Competence to make treatment decisions in anorexia nervosa: thinking processes and values.
Competence to make treatment decisions in anorexia nervosa: thinking processes and values.
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DOI：
10.1353/ppp.2007.0032
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发表时间：
2006-12
期刊：
影响因子：
--
通讯作者：
Fitzpatrick PR
中科院分区：
文献类型：
--
作者：
Tan DJ;Hope PT;Stewart DA;Fitzpatrick PR
本文探讨了神经性厌食症决策能力实证研究结果的伦理和概念含义。在这项研究中，十名年龄在 13 岁至 21 岁之间、被诊断为神经性厌食症的女性患者和八对家长参加了半结构化访谈。访谈的目的是确定可能与拒绝治疗的能力问题相关的思维方面。所有患者参与者还使用 MacCAT-T 能力测试进行了测试。这是一种正式的、结构化的、由面试官管理的能力测试，是一种广泛接受的确定能力的临床工具。这些年轻女性还完成了五份简短的自填问卷，以评估她们的精神病理学水平。访谈中发现的问题分为两个标题：思维处理困难和价值观变化。结果表明，神经性厌食症患者拒绝治疗的能力可能会受到传统法律方法或当前标准化能力测试无法捕捉到的影响。
This paper explores the ethical and conceptual implications of the findings from an empirical study of decision-making capacity in anorexia nervosa. In the study, ten female patients aged 13 to 21 years with a diagnosis of anorexia nervosa, and eight sets of parents, took part in semi-structured interviews. The purpose of the interviews was to identify aspects of thinking that might be relevant to the issue of competence to refuse treatment. All the patient participants were also tested using the MacCAT-T test of competence. This is a formalised, structured interviewer-administered test of competence, which is a widely accepted clinical tool for determining capacity. The young women also completed five brief self-administered questionnaires to assess their levels of psychopathology. The issues identified from the interviews are described under two headings: difficulties with thought processing, and changes in values. The results suggest that competence to refuse treatment may be compromised in people with anorexia nervosa in ways that are not captured by traditional legal approaches or current standardised tests of competence.
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