Regaining mental capacity for treatment decisions following psychiatric admission: A clinico-ethical study

Psychological Medicine

Volumn 41, Issue 1, 2011, Pages 119-128

  Owen, G S ^a   Ster, I Chis ^a,b   David, A S ^a   Szmukler, G ^a   Hayward, P ^a   Richardson, G ^a   Hotopf, M ^a  

^a KING'S COLLEGE LONDON   (United Kingdom)

^b UNIVERSITY COLLEGE LONDON   (United Kingdom)

Author keywords

Empirical ethics; ethics; insight; mental capacity; nosology; psychopathology

Indexed keywords

ADULT; ARTICLE; BIPOLAR DISORDER; CONFIDENCE INTERVAL; FEMALE; HOSPITAL PATIENT; HUMAN; MAJOR DEPRESSION; MALE; MENTAL CAPACITY; MENTAL DISEASE; PSYCHIATRIC DEPARTMENT; PSYCHOLOGICAL ASPECT; PSYCHOLOGICAL RATING SCALE; PSYCHOLOGY; PSYCHOSIS; REMISSION; RISK; SCHIZOPHRENIA; STATISTICAL MODEL; STATISTICS; TIME;

ADULT; BIPOLAR DISORDER; CONFIDENCE INTERVALS; DEPRESSIVE DISORDER, MAJOR; FEMALE; HUMANS; INPATIENTS; LOGISTIC MODELS; MALE; MENTAL COMPETENCY; MENTAL DISORDERS; ODDS RATIO; PSYCHIATRIC DEPARTMENT, HOSPITAL; PSYCHIATRIC STATUS RATING SCALES; PSYCHOTIC DISORDERS; REMISSION INDUCTION; SCHIZOPHRENIA; SCHIZOPHRENIC PSYCHOLOGY; TIME FACTORS;

EID: 78650303823     PISSN: 00332917     EISSN: 14698978     Source Type: Journal    
DOI: 10.1017/S0033291710000383     Document Type: Article

References (36)

