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Cited by 12Eating Disorders and BehaviorsPalliative and Oncologic CareEthics and bioethics in healthcare

Responding to “Terminal anorexia nervosa: three cases and proposed clinical characteristics”

Open access
Mack, Rebekah A., Stanton, Caroline E.·2022·Journal of Eating Disorders
DOI 10.1186/s40337-022-00612-yPMC PMC9233818
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Abstract

The treatment of eating disorders raises many ethical debates given the pervasiveness with which this illness impacts individuals, especially as the length of time with the illness increases. A recent case study supported the appropriateness of pursuing medical aid in dying for individuals with eating disorders who wish to end their fight with their disorder. This correspondence raises concerns related to this controversial proposal as the current authors dispute that the use of medical aid in dying for individuals with eating disorders is ethically judicious or appropriate. Additionally, this correspondence highlights additional treatment implications that should be considered when trying to provide individuals with eating disorders with the best evidence-based care possible, with the goal of promoting steps toward recovery.

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Crossref · 10.1186/s40337-022-00612-y

Cites

19 of 19 references verified0 citation errors · 0 not checkable

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Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • The main concern surrounding MAiD-MD and suicide prevention is the idea that MAiD-MD is a way of helping some people commit suicide.

    “The main concern surrounding MAiD-MD and suicide prevention is the idea that MAiD-MD is a way of helping some people commit suicide [49, 52].”

    From Medical assistance in dying for people living with mental disorders: a qualitative thematic review (2023) · cites this paper as [52]

  • Some healthcare professionals perceive MAiD-MD as a way to act on suicidal ideation, resulting in the death of people who would not otherwise have committed this act.

    “Some healthcare professionals perceive MAiD-MD as a way to act on suicidal ideation, resulting in the death of people who would not otherwise have committed this act [52].”

    From Medical assistance in dying for people living with mental disorders: a qualitative thematic review (2023) · cites this paper as [52]

  • The introduction of MAiD-MD into the continuum of care can affect the therapeutic relationship, which is closely correlated with patients' hope for improvement, a key facilitator of recovery.

    “The introduction of MAiD-MD into the continuum of care can affect the therapeutic relationship [17, 48, 59], which is closely correlated with patients’ hope for improvement [37], a key facilitator of recovery [23, 52].”

    From Medical assistance in dying for people living with mental disorders: a qualitative thematic review (2023) · cites this paper as [52]

    The Main text argues that labeling an eating disorder terminal may reduce a patient’s hope for improvement and urges healthcare providers to encourage recovery. It does not address whether introducing MAiD into care affects the therapeutic relationship—the part of the sentence to which this source is cited. Searches for therapeutic relationship and MAiD’s effects on provider–patient relationships found no passage establishing that point. (LLM, conf=0.70)

    Experimental — accuracy not yet measured

  • Mack and Stanton pointed out that in Gaudiani et al.'s case examples, patients' co-occurring conditions (depression, suicidality, OCD, anxiety) were not indicated as being appropriately treated, which may have profoundly impacted motivation, hope for recovery, and engagement in treatment.

    “In response to Gaudiani et al.’s [1] case examples suggested to illustrate ‘terminal’ AN, Mack and Stanton [81] pointed out that the patients’ co-occurring conditions (i.e., depression, suicidality, obsessive compulsive disorder [OCD], anxiety) were not indicated as being appropriately treated, which may have profoundly impacted motivation, hope for recovery, and engagement in treatment.”

    From A lived experience response to the proposed diagnosis of terminal anorexia nervosa: learning from iatrogenic harm, ambivalence and enduring hope (2023) · cites this paper as [81]

  • The proposed 'terminal' diagnosis has been suggested to amount to a facilitation of the capability to complete suicide when an individual with SE-AN is experiencing ambivalence toward death.

    “The proposed ‘terminal’ diagnosis has been suggested to amount to a facilitation of the capability to complete suicide when an individual with SE-AN is experiencing ambivalence toward death”

    From A lived experience response to the proposed diagnosis of terminal anorexia nervosa: learning from iatrogenic harm, ambivalence and enduring hope (2023) · cites this paper as [81]

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Cites

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Research works printed but not linked: 1

  1. [9]American Medical Association. Physician-assisted suicide. [Internet]. [cited 2022 May 29]. https://www.ama-assn.org/delivering-care/ethics/physician-assisted-suicide.

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Authors
Mack, R. A., & Stanton, C. E.
Affiliations
  • Johns Hopkins University (US)
  • Medical University of South Carolina (US)
Corresponding author
Mack, Rebekah A.
ORCID
Venue
Journal of Eating Disorders
Publisher
Springer Science and Business Media LLC
Published
2022-06-25
Volume
10
Issue
1
Pages
87-87
ISSN
2050-2974 (ISSN-L)
DOI
10.1186/s40337-022-00612-y
PMC
PMC9233818
OpenAlex
W4283459674
Cited by
12
References
19
Citations by year
2026: 2 · 2025: 1 · 2024: 3 · 2023: 6
FWCI
2.51
Type
journal article
Language
en
Open access
Licence
Locations
  • Journal of Eating Disorders (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative and Oncologic Care
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Ethics and bioethics in healthcare
Keywords
medical assistance in dying, euthanasia, eating disorders, recovery, end-of-life decisions

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