Futility in Chronic Anorexia Nervosa: A Concept Whose Time Has Not Yet Come

被引:37
|
作者
Geppert, Cynthia M. A. [1 ,2 ]
机构
[1] New Mexico Vet Affairs Hlth Care Syst, Albuquerque, NM USA
[2] Univ New Mexico, Sch Med, Albuquerque, NM 87108 USA
来源
AMERICAN JOURNAL OF BIOETHICS | 2015年 / 15卷 / 07期
关键词
mental illness; decision making; palliative care; futility; ADVANCE DIRECTIVES ACT; END-STAGE ANOREXIA; MEDICAL FUTILITY; PALLIATIVE CARE; EATING-DISORDERS; FORCED TREATMENT; REFUSE TREATMENT; MENTAL-ILLNESS; CONSENT; DISPUTES;
D O I
10.1080/15265161.2015.1039720
中图分类号
B82 [伦理学(道德学)];
学科分类号
摘要
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 anorexia nervosa (AN). A review of this literature provides the background for a critical examination of whether the concept of futility has any clinically meaningful, ethically justifiable, and legally defensible application to AN. In this article, the arguments for and against futility judgments in AN are analyzed with special emphasis on determinations of capacity in this serious mental illness. Parallels between the futility disputes in medical and psychiatric disorders, where applicable, will be drawn to further illuminate whether or not the concept that continued psychiatric treatment for AN is ever truly futile.
引用
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页码:34 / 43
页数:10
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