RESUMO
As a result of end-of-life movements in a number of states, psychiatrists may be drawn into the capacity assessment of patients requesting assistance to end their lives. Such assessments cannot follow the mere technicalities of common clinical interviews, not simply because of the finality of the choice, but also because of the limitations of common cognitive assessments. The Committee on Professionalism and Ethics of the Group for the Advancement of Psychiatry consequently proposes an interview for such purposes that explores a patient's emotional capacity through a narrative inquiry about the patient's life, past coping, and reversible emotional states. It is a neutral approach that seeks to understand the patient rather than judge the appropriateness of an end-of-life request.
Assuntos
Tomada de Decisões , Psiquiatria , Morte , Humanos , Inquéritos e QuestionáriosRESUMO
One of the struggles for our mental health field is translating "empirical" evidence into something that is practical "clinically." The article by Baribeau et al.1 published in this issue provides us with an occasion to consider this challenge. We can use this study as an example of how the epidemiologist and the clinician must work together in hypothesis generation and hypothesis testing.
