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Assessment of Mental Capacity: A Practical Guide for Doctors and Lawyers (4th edition)

机译：心理能力评估：《医生和律师实用指南》（第4版）

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This book does not really need a review, because it does exactly what it says on the label: it gives English doctors and lawyers a practical guide to assessing mental capacity. This is most especially a concern for psychiatrists. Other clinicians can normally expect that their clients are able to decide for themselves whether to consent to treatment -there may be odd exceptions, such as an accident victim brought in unconscious in urgent need of a blood transfusion and with no evidence as to whether he is a Jehovah's Witness, but by and large physicians merely have a legal duty to make reasonably sure that the patient is broadly aware of the risks and implications of treatment and can then get on with it. Psychiatrists, more or less by definition, deal with people who may not have the capacity to make decisions. In fact, whenever such a problem arises, the immediate reaction of most physicians is to run bleating for help to the nearest psychiatrist. A case arose recently of a woman who refused kidney dialysis on the grounds that "life had lost its sparkle". The nephrologists immediately felt out of their depth and called in the psychiatrists even before they called in the lawyers. (The patient died anyway, but the law seems to be that assisting someone to commit suicide is a crime in England and Wales, but people with the capacity to make decisions may refuse treatment even if they know this will lead to their deaths.)
机译：这本书真的不需要复习，因为它确实符合标签上的说明：它为英国医生和律师提供了评估心智能力的实用指南。这是精神科医生最关心的问题。其他临床医生通常可以期望他们的客户能够自行决定是否同意接受治疗-可能会有奇怪的例外情况，例如意外受害者因无意识地急需输血而没有证据证明他是否耶和华见证人，但大体而言，医生仅负有法律责任，以合理地确保患者广泛了解治疗的风险和影响，然后才能继续进行治疗。根据定义，精神科医生或多或少地与可能没有决策能力的人打交道。实际上，每当出现此类问题时，大多数医生的直接反应就是奔波寻求最近的精神病医生的帮助。最近发生了一起案件，一名妇女以“生命丧失了光彩”为由拒绝肾脏透析。肾病专家甚至在他们请来律师之前就立即感到精神不振，并请了精神科医生。 （患者无论如何都死了，但是法律似乎是，在英格兰和威尔士，协助某人自杀是一种犯罪，但是有能力做出决定的人可能会拒绝接受治疗，即使他们知道这将导致他们的死亡。）

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