"Compulsory (Involuntary) Treatment for Anorexia Nervosa"

Recently posted to SSRN:

"Compulsory (Involuntary) Treatment for Anorexia Nervosa" 

THE TREATMENT OF EATING DISORDERS, Carlos Grilo, James Mitchell, eds., Guilford Press, pp. 212-224, 2009
Sydney Law School Research Paper No. 10/07

STEPHEN TOUYZ, University of Sydney
TERRY CARNEY, University of Sydney - Faculty of Law
This chapter concentrates on the medical and ethical turbulence regarding management of anorexia nervosa at that intersection between law and medicine. While not overlooking the emerging literature on ‘when’ and ‘why’ clinicians actually invoke whatever powers the law permits, our emphasis is on the issues of principle at stake. The chapter reviews the diverse pattern of laws (if any) which may be used in aid of involuntary treatment of anorexia nervosa suffers in different jurisdictions, before setting out some of the ethical principles informing the use of involuntary treatment. The main section of the chapter then examines the clinical practice and therapeutic role of coercion within the overall treatment options for dealing with a condition whose chronicity, morbidity and mortality rates understandably puts pressure on clinicians to find ‘solutions’. The chapter concludes by arguing that coercion into treatment has a very limited, but potentially vital, role to play in dealing with anorexia patients presenting with life-threateningly low Body Mass Indices (BMI’s) or equivalent compromise of their current or future health status.

Comments

[Fiona Place]

It is vital that a person can be treated against their will - after all they are not in a position to make life and death decisions while acutely ill - it is also of great concern clinicians are refusing to treat people for fear of being sued. Women and men are dying while their love ones look one - and clinicians mostly refuse to take any responsibility for their actions - simply citing the "law."

[Liverpool lawyer]

it really is important for people to understand how this disease renders suffers unable to make sensible decisions and that intervention is a must.