Compulsory Treatment for Anorexia Nervosa: Compassion or Coercion?
Abstract
Compulsory treatment for anorexia nervosa was recently once again a topic for discussion following the case of J, a 16-year-old girl who unsuccessfully applied to the Court of Appeal to refuse treatment for her anorexia nervosa. In this instance legal opinion was sought in order to clarify the Children Act 1989. However, much of the media coverage focused on the controversy surrounding the compulsory treatment of anorexia nervosa, under the provisions of the Mental Health Act 1983. There is a lack of research into the compulsory treatment of anorexia nervosa, so debate has to be informed by clinical experience.
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When involuntary treatment is effective, it is often met with gratitude by patients.
“and when effective is often met with gratitude by patients [17–20].”
From Terminal anorexia nervosa is a dangerous term: it cannot, and should not, be defined (2022) · cites this paper as [18]
In severe anorexia nervosa, when a patient's life is at risk, involuntary treatment provided by a behavioral inpatient specialty program can be lifesaving.
“In severe AN, when a patient’s life is at risk, involuntary treatment provided by a behavioral inpatient specialty program, can be lifesaving”
From Terminal anorexia nervosa is a dangerous term: it cannot, and should not, be defined (2022) · cites this paper as [18]
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References 16 · Cited by 81
- Authors
- Tiller, J., Schmidt, U., & Treasure, J.
- Corresponding author
- Tiller, Jane
- Venue
- British Journal of Psychiatry
- Publisher
- Royal College of Psychiatrists
- Published
- 1993-05
- Volume
- 162
- Issue
- 5
- Pages
- 679-680
- ISSN
- 0007-1250 (ISSN-L)
- 1472-1465
- OpenAlex
- W2132932804
- Cited by
- 81
- References
- 16
- Citations by year
- 2025: 2 · 2024: 2 · 2023: 1 · 2022: 3 · 2021: 3 · 2020: 1 · 2019: 1 · 2017: 1 · 2015: 1 · 2014: 2 · 2013: 2 · 2012: 1
- FWCI
- 3.01
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The British Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- DigitalGeorgetown (Georgetown University Library) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Healthcare Decision-Making and Restraints
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Ethics and Legal Issues in Pediatric Healthcare
- Keywords
- anorexia nervosa, involuntary treatment, coercion, Mental Health Act 1983, Children Act 1989, treatment refusal, adolescent eating disorders
- MeSH terms
- Anorexia Nervosa, Female, Humans, Treatment Refusal
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