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About this book
It has been said that how a society treats its least well-off members speaks volumes about its humanity. If so, our treatment of the mentally ill suggests that American society is inhumane: swinging between overintervention and utter neglect, we sometimes force extreme treatments on those who do not want them, and at other times discharge mentally ill patients who do want treatment without providing adequate resources for their care in the community.
Focusing on overinterventionist approaches, Refusing Care explores when, if ever, the mentally ill should be treated against their will. Basing her analysis on case and empirical studies, Elyn R. Saks explores dilemmas raised by forced treatment in three contextsâcivil commitment (forced hospitalization for noncriminals), medication, and seclusion and restraints. Saks argues that the best way to solve each of these dilemmas is, paradoxically, to be both more protective of individual autonomy and more paternalistic than current law calls for. For instance, while Saks advocates relaxing the standards for first commitment after a psychotic episode, she also would prohibit extreme mechanical restraints (such as tying someone spread-eagled to a bed). Finally, because of the often extreme prejudice against the mentally ill in American society, Saks proposes standards that, as much as possible, should apply equally to non-mentally ill and mentally ill people alike.
Mental health professionals, lawyers, disability rights activists, and anyone who wants to learn more about the way the mentally ill are treatedâand ought to be treatedâin the United States should read Refusing Care.
Focusing on overinterventionist approaches, Refusing Care explores when, if ever, the mentally ill should be treated against their will. Basing her analysis on case and empirical studies, Elyn R. Saks explores dilemmas raised by forced treatment in three contextsâcivil commitment (forced hospitalization for noncriminals), medication, and seclusion and restraints. Saks argues that the best way to solve each of these dilemmas is, paradoxically, to be both more protective of individual autonomy and more paternalistic than current law calls for. For instance, while Saks advocates relaxing the standards for first commitment after a psychotic episode, she also would prohibit extreme mechanical restraints (such as tying someone spread-eagled to a bed). Finally, because of the often extreme prejudice against the mentally ill in American society, Saks proposes standards that, as much as possible, should apply equally to non-mentally ill and mentally ill people alike.
Mental health professionals, lawyers, disability rights activists, and anyone who wants to learn more about the way the mentally ill are treatedâand ought to be treatedâin the United States should read Refusing Care.
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Yes, you can access Refusing Care by Elyn R. Saks in PDF and/or ePUB format, as well as other popular books in Psychology & Medical Law. We have over one million books available in our catalogue for you to explore.
Information
Table of contents
- Contents
- Acknowledgments
- Introduction
- 1. Doctors and Lawyers: Why Canât We All Just Get Along?
- 2. Mental Illness: Making Myths or Genuine Disorders?
- 3. Civil Commitment: How Civil?
- 4. The Right to Refuse Medication: When Can I Just Say No?
- 5. Seclusion: The Path of Least Resistance?
- 6. Mechanical Restraints: Loosening the Bonds
- 7. Incompetency and Impairment: Choices Made, Choices Denied
- 8. Self-Binding: Ulysses at the Mast
- 9. Conclusion
- Notes
- References
- Index