Perry C
Soc Sci Med. 1985;20(6):645-8. doi: 10.1016/0277-9536(85)90403-4.
Certain affective disorders are associated with compromised cognitive and emotional capacities and thus, with one's ability to act as a fully autonomous individual. Some of these personality problems have been treated very successfully with specified drug regimes. Continued treatment with lithium has rendered previously incompetent manic patients fully capable of competent self-governance. If the competent have the right to refuse medical attention (even when the refusal is not in the patient's best interest) does the drug-induced competent psychiatric patient have the right to refuse that medical treatment necessary for his continued competency? This paper investigates this issue.
某些情感障碍与认知和情感能力受损相关，因此也与一个人作为完全自主个体的行为能力相关。其中一些人格问题已通过特定的药物治疗方案得到了非常成功的治疗。持续使用锂进行治疗已使先前无行为能力的躁狂患者完全具备了自主治理的能力。如果有行为能力的人有权拒绝医疗护理（即使这种拒绝不符合患者的最大利益），那么药物诱导下有行为能力的精神病患者是否有权拒绝为维持其行为能力所需的医疗治疗？本文将探讨这个问题。
