Decision making in patients with anorexia nervosa: a bioethical and methodological challenge

The refusal of patients with anorexia to undergo medical treatment may create strong ethical dilemmas for health professionals, obliging them either to accept decisions that leave patients at risk or to apply treatment against their patients' will. In this paper we discuss the issue of mental c...

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Detalles Bibliográficos
Autores: Ramos Pozón, Sergio, Robles del Olmo, Bernabé, Sevilla Guerra, Sonia
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2022
País:España
Institución:Universidad de Barcelona
Repositorio:Dipòsit Digital de la UB
OAI Identifier:oai:diposit.ub.edu:2445/186118
Acceso en línea:https://hdl.handle.net/2445/186118
Access Level:acceso abierto
Palabra clave:Anorèxia
Alienació mental (Dret)
Presa de decisions
Bioètica
Anorexia
Insanity (Law)
Decision making
Bioethics
Descripción
Sumario:The refusal of patients with anorexia to undergo medical treatment may create strong ethical dilemmas for health professionals, obliging them either to accept decisions that leave patients at risk or to apply treatment against their patients' will. In this paper we discuss the issue of mental capacity in patients with anorexia who consent to or refuse a specific treatment. We also review personal identity as an important factor in decision-making and discuss three decision-making styles: the subjective criterion, substituted judgment, and the best interest principle, and highlight the serious challenges associated with each one.