Skip to main content
×
×
Home

Consent to treatment and clinical decision analysis: A solution to medical uncertainty and public doubt?

  • Ernest P. Worrall (a1)
Extract

The 1984 Scottish Mental Health Act (and its counterpart in England and Wales) invoked unique restrictions in medical practice in this country. For the first time certain standard treatments could not be given to particular patients unless an independent second opinion doctor authorised that treatment. Fortunately, in respect of drug treatment and ECT the second opinion doctors are themselves practising clinicians. Second opinion doctors are asked to give their opinion about the suitability of a proposed treatment using the following guidelines: “the appointed doctor will have in mind his/her understanding of practice accepted as proper by a responsible body of medical men skilled in this particular art in Scotland at this time and should avoid any idiosyncratic view of treatment however firmly held”.

    • Send article to Kindle

      To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      Consent to treatment and clinical decision analysis
      Available formats
      ×
      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

      Consent to treatment and clinical decision analysis
      Available formats
      ×
      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

      Consent to treatment and clinical decision analysis
      Available formats
      ×
Copyright
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
Hide All
Grounds, A. (1986) Psychiatry and patients' rights. British Journal of Hospital Medicine, 36, 147148.
Hamilton, J. (1986) Editorial, British Medical Journal, 292, 1219.
Pauker, S. G. & Kassirer, J. P. (1987) Medical progress: decision analysis. New England Journal of Medicine, 316, 250258.
Pippard, J. & Ellam, L. (1981). Electro-convulsive therapy in Great Britain. British Journal of Psychiatry, 139, 563568.
Prior, A. (1987) Personal View. British Medical Journal, 295, 920.
Wehr, T. S. & Goodwin, F. K. (1987) Can antidepressants cause mania and worsen the course of affective illness? American Journal of Psychiatry, 144, 14031411.
Weinstein, M. C., Fineberg, H. V. & Elstein, A. S. (1980) Clinical Decision Analysis. Philadelphia: W. B. Saunders.
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Metrics

Full text views

Total number of HTML views: 0
Total number of PDF views: 1 *
Loading metrics...

Abstract views

Total abstract views: 3 *
Loading metrics...

* Views captured on Cambridge Core between 2nd January 2018 - 24th June 2018. This data will be updated every 24 hours.

Consent to treatment and clinical decision analysis: A solution to medical uncertainty and public doubt?

  • Ernest P. Worrall (a1)
Submit a response

eLetters

No eLetters have been published for this article.

×

Reply to: Submit a response


Your details


Conflicting interests

Do you have any conflicting interests? *