Meisel A, Roth L H, Lidz C W
Am J Psychiatry. 1977 Mar;134(3):285-9. doi: 10.1176/ajp.134.3.285.
The authors draw together the disparate scholarly and judicial commentaries on consent to medical treatment to develop a model of the components in the decision-making process regarding consent to or refusal of psychiatric treatment. The components consist of the precondition of voluntariness, the provision of information, the patient's competency and understanding, and, finally, consent or refusal. They offer two models of valid consent: the objective model, which focuses on the congruence or lack of it between the patient and a "reasonable" person, and the subjective model, which focuses entirely on the patient's actual understanding.
作者汇总了关于医疗同意的不同学术和司法评论，以构建一个关于同意或拒绝精神科治疗决策过程中各组成部分的模型。这些组成部分包括自愿性的前提条件、信息的提供、患者的能力和理解，以及最终的同意或拒绝。他们提供了两种有效同意的模型：客观模型，侧重于患者与“理性”人之间的一致性或缺乏一致性；主观模型，完全侧重于患者的实际理解。
