Tipping the scales : ethical and legal dilemmas in managing severe eating disorders / edited by Patricia Westmoreland.

Format:

Book

Contributor:

Westmoreland, Patricia, editor.

American Psychiatric Association Publishing, issuing body.

Standardized Title:

Tipping the scales (Westmoreland)

Language:

English

Subjects (All):

Anorexia nervosa--Treatment.

Anorexia nervosa.

Physical Description:

1 online resource (232 pages)

Place of Publication:

Washington, District of Columbia : American Psychiatric Association Publishing, [2021]

Summary:

"Unlike patients with other mental health disorders, such as schizophrenia or bipolar illness, for whom a medical physician rarely needs to be involved in care delivery, patients with eating disorders have a litany of significant medical complications that demand close oversight by a medical doctor knowledgeable in treating these disorders. However, prior to the 1980s, little available literature elucidated the best medical practices for these patients, and currently, very few physicians have much medical expertise in this specialized area. This is disconcerting, because these patients are known to be frequent utilizers of the medical system who are often admitted to hospitals and emergency departments for medical complications of their disorders. In addition, anorexia nervosa has the highest mortality rate of any mental disorder except opioid abuse, and the standardized mortality ratio for bulimia nervosa is almost twice that seen in age-matched control subjects. Moreover, much of the excessive mortality rate in AN is attributable to medical complications. Thus, there is an impelling need for this book, which highlights the medicolegal and ethical challenges in treating individuals with EDs. Progress in the medical and psychological treatment of eating disorders over the past half-century has shown us what we can do but sometimes leaves unanswered questions about what we should do in difficult situations, such as the case of a person with a severe and enduring eating disorder who is symptomatic, resists treatment, and requires repeated involuntary hospitalizations. This book explores the ethical and legal dimensions of these difficult questions"-- Provided by publisher.

Contents:

Treatment of Eating Disorders : An Historical Perspective / Michael Spaulding-Barclay, Arnold Andersen, Joel Yager

Basic Principles of Ethics / Kaila Rudolph, Rebecca Weintraub Brendel

Coercion in Treatment / Angela S. Guarda, Colleen C. Schreyer

Mental Capacity in Anorexia Nervosa / Isis Elzakkers, Cushla McKinney

Role of Medical Guardianship / Dennis Gibso, Philip S. Mehler, Patricia Westmoreland

Civil Commitment / Wayne Bowers, Michael Stafford, Patricia Westmoreland

Severe Eating Disorders in Children and Adolescents : How Are Childhood Eating Disorders Different? / Elizabeth Wassenaar, Barbara Kessel, Anne-Marie O'Melia

Novel Treatments for Patients With Severe and Enduring Eating Disorders / Leah Brar, Elizabeth Wassenaar, Anne-Marie O'Melia

Harm Reduction / Ovidio Bermudez, Phillipa Hay, Stephen Touyz

Eating Disorders and Palliative Care / Patricia Westmoreland, Libby Erickso, Ovidio Bermudez

Futility / Cynthia M.A. Geppert, Joel Yager, Jeanne Kerwin

Eating Disorders and Physician-Assisted Death / Mark Komrad, Annette Hanson.

Notes:

Includes index.

Description based on print version record.

ISBN:

1-61537-974-6

1-61537-377-2