PMID: 11314165Apr 21, 2001Paper

Advance directives in psychiatric care: a narrative approach

Journal of Medical Ethics
Guy Widdershoven, Ron Berghmans

Abstract

Advance directives for psychiatric care are the subject of debate in a number of Western societies. By using psychiatric advance directives (or so-called "Ulysses contracts"), it would be possible for mentally ill persons who are competent and with their disease in remission, and who want timely intervention in case of future mental crisis, to give prior authorisation to treatment at a later time when they are incompetent, have become non-compliant, and are refusing care. Thus the devastating consequences of recurrent psychosis could be minimised. Ulysses contracts raise a number of ethical questions. In this article the central issues of concern and debate are discussed from a narrative perspective. Ulysses contracts are viewed as elements of an ongoing narrative in which patient and doctor try to make sense of and get a hold on the recurrent crises inherent in the patient's psychiatric condition.

References

Jan 1, 1991·Schizophrenia Bulletin·M K Rosenson, A M Kasten
Jan 1, 1991·Schizophrenia Bulletin·J A Rogers, J B Centifanti
Jan 1, 1989·Law, Medicine & Health Care : a Publication of the American Society of Law & Medicine·R S Dresser, J A Robertson
May 1, 1986·The Journal of Medicine and Philosophy·B Gert, K D Clouser
Mar 1, 1986·Journal of Applied Philosophy·Michael Lavin

❮ Previous
Next ❯

Citations

Jul 20, 2010·Health Care Analysis : HCA : Journal of Health Philosophy and Policy·Jenny Slatman
Aug 12, 2009·International Psychogeriatrics·Marike E de BoerJan A Eefsting
Oct 20, 2012·Health Economics, Policy, and Law·Jonathan Wolff
Jan 10, 2009·The American Journal of Bioethics : AJOB·Jenny Slatman, Guy Widdershoven
Jun 30, 2005·Journal of Psychiatric Practice·Kaustubh G Joshi
Dec 14, 2005·The Australian and New Zealand Journal of Psychiatry·Clive Baldwin
Nov 23, 2010·The Australian and New Zealand Journal of Psychiatry·Bronwyn WauchopeAmanda Urbanc
Dec 12, 2012·Indian Journal of Psychiatry·Alok Sarin
May 6, 2015·International Journal of Law and Psychiatry·Tania Gergel, Gareth S Owen
Dec 7, 2011·International Journal of Law and Psychiatry·Ron Berghmans, Marja van der Zanden
Dec 5, 2006·International Journal of Law and Psychiatry·Genevra Richardson
May 29, 2015·BMC Medical Ethics·Manne SjöstrandNiklas Juth
Jun 15, 2011·The American Journal of Hospice & Palliative Care·Albert M E Coleman
Sep 6, 2019·Journal of Medical Ethics·Harriet Standing, Rob Lawlor
Jul 14, 2020·American Journal of Law & Medicine·Rebecca Dresser

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.