Those harmed by electroconvulsive therapy (ECT) often seek protection from involuntary ECT if in future they lose decision making capacity. This is done through psychiactric advanced directives (PADs).
Unfortunately, PADs do not provide absolute protection from unwanted shock therapy. The 2006 article, Superseding Psychiatric Advance Directives: Ethical and Legal Considerations, published Journal of the American Academy of Psychiatry and the Law, sheds light on when and why PAD’s are sometimes overridden.
- Psychiactric advance directives
- PADs in theory vs practice
- Mental health system and laws at play in these scenarios
- Philosophical, ethical, legal issues of overriding PADs
- Incentives for interested parties to override PADs
- a_practical_guide_to_psychiatric_advance_directives.pdf (samhsa.gov)
- NRC PAD | National Resource Center on Psychiatric Advance Directives (nrc-pad.org)
- Advance directives in mental health care: evidence, challenges and promise – PMC (nih.gov)