Capacity assessment and intervention in 56-yr-old man with schizophrenia.
The importance of the doctor-patient relationship among patients with schizophrenia is especially evident within the context of medication adherence. The association between patients' positive perception of their psychiatrist and medication adherence has been established in several studies. This is the case of a 56-year-old man with schizophrenia and multiple medical problems who is refusing to take any medications. We discuss the risks and benefits of having a patient declared incompetent along with assessing the patient's capacity. The case highlights situations when a physician might question a patient's decisional capacity but conclude that the decision should be accepted so as to maintain rapport with the patient and continue treatment.
Schlechter
Alan
A
NYU Child Study Center, Mount Sinai School of Medicine, New York, NY, USA. alan.schlechter@mssm.edu
D014150:Antipsychotic Agents / Q000627:therapeutic use; D003657:Decision Making; D006801:Humans; D008297:Male; D016743:Mental Competency; D008875:Middle Aged; D010349:Patient Compliance / Q000523:psychology; D010817:Physician-Patient Relations / Q000941:ethics*; D011581:Psychological Tests; D012559:Schizophrenia / Q000175:diagnosis* / Q000188:drug therapy
D014150:Antipsychotic Agents