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Beurteilung der Kompetenz zur Zustimmung zur Behandlung: Leitfaden für Ärzte/Fachleut
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Artikelmerkmale
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- ISBN
- 9780195103724
Über dieses Produkt
Product Identifiers
Publisher
Oxford University Press, Incorporated
ISBN-10
0195103726
ISBN-13
9780195103724
eBay Product ID (ePID)
819153
Product Key Features
Number of Pages
224 Pages
Language
English
Publication Name
Assessing Competence to Consent to Treatment : a Guide for Physicians and Other Health Professionals
Subject
Ethics, Clinical Medicine, Medical Law & Legislation, Testing & Measurement
Publication Year
1998
Type
Textbook
Subject Area
Law, Education, Medical
Format
Hardcover
Dimensions
Item Height
0.8 in
Item Weight
13.4 Oz
Item Length
8.5 in
Item Width
6.3 in
Additional Product Features
Intended Audience
Scholarly & Professional
LCCN
97-026915
Dewey Edition
21
Reviews
"A clinical masterpiece. Drs. Grisso and Appelbaum have written a practical, clinical gude to assessing an individual's competence to consent to treatment. Their scholarly reviews and focused clinical vignettes make this volume an essential element of all physicians' personal libraries."--Thomas N. Wise, M.D., Chairman, Department of Psychiatry, Georgetown University "...an insanely competent exercise in logic and clarity."-- The Journal of Clinical Research Best Practices "Every few decade comes a book so influential that the history of the entire field is divided into 'before' and 'after'. Assessing Competence to Consent to Treatment is such a book: a clinical, legal, and scientific accomplishment so complete that it will be the odd reader who does not turn the final page and think, 'this is what scholarship should be.' A staggering accomplishment!"--John Monahan, Ph.D., Doherty Professor of Law, University of Virginia, "Once in a great while comes a book that is of major significance in aprofessional field. This relatively small book is one of those seminal works.The authors, both nationally known figures in the field of law and mentalhealth, present a very practical guide, written in a clear, concise, and usefulmanner, to assessing patients' competency to consent to treatment....Together,they have accomplished a tour de force in the field of psychiatry andlaw."--Psychiatric Services, "A clinical masterpiece. Drs. Grisso and Appelbaum have written a practical, clinical guide to assessing an individual's competence to consent to treatment. Their scholarly reviews and focused clinical vignettes make this volume an essential element of all physicians' personallibraries."--Thomas N. Wise, M.D., Chairman, Department of Psychiatry, Georgetown University, "This is a very practical and useful book for any clinician who providestreatment to patients for whom competence to consent is an issue. It is quiteuser-friendly, with convenient chapter summaries and many illustrative clinicalvignettes."--Doody's Journal, "This is a very practical and useful book for any clinician who provides treatment to patients for whom competence to consent is an issue. It is quite user-friendly, with convenient chapter summaries and many illustrative clinical vignettes."--Doody's Journal, "A clinical masterpiece. Drs. Grisso and Appelbaum have written apractical, clinical gude to assessing an individual's competence to consent totreatment. Their scholarly reviews and focused clinical vignettes make thisvolume an essential element of all physicians' personal libraries."--Thomas N.Wise, M.D., Chairman, Department of Psychiatry, Georgetown University, " This book will appeal to anyone who has ever struggled with difficult decisions on the treatment of individuals who are dubiously competent to consent. ... Consenting to treatment is a complex issue. This book unravels the complexity, and is the clearest and most useful handbook on the topicI have yet seen. It should be read by all physicians who obtain consent, that is, each one of us." Annals of the RCPSC (Dec 1998), "Every few decade comes a book so influential that the history of the entire field is divided into 'before' and 'after'. Assessing Competence to Consent to Treatment is such a book: a clinical, legal, and scientific accomplishment so complete that it will be the odd reader who does not turnthe final page and think, 'this is what scholarship should be.' A staggering accomplishment!"--John Monahan, Ph.D., Doherty Professor of Law, University of Virginia, " This book will appeal to anyone who has ever struggled with difficultdecisions on the treatment of individuals who are dubiously competent toconsent. ... Consenting to treatment is a complex issue. This book unravels thecomplexity, and is the clearest and most useful handbook on the topic I have yetseen. It should be read by all physicians who obtain consent, that is, each oneof us." Annals of the RCPSC (Dec 1998), "Those who teach about informed consent, as well as those who consult on this issue, routinely turn to the works of Paul Appelbaum and Tom Grisso for guidance. Their previous academic work in this field has been excellent and this new volume is no exception....The emphasis in this book is onthe clinical aspects of informed consent. The chapters are structured with helpful guidance in dealing with the dilemmas that often arise when competence is assessed....This book represents yet another significant contribution by Grisso and Appelbaum to the field of law and medicine. Moreimportantly, and most successfully, it is a useful clinical volume that should be readily available to all consultation clinicians."