["What's up, doc?" The context, limitations, and issues for clinicians in evidence-based medicine].

Background: The evidence-based medicine approach could be considered a new name given to the contemporary medicine dialectics between the practice of an art and the insight provided by the best scientific data.

Methods: In this 3-part article, the background is introduced, then the design limits of the approach are shown through an example of metaanalysis applied to 4 psychiatric situations, and the conclusion is left to a clinician.

Results: In the background, evidence-based medicine is first associated with the period of budget cuts, then with the widespread popularity of the Internet.

[Categorical refusal of treatment by psychiatric patients: balance, survey and prospects].

Background: In his or her practice, a psychiatrist must often deal with patients who refuse treatment. In 1990, Quebec radically changed this situation by introducing a Civil Code provision imposing judicial intervention to treat an individual deemed unfit to consent, against his or her will. This paper presents an assessment and survey of patients and attending psychiatrists who have used this Code provision.