Vollmann J
Institut für Geschichte der Medizin, FU Berlin.
Nervenarzt. 2000 Sep;71(9):709-14. doi: 10.1007/s001150050654.
The doctrine of informed consent has become a legal and ethical standard in psychiatry today. However, ethical problems arise if patients lose the capacity to give informed consent due to their psychiatric disorders. Particularly in the field of psychiatry, the assessment of competence of informed consent to medical treatment and participation in clinical trials is a controversial issue. New empirical data suggest that a high percentage of psychiatric patients are incompetent according to defined standards for assessing their capacity to make treatment decisions. Assessing competence according to a sliding scale integrates the ethical principles of autonomy and beneficence and provides help in assessing competence in clinical practice.
如今，知情同意原则已成为精神病学领域的一项法律和伦理标准。然而，如果患者因精神疾病而丧失了给予知情同意的能力，就会出现伦理问题。特别是在精神病学领域，对医疗治疗和参与临床试验的知情同意能力的评估是一个有争议的问题。新的实证数据表明，根据评估治疗决策能力的既定标准，很大比例的精神病患者无行为能力。根据滑动量表评估行为能力，整合了自主性和有益性的伦理原则，并为临床实践中的行为能力评估提供了帮助。
