Abstract
Informed Consent for Treatment in Forensic Psychiatry: Is It A Realistic Proposition?
Highlights
Much has been written with respect to informed consent (IC) in medicine [1]
The assumptions of autonomy and what he termed “decisional autodeterminism” of the individual were ill defined and poorly developed. In those early days, the notion of consent was highly influenced by religious ideology, and the belief that the patient was ignorant in the matters of medicine and its application
Emphasis on maintaining dignity and being transparent emerged as central principles of IC, which allowed for greater autonomy on the part of the patient
Summary
Much has been written with respect to informed consent (IC) in medicine [1]. In his review, Mallardi [2] traces the origins of informed consent to the era of ancient Egyptian, Greek and Roman civilizations. The assumptions of autonomy and what he termed “decisional autodeterminism” of the individual were ill defined and poorly developed In those early days, the notion of consent was highly influenced by religious ideology, and the belief that the patient was ignorant in the matters of medicine and its application. At the core of this exchange, a universally held notion, that the clinician always acted in the patient’s best interest was accepted (a tenant that continues in modern medicine). This belief is embodied in the central tenet of the Hippocratic Oath; that is, ‘do no harm’. Given the unique issues inherent in treating involuntarily detained individuals who have significant mental disorders, the focus will remain on treatment within forensic mental health (FMH) settings
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