{"id":296,"date":"2020-10-27T00:00:00","date_gmt":"2022-12-31T03:49:04","guid":{"rendered":"https:\/\/cushlamckinney.wordpress.com\/?p=296"},"modified":"2025-01-10T09:42:36","modified_gmt":"2025-01-09T20:42:36","slug":"capacity-in-anorexia-nervosa","status":"publish","type":"post","link":"https:\/\/cushla.spooky-possum.org\/wordpress\/index.php\/2020\/10\/27\/capacity-in-anorexia-nervosa\/","title":{"rendered":"Mental Capacity in Anorexia Nervosa"},"content":{"rendered":"\n<p class=\"has-medium-font-size wp-block-paragraph\">In <em>Tipping the Scales: Ethical and Legal Dilemmas in Managing Severe Eating Disorders<\/em>. Westmorland P (Ed). American Psychiatric Association Publishing<\/p>\n\n\n\n<p class=\"has-medium-font-size wp-block-paragraph\">This chapter attempts to provide some guidance on how to assess mental capacity in cases of severe anorexia. It provides information on clinical variables such as BMI, treatment history, and appreciation that may influence capacity, and discusses the role of personal values and relationships in decision-making. It describes how combining the qualitative assessment using the MacCAT-T with clinical judgment can improve the assessment of mental capacity, and highlights the importance of ensuring the patient retains say where possible (eg by working with them to decide on aspects such as timing, implementation or cessation of compulsory treatment). <\/p>\n\n\n\n<h2 class=\"wp-block-heading has-medium-font-size\"><a href=\"https:\/\/books.apple.com\/us\/book\/tipping-the-scales\/id1537705718\">https:\/\/books.apple.com\/us\/book\/tipping-the-scales\/id1537705718<\/a><\/h2>\n\n\n\n<p class=\"has-medium-font-size wp-block-paragraph\"><a href=\"https:\/\/www.psychiatryonline.org\/doi\/10.1176\/appi.books.9781615379743.lg04\">https:\/\/www.psychiatryonline.org\/doi\/10.1176\/appi.books.9781615379743.lg04<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Chapter 4 in Tipping the Scales: Ethical and Legal Dilemmas in Managing Severe Eating Disorders. This book centers on the complex and at times wrenching medicolegal and ethical challenges encountered in treating patients with severe and enduring eating disorders (SEEDs). Unlike other mental health disorders, for which the care of a medical physician is typically unnecessary, patients with eating disorders have many significant medical complications that demand careful oversight by a physician knowledgeable in treating these disorders. The tragic dearth of such expertise is made more alarming by the fact that anorexia nervosa has the highest mortality rate of any mental disorder aside from opioid abuse. Accordingly, the book addresses the medical consequences of SEEDs and explores that subgroup of patients whose illness appears intractable &#8212; people who are no longer seeking a &#8220;cure&#8221; but, rather, enough improvement to afford them a reasonable quality of life.\u00a0For such patients, depending on their age, treatment history, and support system, treatment teams may either commit to achieving a full recovery or engage in a harm reduction model<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4],"tags":[8,12,13,17],"class_list":["post-296","post","type-post","status-publish","format-standard","hentry","category-ethics-publications","tag-anorexia","tag-compulsory-treatment","tag-ethics","tag-law"],"_links":{"self":[{"href":"https:\/\/cushla.spooky-possum.org\/wordpress\/index.php\/wp-json\/wp\/v2\/posts\/296","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cushla.spooky-possum.org\/wordpress\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/cushla.spooky-possum.org\/wordpress\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/cushla.spooky-possum.org\/wordpress\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/cushla.spooky-possum.org\/wordpress\/index.php\/wp-json\/wp\/v2\/comments?post=296"}],"version-history":[{"count":5,"href":"https:\/\/cushla.spooky-possum.org\/wordpress\/index.php\/wp-json\/wp\/v2\/posts\/296\/revisions"}],"predecessor-version":[{"id":2208,"href":"https:\/\/cushla.spooky-possum.org\/wordpress\/index.php\/wp-json\/wp\/v2\/posts\/296\/revisions\/2208"}],"wp:attachment":[{"href":"https:\/\/cushla.spooky-possum.org\/wordpress\/index.php\/wp-json\/wp\/v2\/media?parent=296"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cushla.spooky-possum.org\/wordpress\/index.php\/wp-json\/wp\/v2\/categories?post=296"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cushla.spooky-possum.org\/wordpress\/index.php\/wp-json\/wp\/v2\/tags?post=296"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}