Ethical Issues in the Treatment of Eating Disorders

Tan, Jacinta; Jamieson, Sacha Kendall; Anderson, Stephen

doi:10.1007/978-3-030-97416-9_73-1

Eating Disorders 2023

DOI: 10.1007/978-3-030-97416-9_73-1

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Ethical Issues in the Treatment of Eating Disorders

Jacinta Tan

Sacha Kendall Jamieson

Stephen Anderson

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2024

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Cited by 1 publication

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Navigating the ethical complexities of severe and enduring (longstanding) eating disorders: tools for critically reflective practice and collaborative decision-making

Jamieson,

Tan,

Piekunka

et al. 2024

J Eat Disord

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Decisions about the treatment of eating disorders do not occur in a socio-political vacuum. They are shaped by power relations that produce categories of risk and determine who is worthy of care. This impacts who gets access to care and recognition of rights in mental health services. Globally, there are calls for more human rights-based approaches in mental health services to reduce coercion, improve collaborative decision making and enhance community care. Treating individuals with longstanding, Severe and Enduring Eating Disorders (SEED) or Severe and Enduring Anorexia Nervosa (SE-AN) can be particularly problematic when it involves highly controversial issues such as treatment withdrawal and end-of-life decisions and, where legally permissible, medically assisted dying. In this article, we argue that the socio-political context in which clinical decision making occurs must be accounted for in these ethical considerations. This encompasses considerations of how power and resources are distributed, who controls these decisions, who benefits and who is harmed by these decisions, who is excluded from services, and who is marginalised in decision making processes. The article also presents tools for critically reflective practice and collaborative decision-making that can support clinicians in considering power factors in their practice and assisting individuals with longstanding eating disorders, SEED and SE-AN to attain their rights in mental health services.

show abstract

Navigating the ethical complexities of severe and enduring (longstanding) eating disorders: tools for critically reflective practice and collaborative decision-making

Jamieson,

Tan,

Piekunka

et al. 2024

J Eat Disord

View full text Add to dashboard Cite

show abstract

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Ethical Issues in the Treatment of Eating Disorders

Cited by 1 publication

References 78 publications

Navigating the ethical complexities of severe and enduring (longstanding) eating disorders: tools for critically reflective practice and collaborative decision-making

Navigating the ethical complexities of severe and enduring (longstanding) eating disorders: tools for critically reflective practice and collaborative decision-making

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