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Centre for Policy on Ageing | |
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| An ethical framework for understanding patients with antisocial personality disorder who develop dementia: diagnosing and managing disorders of autonomy | | Author(s) | Richard H Workman Jr, Victor Molinari, Laurence B McCullough |
| Journal title | Journal of Ethics, Law and Aging, vol 3, no 2, Fall/Winter 1997 |
| Pages | pp 79-90 |
| Keywords | Personality disorders ; Dementia ; In-patients ; Independence ; Mental disorder ; Court of protection. |
| Annotation | Older patients with Antisocial Personality Disorder who develop dementia are often difficult to manage in an inpatient setting, and present ethical challenges for health care staff. This article presents two case studies which demonstrate the problems such patients can pose, and provides a clinical ethical framework that incorporates the concept of accountability into the traditional threshold model of autonomous decision making. It is argued that the more recent process disorder of autonomy (dementia) interacts with the long-standing values disorder of autonomy (Antisocial Personality Disorder) to create irreversible decision-making incapacity. The article concludes that the substantial reduction in patients' accountability, and therefore in autonomy, caused by these comorbid disorders at times justifies denying the patients' requests for independent living. |
| Accession Number | CPA-980120218 A |
| Classmark | EK: EA: LF7: C3: E: JVC |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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