By Jill Peay
Within the box of psychological healthiness legislations, we entrust judgements with effects of the maximum gravity - judgements approximately obligatory scientific therapy and the lack of liberty - to medical professionals and authorized social employees. but, how do those non-lawyers make judgements the place the legitimacy of these judgements derives from legislation? This booklet examines the sensible, moral and felony terrain of duo-disciplinary decision-making: given exact circumstances, what dilemmas do psychiatrists and authorized social staff stumble upon, do they achieve an analogous or comparable judgements and, so much seriously, how are these judgements justified? At a time of ferment in psychological future health legislations, this ebook, via its narrative structure, offers a greater figuring out of the dilemmas posed.
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Additional info for Decisions and Dilemmas
Dr Williams persists with the neighbours’ concerns about him shouting at three and four in the morning and shouting through their letter-box that he would ‘do them in’. Mr Draper retorts that Julie Redmond had shouted through his letterbox. He then goes on to say that he will not go back to the hospital and that that is, after all, what they (the professionals) want and why it is they are in his flat. Then he says to the seated pair ‘Now I want you to get out of here, both of you, go on, get out’ raising his voice as completes his sentence.
Not to do something and wait to find out, well, we might find out what we don’t want to find out ASW, pair 17 In some ways I feel that the law gives you that little bit more support. Say he goes on a s 3, it does tighten everything up. I don’t think it’s so bad to use the law and I’m not saying I don’t think twice about it. There are times when I have put people on a section and I’ve thought gosh I’m depriving that person of their liberty. It’s not something that you can take lightly. I think that I do use best interests all round.
The 1983 Act has adopted the adage that ‘two heads are better than one’ by requiring decisions about the compulsory admission of patients to hospital to be made by an ASW together with one or two doctors. In this perfect world, all parties would bring to the decision their own expertise within their discipline, an adequate understanding and knowledge of the law and an ability to apply that expertise to the particular factual situation posed by the patient. Thus, the psychiatrist should be expert in assessing mental disorder,2 in understanding the common history and prognosis of such disorders and should possess an ability to assess its presentation in this particular patient.
Decisions and Dilemmas by Jill Peay