Medical, judicial, and statutory regulation of ECT in the United States

The standards for ECT recommended by an APA task force report and those embodied in federal court orders and state statutes and regulations are compared. The authors conclude that there is serious boundary and role confusion owing to progressive intrusion of state authority into areas traditionally...

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Bibliographic Details
Published inThe American journal of psychiatry Vol. 141; no. 11; p. 1349
Main Authors Winslade, W J, Liston, E H, Ross, J W, Weber, K D
Format Journal Article
LanguageEnglish
Published United States 01.11.1984
Subjects
Adolescent
Child
Electroconvulsive Therapy - standards
Government Regulation
Health Services Misuse - legislation & jurisprudence
Humans
Informed Consent - legislation & jurisprudence
Judicial Role
Jurisprudence
Legislation as Topic
Legislation, Medical
Mental Disorders - therapy
Minors
Patient Advocacy - legislation & jurisprudence
United States
United States
Legal Approach
American Psychiatric Association
Mental Health Therapies
Wyatt v. Hardin
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Summary:The standards for ECT recommended by an APA task force report and those embodied in federal court orders and state statutes and regulations are compared. The authors conclude that there is serious boundary and role confusion owing to progressive intrusion of state authority into areas traditionally held to lie in the domain of medical judgment and clinical care. In spite of comprehensive safeguards promulgated by the psychiatric community, overregulation by legislatures and courts is commonplace, interposing law between physicians and patients and resulting in delays or denials of service while failing to resolve critical legal issues involving competence and consent.
ISSN:0002-953X
DOI:10.1176/ajp.141.11.1349