--Psychosomatics, "In daily practice, it is physicians who frequently determine whether patients lack decision-making capacity. Assessing Competence to Consent to Treatment is a concise, lucid, wise, and practical book on how to do so....This book provides extremely useful guidance."--The New England Journal ofMedicine, "A clinical masterpiece. Drs. Grisso and Appelbaum have written a practical, clinical gude to assessing an individual's competence to consent to treatment. Their scholarly reviews and focused clinical vignettes make this volume an essential element of all physicians' personal libraries."--Thomas N. Wise, M.D., Chairman, Department of Psychiatry,Georgetown University "...an insanely competent exercise in logic and clarity."--The Journal of Clinical Research Best Practices "Every few decade comes a book so influential that the history of the entire field is divided into 'before' and 'after'.Assessing Competence to Consent to Treatmentis such a book: a clinical, legal, and scientific accomplishment so complete that it will be the odd reader who does not turn the final page and think, 'this is what scholarship should be.' A staggering accomplishment!"--John Monahan, Ph.D., Doherty Professor of Law,University of Virginia, "Those who teach about informed consent, as well as those who consult onthis issue, routinely turn to the works of Paul Appelbaum and Tom Grisso forguidance. Their previous academic work in this field has been excellent andthis new volume is no exception....The emphasis in this book is on the clinicalaspects of informed consent. The chapters are structured with helpful guidancein dealing with the dilemmas that often arise when competence isassessed....This book represents yet another signigicant contribution by Grissoand Appelbaum to the field of law and medicine. More importantly, and mostsuccessfully, it is a useful clinical volume that should be readily available toall consultation clinicians."--Psychosomatics, "This book will appeal to anyone who has ever struggled with difficult decisions on the treatment of individuals who are dubiously competent to consent. Using frequent and relevant clinical examples, the authors, who are acknowledged experts in biomedical ethics, explore the concepts on whichcompetency to consent is founded."--Annals of the Royal College of Physicians and Surgeons of Canada, "Once in a great while comes a book that is of major significance in a professional field. This relatively small book is one of those seminal works. The authors, both nationally known figures in the field of law and mental health, present a very practical guide, written in a clear, concise,and useful manner, to assessing patients' competency to consent to treatment....Together, they have accomplished a tour de force in the field of psychiatry and law."--Psychiatric Services, "Grisso and Appelbaum have given us a complete and concise description of the law, theoretical considerations, and an operational model for determining competency to consent to treatment . . . . This work is truly a guide for the assessment of competence to consent to treatment. Anyone whodevelops an understanding of what is written here will be competent to determine this type of competency. Even those who think they know how to do it can benefit from reading this book. It's like a brief refresher course and highly recommended." The Journal of Nervous and Mental Disease, "A clinical masterpiece. Drs. Grisso and Appelbaum have written a practical, clinical gude to assessing an individual's competence to consent to treatment. Their scholarly reviews and focused clinical vignettes make this volume an essential element of all physicians' personal libraries."--Thomas N. Wise, M.D., Chairman, Department of Psychiatry, Georgetown University "...an insanely competent exercise in logic and clarity."--The Journal of Clinical Research Best Practices "Every few decade comes a book so influential that the history of the entire field is divided into 'before' and 'after'. Assessing Competence to Consent to Treatment is such a book: a clinical, legal, and scientific accomplishment so complete that it will be the odd reader who does not turn the final page and think, 'this is what scholarship should be.' A staggering accomplishment!"--John Monahan, Ph.D., Doherty Professor of Law, University of Virginia, "A clinical masterpiece. Drs. Grisso and Appelbaum have written a practical, clinical gude to assessing an individual's competence to consent to treatment. Their scholarly reviews and focused clinical vignettes make this volume an essential element of all physicians' personal libraries."--Thomas N. Wise, M.D., Chairman, Department of Psychiatry, Georgetown University"...an insanely competent exercise in logic and clarity."--The Journal of Clinical Research Best Practices "Every few decade comes a book so influential that the history of the entire field is divided into 'before' and 'after'. Assessing Competence to Consent to Treatment is such a book: a clinical, legal, and scientific accomplishment so complete that it will be the odd reader who does not turn the final page and think, 'this is what scholarship should be.' A staggering accomplishment!"