Bull Am Acad Psychiatry Law. 1991;19(4):383-8.

Beyond cognition: the role of disordered affective states in impairing competence to consent to treatment.

Bursztajn HJ, Harding HP Jr, Gutheil TG, Brodsky A.

Source

Program in Psychiatry and the Law, Mass. Mental Health Center.

Abstract

Most of the criteria for competence in current use emphasize cognitive rather than affective dimensions. Our clinical experience indicates that affective disorders may impair competence in a detectable and identifiable way. In particular, patients with major affective disorders can retain the cognitive capacity to understand the risks and benefits of a medication, yet fail to appreciate its benefits. A case study of a pathologic grief reaction is introduced to illustrate how cognitive and affective impairments may coexist and require separate remedial strategies for restoration. Further empirical work on the role of affective disorder in impairing competence is warranted and planned.

PMID:: 1786417; [PubMed - indexed for MEDLINE]

Publication Types, MeSH Terms

Publication Types

Case Reports

MeSH Terms

LinkOut - more resources

Other Literature Sources

COS Scholar Universe

Medical

Patient Rights - MedlinePlus Health Information

Supplemental Content

Save items

Related citations in PubMed

Does depression invalidate competence? Consultants' ethical, psychiatric, and legal considerations. [Camb Q Healthc Ethics. 1993]
Does depression invalidate competence? Consultants' ethical, psychiatric, and legal considerations.
Young EW, Corby JC, Johnson R. Camb Q Healthc Ethics. 1993 Fall; 2(4):505-15.
Legal issues in determining competence to make treatment decisions. [New Dir Ment Health Serv. 1989]
Legal issues in determining competence to make treatment decisions.
Benesch K. New Dir Ment Health Serv. 1989 Spring; No. 41:97-105.
The PSDA and the depressed elderly: "intermittent competency" revisited. [J Clin Ethics. 1993]
The PSDA and the depressed elderly: "intermittent competency" revisited.
Shamoo AE, Irving DN. J Clin Ethics. 1993 Spring; 4(1):74-80.
Review The MacArthur Treatment Competence Study. I: Mental illness and competence to consent to treatment. [Law Hum Behav. 1995]
Review The MacArthur Treatment Competence Study. I: Mental illness and competence to consent to treatment.
Appelbaum PS, Grisso T. Law Hum Behav. 1995 Apr; 19(2):105-26.
Review Toward an informed discussion of informed consent: a review and critique of the empirical studies. [Ariz Law Rev. 1983]
Review Toward an informed discussion of informed consent: a review and critique of the empirical studies.
Meisel A, Roth LH. Ariz Law Rev. 1983; 25(2):265-346.

See reviews... See all...

Cited by 4 PubMed Central articles

Review Affective forecasting: an unrecognized challenge in making serious health decisions. [J Gen Intern Med. 2008]
Review Affective forecasting: an unrecognized challenge in making serious health decisions.
Halpern J, Arnold RM. J Gen Intern Med. 2008 Oct; 23(10):1708-12. Epub 2008 Jul 30.
Competency and the Capacity to Make Treatment Decisions: A Primer for Primary Care Physicians. [Prim Care Companion J Clin Psy...]
Competency and the Capacity to Make Treatment Decisions: A Primer for Primary Care Physicians.
Leo RJ. Prim Care Companion J Clin Psychiatry. 1999 Oct; 1(5):131-141.
Depression and competence to refuse psychiatric treatment. [J Med Ethics. 2002]
Depression and competence to refuse psychiatric treatment.
Rudnick A. J Med Ethics. 2002 Jun; 28(3):151-5.

See all...

Related information

Related Citations
Calculated set of PubMed citations closely related to the selected article(s) retrieved using a word weight algorithm. Related articles are displayed in ranked order from most to least relevant, with the “linked from” citation displayed first.
Cited in PMC
Full-text articles in the PubMed Central Database that cite the current articles.

Recent activity

Clear Turn Off Turn On

Beyond cognition: the role of disordered affective states in impairing competenc...
Beyond cognition: the role of disordered affective states in impairing competence to consent to treatment.
Bull Am Acad Psychiatry Law. 1991 ;19(4):383-8.

PubMed
ANATOMICAL METHODS OF APPROACH IN OPERATIONS ON THE LONG BONES OF THE EXTREMITIE...
ANATOMICAL METHODS OF APPROACH IN OPERATIONS ON THE LONG BONES OF THE EXTREMITIES.
Ann Surg. 1918 Sep ;68(3):309-29.

PubMed
Embryologic development of flexion creases.
Embryologic development of flexion creases.
Birth Defects Orig Artic Ser. 1991 ;27(2):113-29.

PubMed
I. Myositis Ossificans Traumatica: A Report of Three Cases Illustrating the Diff...
I. Myositis Ossificans Traumatica: A Report of Three Cases Illustrating the Difficulties of Diagnosis from Sarcoma.
Ann Surg. 1913 Mar ;57(3):305-37.

PubMed
Neuropsychological probes of fronto-limbic system dysfunction in schizophrenia. ...
Neuropsychological probes of fronto-limbic system dysfunction in schizophrenia. Olfactory identification and Wisconsin Card Sorting performance.
Schizophr Res. 1991 Dec ;6(1):55-65.

PubMed

Your browsing activity is empty.

Activity recording is turned off.

Turn recording back on

PubMed

Result Filters

Display Settings:

Send to: