Assessing Competence to Consent to Treatment

Assessing Competence to Consent to Treatment : A Guide for Physicians and Other Health Professionals

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One of the most challenging tasks facing clinicians today is the assessment of patients' capacities to consent to treatment. The protection of a patient's right to decide, as well as the protection of incompetent patients from the potential harm of the decisions they might make, rests largely on clinicians' abilities to judge patients' capacities to decide what treatment they will receive. Confusing laws and complex ethical questions surrounding competence to consent to treatment have made the process of competence assessment intimidating for many clinicians. Health professionals - physicians, medical students nad residents, nurses, and mental health practitioners - have long needed a consice guidebook that translates the issue for practice. This is what this book accomplishes. The aurthors describe the place of competence in the doctrine of informed consent and show how assessments of competence to consent to treatment can be structured by using a specific set of general medical and psychiatric treatment settings, explain how the assessment should be conducted, and offer a structured interview method to assist the task. They also explore the often difficult process of making the judgement about competence and desire what to do when patients' capacities are more

Product details

  • Hardback | 224 pages
  • 139.7 x 213.4 x 25.4mm | 385.56g
  • Oxford University Press Inc
  • New York, United States
  • English
  • New.
  • line figures, tables
  • 0195103726
  • 9780195103724
  • 1,192,501

About Thomas Grisso

Thomas Grisso, Ph.D. is Professor of Psychiatry and Director of Forensic Training and Research at the University of Massachusetts Medical Center.Paul S. Appelbaum, M.D., is the A.F. Zeleznik Professor of Psychiatry, and Chairman of the Department of Psychiatry at the University of Massachusetts Medical Center. His books include: Trauma and Memory: Clinical and Legal Controversies (OUP, 1997) and Almost a Revolution: Mental Health Law and the Limits of Change (OUP, 1994).show more

Review quote

"A clinical masterpiece. Drs. Grisso and Appelbaum have written a practical, clinical gude to assessing an individual's competence to consent to treatment. Their scholarly reviews and focused clinical vignettes make this volume an essential element of all physicians' personal libraries."--Thomas N. Wise, M.D., Chairman, Department of Psychiatry, Georgetown University..".an insanely competent exercise in logic and clarity."--The Journal of Clinical Research Best Practices "Every few decade comes a book so influential that the history of the entire field is divided into 'before' and 'after'. Assessing Competence to Consent to Treatment is such a book: a clinical, legal, and scientific accomplishment so complete that it will be the odd reader who does not turn the final page and think, 'this is what scholarship should be.' A staggering accomplishment!"--John Monahan, Ph.D., Doherty Professor of Law, University of Virginiashow more

Table of contents

1. Why Competence is Important - The Doctrine of Informed Concent ; 2. Thinking About Competence ; 3. Abilities Related to Competence ; 4. When Patients' Decision Making Should be Assessed ; 5. Assessing Patients' Capacities to Consent to Treatment ; 6. Using the MacArthur Competence Assessment Tool - Treatment ; 7. Making Judgements About Patients' Competence ; 8. Substitute Decision-Makingshow more

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