Ethical and conceptual issues in eating disorders

Current Opinion in Psychiatry

Volumn 26, Issue 6, 2013, Pages 562-565

  Charland, Louis C ^a  

^a UNIVERSITY OF WESTERN ONTARIO   (Canada)

Author keywords

Affectivity; authenticity; decision making capacity; identity; value

Indexed keywords

ANOREXIA NERVOSA; DISEASE CLASSIFICATION; EATING DISORDER; EMOTION; HUMAN; MEDICAL DECISION MAKING; RESEARCH ETHICS; REVIEW;

BIOETHICAL ISSUES; DECISION MAKING; EATING DISORDERS; EMPIRICAL RESEARCH; ETHICS, MEDICAL; ETHICS, RESEARCH; HUMANS;

EID: 84885180761     PISSN: 09517367     EISSN: 14736578     Source Type: Journal    
DOI: 10.1097/YCO.0b013e328365a3a1     Document Type: Review

References (22)

1. Charland LC Decision-making capacity. In: Zalta EN, editor. The Stanford encyclopedia of philosophy. Summer 2011 edition. http://plato.stanford.edu/ archives/sum2011/entries/decision-capacity/ [Accessed 5 September 2013]
2. Mishra R. The case: starving for perfection. Camb Q Healthc Ethics 2012; 21:396-397. A substantial case discussion with both philosophical and empirical considerations.
3. Goode ET. Commentary: staying the swinging pendulum. Camb Q Healthc Ethics 2012; 21:397-400. A thoughtful commentary on Ref. [2&] above, with allusions to empirical factors in force feeding.
4. Groopman LC. Commentary: where ignorant armies clash by night. Camb Q Healthc Ethics 2012; 21:400-404. Another thoughtful commentary on Ref. [2&], with empirical allusions to individuals' views of coercion before and after.
5. Craigie J. Competence, practical rationality and what a patient values. Bioethics 2011; 25:326-333. One of the few substantial ethical discussions in the review period. This study argues that it is sometimes ethical to override the treatment refusals by competent, capable individuals. This study commendably combines legal, clinical, and philosophical observations.
6. Giordano S. Anorexia and refusal of life-saving treatment: the moral place of competence, suffering, and the family. Philos Psychiatry Psychol 2010; 17:143-154.
7. Campbell AT, Aulisio MP. The stigma of 'mental' illness: end stage anorexia and treatment refusal. Int J Eating Disord 2012; 45:627-634. An argument to the effect that overriding competent, capable treatment refusals in anorexia nervosa perpetuates harmful stigmatization of mentally ill patients.
8. Bowden H. A phenomenological study of anorexia nervosa. Philos Psychiatry Psychol 2012; 19:227-241. An innovative study with interesting reports on inner conflicts in anorexia nervosa.
9. Lee S. Engaging culture: an overdue task for eating disorders research. Cult Med Psychiatry 2004; 28:617-621. (Pubitemid 40558490)
10. Tan J, Stewart A, Hope T. Treatment decision-making in anorexia nervosa: an empirical ethics research validation and dissemination project. 2009; This study was funded by the Wellcome Trust and produced as part of a research grant, privately published by Beacon Printers, Penarth, Wales. For copies of this report please email Dr Jacinta Tan at j.o.a.tan@swansea.ac.uk.
11. Easter MM. 'Not all my fault': genetics, stigma, and personal responsibility for women with eating disorders. Soc Sci Med 2012; 75:1408-1416. An important empirical ethics contribution on individuals' perceptions of the ethics of 'genetic framing' on matters of personal responsibility, choice, and stigma in eating disorders.
12. Charland LC, Hope T, Tan JOA, Stewart A. Anorexia nervosa as a passion. Philos Psychiatry Psychol (in press).
13. Hope T, Tan J, Stewart A, Fitzpatrick R. Anorexia nervosa and the language of authenticity. Hastings Cent Rep 2011; 41:19-29. The most thorough empirical ethics discussion in the review period. This study builds on the report by Tan et al. [10] cited above. (See also p. 20 of the article for a description of Tan et al.'s 2008 study.)
14. Charland LC. A madness for identity: psychiatric labels, consumer autonomy, and the perils of the internet. Philos Psychiatry Psychol 2004; 11:335-349.
15. Charland LC. As autonomy heads into harm's way. Philos Psychiatry Psychol 2004; 11:361-363.
16. Tan JO, Hope T, Stewart A. Anorexia nervosa and personal identity: the accounts of patients and their parents. Int J Law Psychiatry 2003; 26:533-548. (Pubitemid 37323856)
17. Vandereycken W. Can eating disorders become 'contagious' in group therapy and specialized inpatient care? Eur Eat Disord Rev 2011; 19:289-295. An interesting study with important clinical and ethical implications on the topic of 'social contagion' in relation to eating disorders.
18. Ribot T. Essay on the passions [in French]. Paris: l'Harmattan; 1907.
19. Tan DJ, Hope PT, Stewart DA, Fitzpatrick PR. Competence to make treatment decisions in anorexia nervosa: thinking processes and values. Philos Psychiatry Psychol 2006; 13:267-282.
20. Charland LC. Anorexia and the MacCAT-T test for mental competence: validity, value, and emotion. Philosophy Psychiatry Psychol 2007; 13:283-287.
21. Freyenhagen F. Personal autonomy and mental capacity. Psychiatry 2009; 8:465-467.
22. Erler A, Hope T. Mental disorder and the concept of authenticity. Hastings Cent Rep (in press).