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Competency to Give an Informed Consent: A Model for Making Clinical Assessments
Abstract
A patient's decision must be informed and free, and he/she must be competent either to consent to or refuse treatment. Rather than selecting a single standard of competency, a sliding scale is suggested that requires an increasingly more stringent standard as the consequences of the patient's decision embody more risk. The standard of competency to consent to or to refuse treatment depends on the dangerousness of the treatment decision. Three different standards are correlated with the psychiatric abnormalities that are most likely to undermine them. A model with guidelines for use is provided to aid the physician who is called on to make a determination of competency.
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Citations
Cited by
The MacCAT-T: a clinical tool to assess patients' capacities to make treatment decisions
(1997) · Psychiatric Services · doi:10.1176/ps.48.11.1415 · Cited by 704
Grisso, T., & Appelbaum, P. S. (1995) · Law and Human Behavior · doi:10.1007/bf01499323 · Cited by 595
Assessing Decisional Capacity for Clinical Research or Treatment: A Review of Instruments
Dunn, L. B., Nowrangi, M. A., Palmer, B. W., Jeste, D. V., & Saks, E. R. (2006) · American Journal of Psychiatry · doi:10.1176/ajp.2006.163.8.1323 · Cited by 464
The MacArthur Treatment Competence Study. I: Mental illness and competence to consent to treatment.
Appelbaum, P. S., & Grisso, T. (1995) · Law and Human Behavior · doi:10.1007/bf01499321 · Cited by 424
“I'm Going Home”: Discharges Against Medical Advice
Alfandre, D. J. (2009) · Mayo Clinic Proceedings · doi:10.4065/84.3.255 · Cited by 326
Metadata
- Authors
- Drane, J. F.
- Venue
- JAMA
- Publisher
- American Medical Association (AMA)
- Published
- 1984-08-17
- Volume
- 252
- Issue
- 7
- Pages
- 925
- ISSN
- 0002-9955 (ISSN-L)
- 0098-7484
- OpenAlex
- W1982938755
- Cited by
- 281
- References
- 0
- FWCI
- 4.90
- Type
- journal article
- Language
- en
- Open access
- closed
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- Drane, J. F. (1984). Competency to Give an Informed Consent: A Model for Making Clinical Assessments. JAMA. https://doi.org/10.1001/jama.1984.03350070043021
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
