over again when a mass shooting occurs. In Committed, psychiatrists Dinah Miller and Anne Hanson offer a comprehensive account of the controversy surrounding involuntary psychiatric care in the United States. Through interviews and cases they explore the clinicians, consumers, advocates, institutions, and laws involved. They talk with people who have been involuntarily committed--both those who have been helped by this treatment and those who have been traumatized by it--and with doctors who believe that more people with mental illness should be treated, even against their will. They talk with families, policemen, ED staff, judges, someone from the Church of Scientology, representatives from NAMI and APA, and medical administrators of inpatient facilities. They explore practices such as seclusion and restraint, involuntary medications, and involuntary electroconvulsive therapy--all within the context of civil rights. Miller and Hanson explain why some people push for increased involuntary treatment while others view psychiatrists as money-hungry power mongers and their medications as the cause, not the cure, of symptoms. The authors take a middle view, advocating for the limited and judicious use of involuntary and humane psychiatric care as a last resort when someone poses a danger to themselves or others"--

Who Resource Book On Mental Health Human Rights And Legislation

Author : Melvyn Freeman
ISBN : 924156282X
Genre : Law
File Size : 80. 98 MB
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This publication highlights key issues and principles to be considered in the drafting, adoption and implementation of mental health legislation and best practice in mental health services. It contains examples of diverse experiences and practices, as well as extracts of laws and other legal documents from a range of different countries, and a checklist of key policy components. Three main elements of effective mental health legislation are identified, relating to context, content and process.

Bioethics And The Law

Author : Janet Dolgin
ISBN : 9781454832577
Genre : Law
File Size : 41. 69 MB
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Bioethics and the Law takes a multidisciplinary approach that combines legal discussion with jurisprudential, philosophical, and sociological materials. Strong expressions of different points of view highlight debates about bioethical issues. The text underscores the need to mediate between the law's focus on broad rules and the bioethicist's concern with context and detail. Students are required to consider the ethical implications of health care as a business, face the shifting parameters of the provider/patient relationship in healthcare, and understand the role of government in designing and implementing healthcare programs such as Medicaid and Medicare. Bioethics and the Law supplements the traditional focus of bioethics on the interest of the individual with a second focus on the socio-economic developments that shape healthcare. Connecting broad public healthcare issues to concerns of the individual patient/healthcare consumer, the text promotes understanding of unsettling and complex situations and shows the implications of bioethical developments for understandings of personhood. A helpful glossary defines basic terms and several short appendices summarize recent developments in science and technology. The Third Edition offers in-depth examination of new questions and debates among health care professionals, lawyers, and bioethicists. Separate sections are devoted to issues related to individuals and those related primarily to communities. A significantly expanded discussion of access to health care explores the Patient Protection and Affordable Care Act and the debate about its constitutionality as well as new material on the social determinants of health and global health ethics. A new chapter on privacy and essentialism focuses on bioethical questions occasioned by genetic information and neuroimaging. There is new consideration of discrimination in health care as well as new material on its business aspects. Thoroughly updated, the revised Third Edition presents: in-depth examination of new questions and debates among health care professionals, lawyers, and bioethicists separate sections on issues related to individuals and those related to communities significantly expanded discussion of access to health care the Patient Protection and Affordable Care Act and debate about its constitutionality new material on the social determinants of health and global health ethics , a new chapter on privacy and essentialism, focusing on bioethical questions around genetic information and neuroimaging consideration of discrimination in health care new material on the business aspects of health care

The Center Cannot Hold

Author : Elyn R. Saks
ISBN : 9781401389543
Genre : Biography & Autobiography
File Size : 60. 13 MB
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Elyn R. Saks is an esteemed professor, lawyer, and psychiatrist and is the Orrin B. Evans Professor of Law, Psychology, Psychiatry and the Behavioral Sciences at the University of Southern California Law School, yet she has suffered from schizophrenia for most of her life, and still has ongoing major episodes of the illness. THE CENTER CANNOT HOLD is the eloquent, moving story of Elyn's life, from the first time that she heard voices speaking to her as a young teenager, to attempted suicides in college, through learning to live on her own as an adult in an often terrifying world. Saks discusses frankly the paranoia, the inability to tell imaginary fears from real ones, the voices in her head telling her to kill herself (and to harm others); as well the incredibly difficult obstacles she overcame to become a highly respected professional. This beautifully written memoir is destined to become a classic in its genre. The title is a line from "The Second Coming," a poem by William Butler Yeats, which is alluded to in the book.

Applied Ethics In Mental Health Care

Author : Dominic A. Sisti
ISBN : 9780262317252
Genre : Medical
File Size : 63. 58 MB
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This book discusses some of the most critical ethical issues in mental health care today, including the moral dimensions of addiction, patient autonomy and compulsory treatment, privacy and confidentiality, and the definition of mental illness itself. Although debates over these issues are ongoing, there are few comprehensive resources for addressing such dilemmas in the practice of psychology, psychiatry, social work, and other behavioral and mental health care professions. This book meets that need, providing foundational background for undergraduate, graduate, and professional courses.Topics include central questions such as evolving views of the morality and pathology of deviant behavior; patient competence and the decision to refuse treatment; recognizing and treating people who have suffered trauma; addiction as illness; the therapist's responsibility to report dangerousness despite patient confidentiality; and boundaries for the therapist's interaction with patients outside of therapy, whether in the form of tennis games, gift-giving, or social media contact. For the most part the selections address contemporary issues in contemporary terms, but the book also offers a few historic or classic essays, including Thomas S. Szasz's controversial 1971 article "The Ethics of Addiction." Contributors include Laura Weiss Roberts, Frederic G. Reamer, Charles P. O'Brien, and Thomas McLellan.

American Psychosis

Author : E. Fuller Torrey
ISBN : 9780199988716
Genre : HEALTH & FITNESS
File Size : 46. 45 MB
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E. Fuller Torrey's book provides an insider's perspective on the birth of the federal mental health program.

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