1. Alloy LB, Abramson LY (1979). Judgment of contingency in depressed and nondepressed students: sadder but wiser? Journal of Experimental Psychology General 108, 441-485.
2. Appelbaum PS (1995). Almost a Revolution: Mental Health Law and the Limits of Change. Oxford University Press: Oxford.
3. Appelbaum PS (2003). Law & psychiatry: dangerous persons, moral panic, and the uses of psychiatry. Psychiatric Servives 54, 441-442.
4. Appelbaum PS (2007). Assessment of patient's competence to consent to treatment. The New England Journal of Medicine 357, 1834-1840.
5. Appelbaum PS, Grisso T (1995). The MacArthur Treatment Competence Study. I: mental illness and competence to consent to treatment. Law & Human Behavior 19, 105-126.
6. Cairns R, Maddock C, David AS, Hayward P, Richardson G, Szmukler G, Hotopf M (2005). Prevalence and predictors of mental incapacity in psychiatric in-patients. The British Journal of Psychiatry 187, 379-385.
7. Cutting J (1997). Principles of Psychopathology. Oxford Medical Publications: Oxford.
8. Fennell P (1996). Treatment without Consent: Law, Psychiatry and the Treatment of Mentally Disordered People since 1845. Routledge: London.
9. Ghaemi SN (2007). Feeling and time: the phenomenology of mood disorders, depressive realism, and existential psychotherapy. Schizophernia Bulletin 33, 122-130.
10. Ghaemi SN, Rosenquist KL (2004). Insight in mood disorder: an empirical and conceptual review. In Insight and Psychosis (ed. X. Amador and A. S. David), pp. 101-115. Oxford University Press: Oxford.
11. Grisso T, Appelbaum PS (1995). Comparison of standards for assessing patients' capacities to make treatment decisions. American Journal of Psychiatry 152, 1033-1037.
12. Grisso T, Appelbaum PS (1998). Assessing Competence to Consent to Treatment. Oxford University Press: New York.
13. Jacob R, Clare ICH, Holland A, Watson PC, Maimaris C, Gunn, M. 2005. Self harm capacity and refusal of treatment: implications for emergency practice. A prospective observational study. Emergency Medicine Journal 22, 799-802.
14. Jeste DV, Palmer BW, Golshan S, Eyler LT, Dunn LB, Meeks T, Glorioso D, Fellows I, Kraemer H, Appelbaum PS (2009). Multimedia consent for research in people with schizophrenia and normal subjects: a randomized controlled trial. Schizophrenia Bulletin 35, 719-729.
15. Kirkbride JB, Fearon P, Morgan C, Dazzan P, Morgan K, Tarrant J, Lloyd T, Holloway J, Hutchinson G, Leff JP, Mallett RM, Harrison GL, Murray RM, Jones PB (2006). Heterogeneity in incidence rates of schizophrenia and other psychotic syndromes: findings from the 3-center AeSOP study. Archives of General Psychiatry 63, 250-258.
16. Kirmayer LJ, Corin E, Jarvis GE (2004). Inside knowledge: cultural constructions of insight in psychosis. In Insight and Psychosis: Awareness of Illness in Schizophrenia and Related Disorders (ed. X. Amador and A. David), pp. 197-229. Oxford University Press: Oxford.
17. Leonhard K (1957). The Classifcation of Endogenous Psychoses. Irvington Publishers, Inc.: New York.
18. Okai D, Owen G, McGuire H, Singh S, Churchill R, Hotopf M (2007). Mental capacity in psychiatric patients: Systematic review. British Journal of Psychiatry 191, 291-297.
19. Owen GS, David AS, Richardson G, Szmuker G, Hayward P, Hotopf M (2009). Mental capacity, diagnosis and insight. Psychological Medicine 39, 1389-1398.
20. Owen GS, Richardson G, David A, Szmuker G, Hayward P, Hotopf M (2008). Mental capacity to make decisions on treatment in people admitted to psychiatric hospitals: a cross sectional study. British Medical Journal 337, 448.
21. Pini S, Cassano GB, Dell'Osso L, Amador XF (2001). Insight into illness in schizophrenia, schizoaffective disorder, and mood disorders with psychotic features. American Journal of Psychiatry 158, 122-125.
22. PsychCorp (1999). Wechsler Abbreviated Scale of Intelligence - Manual. PsychCorp: Oxford, UK.
23. Richardson G (2005). The European Convention and mental health law in England and Wales: moving beyond process. International Journal of Law and Psychiatry 28, 127-139.
24. Richardson G (2007). Balancing autonomy and risk: a failure of nerve in England and Wales? International Journal of Law and Psychiatry 30, 71-80.
25. Royston P (2004). Multiple imputation of missing values. Stata Journal 4, 227-241.
26. Royston P (2005a). Multiple impuation of missing values: update of ice. Stata Journal 5, 527-536.
27. Royston P (2005b). Multiple imputation of missing values: update. Stata Journal 5, 188-201.
28. Rubin DB (1976). Inference and missing data (with discussion). Biometrika 63, 581-592.
29. Sanz M, Constable G, Lopez-Ibor I, Kemp R, David AS (1998). A comparative study of insight scales and their relationship to psychopathological and clinical variables. Psychological Medicine 28, 437-446.
30. Singh SP, Greenwood N, White S, Churchill R (2007). Ethnicity and the Mental Health Act 1983. British Journal of Psychiatry 191, 99-105.
31. The Law Commission (1995). Mental Incapacity. HMSO: London.
32. Van Os J, McKenna P (2003). Does schizophrenia exist? Maudsley Discussion Paper, No. 12. (http://www. iop.kcl.ac.uk/departments/?locator=525). Accessed 23 January 2010.
33. Ventura J, Green MF, Shaner A, Liberman RP (1993). Training and quality assurance with the Brief Psychiatric Rating Scale: 'the drift buster'. International Journal of Methods in Psychiatric Research 3, 221-244.
34. Vollmann J, Bauer A, Danker-Hopfe H, Helmchen H (2003). Competence of mentally ill patients: a comparative empirical study. Psychological Medicine 33, 1463-1471.
35. Wong JG, Clare ICH, Holland AJ, Watson PC, Gunn M (2000). The capacity of people with a 'mental disability' to make a health care decision. Psychological Medicine 30, 295-306.
36. WHO (1992). The ICD-10 Classification of Mental and Behavioural Disorders: Clinical Descriptions and Diagnostic Guidelines. WHO: Geneva.