The Competency Paradox in Somatic Disease.

J Am Acad Psychiatry Law

Dr. Wall is Director of the Forensic Service, Eleanor Slater Hospital, Cranston, RI, and Clinical Professor, Alpert Medical School, Brown University, Providence, RI.

Published: December 2017

Westmoreland have reviewed factors associated with provider reluctance to initiate and judicial reluctance to authorize civil commitment and involuntary treatment for persons with severe anorexia nervosa. Their analysis of the legal, medical, and psychiatric elements that affect treatment outcomes contributes to professional understanding of a complex topic. Although their proposal to create guidelines for involuntary treatment for persons with eating disorders may be of clinical utility, guidelines should not be promulgated for the purposes of reaching judicial findings of law.

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