--John Monahan, Ph.D., Doherty Professor of Law, University of Virginia, "Every few decade comes a book so influential that the history of theentire field is divided into 'before' and 'after'. Assessing Competence toConsent to Treatment is such a book: a clinical, legal, and scientificaccomplishment so complete that it will be the odd reader who does not turn thefinal page and think, 'this is what scholarship should be.' A staggeringaccomplishment!"--John Monahan, Ph.D., Doherty Professor of Law, University ofVirginia, "...a well-elaborated and thorough description of the subsequent steps that have to be taken to minimize the risk of neglecting important aspects in this complicated procedure. Therefore this book is essential for physicians and clinical psychologists working with cognitively impairedpatients."--Medicine, Health Care and Philosophy, "In daily practice, it is physicians who frequently determine whetherpatients lack decision-making capacity. Assessing Competence to Consent toTreatment is a concise, lucid, wise and practical book on how to do so....Thisbook provides extremely useful guidance."--The New England Journal ofMedicine
Illustrated
Yes
Dewey Decimal
610.69/6
Table Of Content
1. Why Competence is Important: The Doctrine of Informed Consent2. Thinking About Competence3. Abilities Related to Competence4. When Patients' Decision Making Should be Assessed5. Assessing Patients' Capacities to Consent to Treatment6. Using the MacArthur Competence Assessment Tool - Treatment7. Making Judgements About Patients' Competence8. Substitute Decision Making for Incompetent Patients
Synopsis
One of the most challenging tasks facing clinicians today is the assessment of patients' capacities to consent to treatment. The protection of a patient's right to decide, as well as the protection of incompetent patients from the potential harm of the decisions they might make, rests largely on clinicians' abilities to judge patients' capacities to decide what treatment they will receive.Confusing laws and complex ethical questions surrounding competence to consent to treatment have made the process of competence assessment intimidating for many clinicians. Health professionals - physicians, medical students nad residents, nurses, and mental health practitioners - have long needed a consice guidebook that translates the issue for practice. This is what this book accomplishes. The aurthors describe the place of competence in the doctrine of informed consent and show how assessments of competence to consent to treatment can be structured by using a specific set of general medical and psychiatric treatment settings, explain how the assessment should be conducted, and offer a structured interview method to assist the task. They also explore the often difficult process of making the judgement about competence and desire what to do when patients' capacities are limited., One of the most challenging tasks facing clinicians today is the assessment of patients' capacities to consent to treatment. The protection of a patient's right to decide, as well as the protection of incompetent patients from the potential harm of their decisions, rests largely on clinicians' abilities to judge patients' capacities to decide what treatment they will receive. However, confusing laws and the complicated ethical issues surrounding the concept of competence to consent have made the process of competence assessment intimidating for many clinicians. Health professionals--physicians, medical students, residents, nurses, and mental health practitioners--have long needed a concise guidebook that translates the issues for practice. That is what this book accomplishes. This volume is the product of an eight-year study of patients' capacities to make treatment decisions--the most comprehensive research of its kind. The authors describe the place of competence in the doctrine of informed consent, analyze the elements of decision-making, and show how assessments of competence to consent to treatment can be conducted within varied general medical and psychiatric treatment settings. The book explains how assessments should be conducted and offers detailed, practice-tested interview guidelines to assist medical practitioners in this task. Numerous case studies illustrate real-life applications of the concepts and methods discussed. Grisso and Appelbaum also explore the often difficult process of making judgments about competence and describe what to do when patients' capacities are limited. A timely, practical handbook relevant to every medical specialty, Assessing Competence to Consent to Treatment will benefit a wide array of medical practitioners--including physicians, medical students, residents, nurses, and other allied health professionals--who need to assess the mental competence of patients in their everyday practice. It will also interest ethicists and moral philosophers, as well as geriatricians and clinical psychologists working with cognitively impaired patients., This is a concise guidebook to the assessment of patients' capacities to consent to treatment. It will help clinicians focus on the abilities that are relevant to legal definitions of competence to consent to medical and psychological treatment. With excellent case vignettes, the authors show how the interview process is carried out and offer strategies for responding to patients with limited capacities.
LC Classification Number
R727.42.G75 1998
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