Trial by Triad
Substituted judgment, mental illness and the right to die
Bibliographic Data
| ID | 21515079 |
|---|---|
| Authors | Jacob M Appel (0000-0003-3523-9145, Icahn School of Medicine at Mount Sinai, corresponding author) |
| Year | 2022 |
| Volume | 48 |
| Issue | 6 |
| Pages | 358-361 |
| Publication date | 2022-06-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Journal of Medical Ethics (JOURNAL) |
| Journal identifiers | ISSN: 0306-6800 • E-ISSN: 1473-4257 |
| Publisher | BMJ (PUBLISHER • GB) |
| DOI | 10.1136/medethics-2020-107154 |
| PMID | 33883234 |
| OpenAlex | W3154038664 |
| Language | EN |
| Citations received | 3 |
| References cited | 8 |
Substituted judgment has increasingly become the accepted standard for rendering decisions for incapacitated adults in the USA. A broad exception exists with regard to patients with diminished capacity secondary to depressive disorders, as such patients’ previous wishes are generally not honoured when seeking to turn down life-preserving care or pursue aid-in-dying. The result is that physicians often force involuntary treatment on patients with poor medical prognoses and/or low quality of life (PMP/LQL) as a result of their depressive symptoms when similarly situated incapacitated patients without such depressive symptoms would have their previous wishes honoured via substituted judgment. This commentary argues for reconsidering this approach and for using a substituted judgment standard for a subset of EMP/LQL patients seeking death
Anxiety · Depressive symptoms · Mental health · Mental illness · Psychiatry · Psychoanalysis · Psychotherapist · Right to die · Ethics and Legal Issues in Pediatric Healthcare · Healthcare Decision-Making and Restraints · Medicine · Palliative Care and End-of-Life Issues · Psychology
| Unique citing works | 3 |
|---|---|
| Citations per year | 0.75 |
| Citation span | 2022 - 2024 (3) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 3 |