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  • Cited by 5
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    Gowda, Guru S. Noorthoorn, Eric O. Lepping, Peter Kumar, Channaveerachari Naveen Nanjegowda, Raveesh Bevinahalli and Math, Suresh Bada 2018. Factors influencing advance directives among psychiatric inpatients in India. International Journal of Law and Psychiatry, Vol. 56, p. 17.

    Lepping, P. 2009. Consent and capacity for dermatologists: an ethical review and update. Clinical and Experimental Dermatology, Vol. 34, Issue. 6, p. 655.

    Hilton, Claire 2007. Changes between the 1959 and 1983 Mental Health Acts (England & Wales), with particular reference to consent to treatment for electroconvulsive therapy. History of Psychiatry, Vol. 18, Issue. 2, p. 217.

    Salize, Hans Joachim Lepping, Peter and Dressing, Harald 2005. How harmonized are we? Forensic mental health legislation and service provision in the European Union. Criminal Behaviour and Mental Health, Vol. 15, Issue. 3, p. 143.

    Steinert, Tilman Lepping, Peter Baranyai, Réka Hoffmann, Markus and Leherr, Herbert 2005. Compulsory admission and treatment in schizophrenia. Social Psychiatry and Psychiatric Epidemiology, Vol. 40, Issue. 8, p. 635.

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Consent in psychiatry – an ethical review

  • Peter Lepping (a1)
Extract

The aim of this article is to give a historical overview of the concept of consent to treatment and its development – one of the most important ethical and legal issues in recent years. Through the discussion of a number of high-profile examples, it deliberates the ethical and legal aspects of consent to treatment today and their implications for psychiatrists' clinical work.

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Copyright
COPYRIGHT: © Royal College of Psychiatrists, 2003
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
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British Medical Association (2001) Practical guide to gaining patients' consent, website toolkit cards 4 and 9. London: BMA.
British Medical Association (1995a) ‘Capacity to consent to & refuse medical treatment’. Chapter 10 of Assessment of mental capacity. London: BMA.
British Medical Association (1995b) Advanced Statements about Medical Treatment. London: BMA.
Buchanan, A. & Brock, D. (1989) Deciding for Others, pp. 51–70. Cambridge: Cambridge University Press.
Beauchamp, T. & Childress, J. (2001) Principles of Biomedical Ethics, 5th edition. New York: Oxford University Press.
Berlin, I. (1969) Four Essays on Liberty, pp.117–72. Oxford: Oxford University Press.
Department of Health (2000) Reforming the Mental Health Act, Part I, The New Legal Framework. London: Department of Health.
Gelder, M., Gath, D., Mayou, R., et al (2001) Oxford Textbook of Psychiatry, 3rd edition, p. 570. Oxford: Oxford University Press.
Gelder, M., Lopez-IBOR, J. J., Andreasen, N., et al (2000) The New Oxford Textbook of Psychiatry, p.100. Oxford: Oxford University Press.
Grisso, T., Appelbaum, P. S. (1998) Assessing Competence to Consent to Treatment – A Guide for Physicians and other Health Professionals, p.11. Oxford: Oxford University Press.
Harris, J. (1985) The Value of Life, p. 208. London and New York: Taylor & Francis Inc.
House of Commons (2002) Patients without Legal Capacity (Safeguards) Bill. Amendment to the Mental Health Act 1983. London: The Stationery Office.
Jarmulowicz, M. (2000) Advance directives are not legally binding. BMJ, 321, 706.
Katz, J. (ed.) (1972) Experimentation with Human Beings. New York: Russell Sage Foundation, pp. ix–x.
Röttgers, H. R. & Lepping, P. (1999) Zwangsunter bringung und –behandlung psychisch kranker ir Geroßbritannien und Deutschland (Sectioning and treatment of the psychiatrically ill in the UK and Germany). Psychiatrische Praxis, 26/99, 139–142.
Royal College of Psychiatrists (2000) Good Psychiatric Practice 2000, Council Report CR83, p.15–17.
Scottish Executive (2000) Adults with Incapacity Seminars, Section 5. Edinburgh: Scottish Executive Publications.
Wilks, M. (2000) Legal issues need clarification. BMJ, 312, 705.
Airedale NHS Trust v. Bland (1993) A.C. 789 (1993) 1 AII E.R. 821.
Herzegflavy v. Austria (1992) 15 EHRR 437.
Malette v. Shulman (1988) 47 ”Dominion Law Reports”, 4th, p.18.
Re C (1994) An adult: refusal of treatment. 1 W.L.R. 290; AII E.R. 819.
Re F (1990) A mental patient: sterilisation, 2 A.C.1.
R. v. Bournewood Community Mental Health NHS Trust, ex parte L (1998), ‘3 weekly law reports 108’, House of Lords, All ER319.
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  • Cited by 5
  • Cited by
    Crossref Citations
    Crossref logo
    This article has been cited by the following publications. This list is generated based on data provided by CrossRef.

    Gowda, Guru S. Noorthoorn, Eric O. Lepping, Peter Kumar, Channaveerachari Naveen Nanjegowda, Raveesh Bevinahalli and Math, Suresh Bada 2018. Factors influencing advance directives among psychiatric inpatients in India. International Journal of Law and Psychiatry, Vol. 56, p. 17.

    Lepping, P. 2009. Consent and capacity for dermatologists: an ethical review and update. Clinical and Experimental Dermatology, Vol. 34, Issue. 6, p. 655.

    Hilton, Claire 2007. Changes between the 1959 and 1983 Mental Health Acts (England & Wales), with particular reference to consent to treatment for electroconvulsive therapy. History of Psychiatry, Vol. 18, Issue. 2, p. 217.

    Salize, Hans Joachim Lepping, Peter and Dressing, Harald 2005. How harmonized are we? Forensic mental health legislation and service provision in the European Union. Criminal Behaviour and Mental Health, Vol. 15, Issue. 3, p. 143.

    Steinert, Tilman Lepping, Peter Baranyai, Réka Hoffmann, Markus and Leherr, Herbert 2005. Compulsory admission and treatment in schizophrenia. Social Psychiatry and Psychiatric Epidemiology, Vol. 40, Issue. 8, p. 635.

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Consent in psychiatry – an ethical review

  • Peter Lepping (a1)
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