LEADER 04014nam 2200409 450 001 9910794482003321 005 20230629234655.0 010 $a1-61537-377-2 035 $a(CKB)4100000011528911 035 $a(MiAaPQ)EBC6379131 035 $a(EXLCZ)994100000011528911 100 $a20201206d2021 uy 0 101 0 $aeng 135 $aurcnu|||||||| 181 $ctxt$2rdacontent 182 $cc$2rdamedia 183 $acr$2rdacarrier 200 00$aTipping the scales $eethical and legal dilemmas in managing severe eating disorders /$fedited by Patricia Westmoreland 210 1$aWashington, District of Columbia :$cAmerican Psychiatric Association Publishing,$d[2021] 210 4$dİ2021 215 $a1 online resource (232 pages) 300 $aIncludes index. 311 $a1-61537-349-7 327 $aTreatment of Eating Disorders : An Historical Perspective / Michael Spaulding-Barclay, Arnold Andersen, Joel Yager -- Basic Principles of Ethics / Kaila Rudolph, Rebecca Weintraub Brendel -- Coercion in Treatment / Angela S. Guarda, Colleen C. Schreyer -- Mental Capacity in Anorexia Nervosa / Isis Elzakkers, Cushla McKinney -- Role of Medical Guardianship / Dennis Gibso, Philip S. Mehler, Patricia Westmoreland -- Civil Commitment / Wayne Bowers, Michael Stafford, Patricia Westmoreland -- Severe Eating Disorders in Children and Adolescents : How Are Childhood Eating Disorders Different? / Elizabeth Wassenaar, Barbara Kessel, Anne-Marie O'Melia -- Novel Treatments for Patients With Severe and Enduring Eating Disorders / Leah Brar, Elizabeth Wassenaar, Anne-Marie O'Melia -- Harm Reduction / Ovidio Bermudez, Phillipa Hay, Stephen Touyz -- Eating Disorders and Palliative Care / Patricia Westmoreland, Libby Erickso, Ovidio Bermudez -- Futility / Cynthia M.A. Geppert, Joel Yager, Jeanne Kerwin -- Eating Disorders and Physician-Assisted Death / Mark Komrad, Annette Hanson. 330 $a"Unlike patients with other mental health disorders, such as schizophrenia or bipolar illness, for whom a medical physician rarely needs to be involved in care delivery, patients with eating disorders have a litany of significant medical complications that demand close oversight by a medical doctor knowledgeable in treating these disorders. However, prior to the 1980s, little available literature elucidated the best medical practices for these patients, and currently, very few physicians have much medical expertise in this specialized area. This is disconcerting, because these patients are known to be frequent utilizers of the medical system who are often admitted to hospitals and emergency departments for medical complications of their disorders. In addition, anorexia nervosa has the highest mortality rate of any mental disorder except opioid abuse, and the standardized mortality ratio for bulimia nervosa is almost twice that seen in age-matched control subjects. Moreover, much of the excessive mortality rate in AN is attributable to medical complications. Thus, there is an impelling need for this book, which highlights the medicolegal and ethical challenges in treating individuals with EDs. Progress in the medical and psychological treatment of eating disorders over the past half-century has shown us what we can do but sometimes leaves unanswered questions about what we should do in difficult situations, such as the case of a person with a severe and enduring eating disorder who is symptomatic, resists treatment, and requires repeated involuntary hospitalizations. This book explores the ethical and legal dimensions of these difficult questions"--$cProvided by publisher. 606 $aAnorexia nervosa$xTreatment 615 0$aAnorexia nervosa$xTreatment. 676 $a616.85262 702 $aWestmoreland$b Patricia 712 02$aAmerican Psychiatric Association Publishing, 801 0$bMiAaPQ 801 1$bMiAaPQ 801 2$bMiAaPQ 906 $aBOOK 912 $a9910794482003321 996 $aTipping the scales$93816008 997 $aUNINA