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Chapter 41. Psychiatry and the Law

Robert I. Simon, M.D.; Daniel W. Shuman, J.D.

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The legal principles applied to the practice of psychiatry do not differ from those applied to medicine in general. Nevertheless, the diagnosis, treatment, and management of patients with psychiatric disorders present unique concerns that may pit the psychiatrist's duty to the patient against the psychiatrist's duty to the community. For instance, the competence of psychiatric patients to make health care decisions is often an issue in psychiatric care, as well as the risks that patients pose to others and how best to reduce those risks. Issues such as informed consent, the duty of confidentiality, the right to treatment, the right to refuse treatment, substitute decision making, and advance directives are commonly confronted by clinicians when treating psychiatric patients.

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Sample questions:
1.
"Competency" in the legal sense and "capacity" in the clinical sense are overlapping constructs that are commonly encountered in clinical practice. Which of the following is not true?
2.
Standards for determination of competency in decision making include all of the following except
3.
In Sell v. United States, the Supreme Court set forth standards governing the administration of antipsychotic drugs to render a nonconsenting defendant competent to stand trial. The requirements established in this decision included all of the following except
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