Anorexia nervosa is often chronic, with one of the highest death rates for psychological conditions. Law can compel treatment, but is rarely invoked, at least formally (though the strategic possibilities of orders confers internal authority within the clinical setting). Instead, 'control' (or management) is exercised diffusely, through disciplinary practices embedded in everyday clinic life, such as daily routines of eating and washing, behavioural 'contracts', regular surveillance and measuring, interactions with staff, visits and activities.
Brain scientists have succeeded in fooling people into thinking they are inside the body of another person or a plastic dummy. The out-of-body experience - which is surprisingly easy to induce - will help researchers to understand how the human brain constructs a sense of physical self. The research may also lead to practical applications such as more intuitive remote control of robots, treatments for phantom limb pain in amputee patients and possible treatments for anorexia.
Typically anorexia nervosa is diagnosed as a condition of teenage girls where the rates of mortality and morbidity are very high and recovery rates very low. This chapter discusses the condition as experienced in Australia by older women who have either lived with anorexia during adolescence and as young women or who have been diagnosed later in life. The discussion traverses issues of consent to treatment or its refusal, capacity to provide consent, and the application of human right protections arising from various human rights instruments.
Welcome to Jacinta Tan's research website. Jacinta works in the area of ‘empirical psychiatric ethics', researching some areas in the ethics of psychiatry using methods that examine the issue through research amongst people who work and live with the dilemmas. Jacinta Tan has a dual background of medicine as well as philosophy and psychology. She is a Consultant Child and Adolescent Psychiatrist who is also an empirical medical ethics researcher. Her research interests are treatment decision-making in anorexia nervosa, the ethics and law of capacity, the development of autonomy, treatment decision-making models and the ethics of research. What is Medical Ethics? What is Psychiatric Ethics? What is Empirical Ethics Research?
I'm not the only woman who has tried to make herself disappear. Anorexia nervosa, the disorder of pathological self-starvation, is on the rise, with an 80% increase in hospital admissions among teenage girls over the last decade. Pressure groups and parents complain that there is still a chronic shortage of specialist care, with many GPs apparently reluctant to refer patients for treatment in the early stages of the disease. And this approach leaves children and their families to struggle on alone - usually until it is too late for simple intervention.
A woman with "severe" anorexia who wanted to be allowed to die is to be force fed in her "best interests" by order of a High Court judge. Mr Justice Peter Jackson declared that the 32-year-old from Wales, who cannot be identified, did not have the capacity to make decisions for herself. He made public his judgment on Friday after making the ruling last month.
A High Court judge has ruled in favour of an NHS trust that force feeding would not be in the "best interests" of an anorexic woman. Mrs Justice King, at the Court of Protection in London, heard that the 29-year-old woman, who weighs about 3st 2lb (20kg), does not wish to die. She ruled "all reasonable steps" should be taken to gain the woman's co-operation, without "physical force".
The mother of a teenage girl who died from anorexia has called for hospitals to change the way they treat young people as they become adults. Vickie Townsend's daughter, Laura Willmott, died from complications caused by the eating disorder. Townsend told an inquest that as the former public schoolgirl approached her 18th birthday, medical staff stopped informing her of her daughter's progress.