Institute of Psychiatry, King's College London, UK.
J Med Ethics. 2009 Oct;35(10):647-50. doi: 10.1136/jme.2009.030395.
Whether treatment decision-making capacity can be meaningfully applied to patients with a diagnosis of "personality disorder" is examined. Patients presenting to a psychiatric emergency clinic with threats of self-harm are considered, two having been assessed and reviewed in detail. It was found that capacity can be meaningfully assessed in such patients, although the process is more complex than in patients with diagnoses of a more conventional kind. The process of assessing capacity in such patients is very time-consuming and may become, in itself, a therapeutic intervention.
本文探讨了治疗决策能力是否可以应用于被诊断为“人格障碍”的患者。研究考虑了因自伤威胁而就诊于精神科急诊诊所的患者，其中有两位患者得到了详细的评估和回顾。研究发现，尽管评估过程比传统诊断更为复杂，但可以对这些患者进行有意义的能力评估。评估此类患者的能力过程非常耗时，并且本身可能成为一种治疗干预。
