title: [A patient with a psychiatric disorder who refuses treatment of a somatic disease].
abstract: A woman aged 58 had been suffering for 11 years from a rodent ulcer to the face. The patient, who suffered from a delusional disorder associated with a personality disorder not otherwise defined, had all that time refused medical treatment. She was admitted by virtue of the Wet Bijzondere Opnemingen in Psychiatrische Ziekenhuizen (BOPZ; Bill on Compulsory Admission to Psychiatric Hospitals) because of 'major self-neglect with risk of death'; also, substitute permission was obtained from her son for somatic treatment by virtue of the Wet op de Geneeskundige Behandelingsovereenkomst (WGBO; Decree on the Medical Contract). It was found that the ulcer was no longer amenable to treatment.
authors.affiliation: RIAGG West-Friesland, Hoorn.
authors.forename: M A
authors.initials: MA
authors.lastname: Monden
authors.forename: M W
authors.initials: MW
authors.lastname: Zandbergen
mesh_terms: D002294:Carcinoma, Squamous Cell / Q000523:psychology / Q000628:therapy*; D003134:Commitment of Persons with Psychiatric Disorders / Q000331:legislation & jurisprudence; D003702:Delusions / Q000150:complications / Q000523:psychology*; D005260:Female; D006801:Humans; D008875:Middle Aged; D010554:Personality Disorders / Q000150:complications / Q000523:psychology*; D012878:Skin Neoplasms / Q000523:psychology / Q000628:therapy*; D016312:Treatment Refusal
vernacular_title: Een patiënt met een psychiatrische stoornis die behandeling van een somatische aandoening weigert.