Informed consent for special procedures: electroconvulsive therapy and psychosurgery

@article{Bloucif2013InformedCF,
  title={Informed consent for special procedures: electroconvulsive therapy and psychosurgery},
  author={S. B{\'e}loucif},
  journal={Current Opinion in Anaesthesiology},
  year={2013},
  volume={26},
  pages={182–185}
}
  • S. Béloucif
  • Published 2013
  • Medicine
  • Current Opinion in Anaesthesiology
Purpose of review Informed consent has become the cornerstone of the expression of patient's autonomy for ethical and sound patient–physician relationships. However, some severe psychiatric diseases markedly hinder the ability of selected patients to ensure a proper consent. Confronted with mentally disabled individuals whose condition may lead to violence or inflicting it on others, society must carry out its duty of protecting those who are particularly vulnerable, while respecting and… Expand
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References

SHOWING 1-10 OF 20 REFERENCES
Electroconvulsive therapy, the placebo effect and informed consent
  • C. Blease
  • Psychology, Medicine
  • Journal of Medical Ethics
  • 2012
TLDR
It is contended that the process of informed consent must include comprehensive accounts of these uncertainties over the mechanism of action of ECT and given the risk of serious side effects that ECT may produce, it is concluded that a fuller description of E CT must be provided to patients and their carers. Expand
The Electroconvulsive Therapy Controversy: Evidence and Ethics
  • A. Reisner
  • Psychology, Medicine
  • Neuropsychology Review
  • 2004
TLDR
Ethical issues involving this treatment's use, its availability to the public, and informed consent procedures are discussed, and evidence suggests that most of these deficits are transitory. Expand
Informed consent: ethical implications in clinical practice
TLDR
Anesthesiologists have ethical obligations to involve children in the medical decision-making process as much as the child's capacity allows, and to place patient advocacy in the informed consent process above production pressures. Expand
Making a difference: incorporating theories of autonomy into models of informed consent
  • C. Delany
  • Psychology, Medicine
  • Journal of Medical Ethics
  • 2008
TLDR
It is concluded that models of practice that explicitly incorporate the underlying ethical meaning of autonomy as their basis, provide less prescriptive, but more theoretically rich guidance for healthcare communicative practices. Expand
Four models of the physician-patient relationship.
TLDR
Four models of the doctor-patient interaction are outlined, emphasizing the different understandings of the goals of the physicianpatient interaction, the physician's obligations, the role of patient values, and the conception of patient autonomy, which constitute Weberian ideal types. Expand
Consent in psychiatry — an ethical review
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 theExpand
Forcible medication for courtroom competence--the case of Charles Sell.
  • G. Annas
  • Medicine
  • The New England journal of medicine
  • 2004
TLDR
The author discusses the legal and ethical issues raised by the 2003 Supreme Court decision in the case of former dentist Charles Sell, which ruled that when certain criteria were met, a judge could order involuntary medication to restore competence. Expand
Clinical practice. Assessment of patients' competence to consent to treatment.
TLDR
A 75-year-old woman has type 2 diabetes mellitus, peripheral vascular disease, and a gangrenous ulcer of her left foot, and she declines a below-the-knee amputation, saying that she has lived long enough and wants to die with her body intact. Expand
Communicating evidence for participatory decision making.
TLDR
There is a paucity of evidence to guide how physicians can most effectively share clinical evidence with patients facing decisions, so means of accomplishing 5 communication tasks to address in framing and communicating clinical evidence are described. Expand
Shared decision making--pinnacle of patient-centered care.
The most important attribute of patient-centered care is the active engagement of patients when fateful health care decisions must be made — when they arrive at a crossroads of medical options, whereExpand
...
1
2
...