Document Detail

Commentary: A curious conception.
MedLine Citation:
PMID:  21389164     Owner:  NLM     Status:  MEDLINE    
Nau et al. describe a woman with schizophrenia who remains in denial of her pregnancy. They raise several legal issues including involuntary commitment, capacity to decide treatment, and conservancy. They review potentially pertinent legal decisions that might inform treatment decisions of women who refuse care during pregnancy. They then conclude that no clear precedents are available that clearly inform the treatment decisions in this particular case: hard cases make bad law (and vice versa). Reconsidering the case from a purely clinical perspective, there may have been some lost opportunities to find common ground or make a compromise with the patient, thus avoiding court altogether. Reconsidering the diagnosis raises questions about the use of antipsychotic medication during this pregnancy.
Seth Powsner
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Publication Detail:
Type:  Comment; Journal Article    
Journal Detail:
Title:  The journal of the American Academy of Psychiatry and the Law     Volume:  39     ISSN:  1943-3662     ISO Abbreviation:  J. Am. Acad. Psychiatry Law     Publication Date:  2011  
Date Detail:
Created Date:  2011-03-10     Completed Date:  2011-07-25     Revised Date:  2012-04-12    
Medline Journal Info:
Nlm Unique ID:  9708963     Medline TA:  J Am Acad Psychiatry Law     Country:  United States    
Other Details:
Languages:  eng     Pagination:  40-3     Citation Subset:  IM    
Yale University/Yale-New Haven Hospital, 20 York Street, Room CB 2039, New Haven, CT 06510-3202, USA.
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MeSH Terms
Decision Making*
Denial (Psychology)*
Maternal-Fetal Relations / psychology*
Mental Competency
Mothers / psychology*
Physician-Patient Relations
Schizophrenia / drug therapy
Comment On:
J Am Acad Psychiatry Law. 2011;39(1):31-9   [PMID:  21389163 ]
Comment In:
J Am Acad Psychiatry Law. 2012;40(1):156; author reply 156-7   [PMID:  22396352 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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