Welcome to Jacinta Tan's research website. Jacinta works in the area of ‘empirical psychiatric ethics', researching some areas in the ethics of psychiatry using methods that examine the issue through research amongst people who work and live with the dilemmas. Jacinta Tan has a dual background of medicine as well as philosophy and psychology. She is a Consultant Child and Adolescent Psychiatrist who is also an empirical medical ethics researcher. Her research interests are treatment decision-making in anorexia nervosa, the ethics and law of capacity, the development of autonomy, treatment decision-making models and the ethics of research. What is Medical Ethics? What is Psychiatric Ethics? What is Empirical Ethics Research?
The following guidance is for PCTs, local authorities, hospitals and care homes to support them understand and fulfill their statutory obligations under the Mental Capacity Act Deprivation of Liberty Safeguards legislation.
A therapeutic programme hailed by ministers as a hi-tech, cost-effective solution to Britain's growing problem of depression and anxiety has been widely ignored by the NHS, leaving hundreds of thousands of people without access to treatment. Opposition politicians and charities have accused the government of creating a postcode lottery.
I'm not the only woman who has tried to make herself disappear. Anorexia nervosa, the disorder of pathological self-starvation, is on the rise, with an 80% increase in hospital admissions among teenage girls over the last decade. Pressure groups and parents complain that there is still a chronic shortage of specialist care, with many GPs apparently reluctant to refer patients for treatment in the early stages of the disease. And this approach leaves children and their families to struggle on alone - usually until it is too late for simple intervention.
Criminals held in secure mental health units are to be tracked with global positioning systems to stop them absconding and reoffending, under a trial by a London hospital trust.
The issue in this case is not uncommon. P is an adult who has an unresolved medical condition, in this case epilepsy. His primary carer, however well motivated, does not accept the diagnosis nor the treatment proposals. P may object to treatment (whether his own view or prompted by his carer). In order to determine what is in P's best interests, since he cannot decide for himself, it is necessary to observe him, and not to rely upon what is relayed about his condition by his carer. To that end, a period in hospital for assessment and treatment is necessary.
PSYCHOLOGY Cutting Desire A rare condition compels its sufferers to want to amputate, or paralyze, their own healthy limbs. Inside the strange world of what sufferers call Body Integrity Identity Disorder.
Whether treatment decision-making capacity can be meaningfully applied to patients with a diagnosis of "personality disorder" is examined. Patients presenting to a psychiatric emergency clinic with threats of self-harm are considered, two having been assessed and reviewed in detail. It was found that capacity can be meaningfully assessed in such patients, although the process is more complex than in patients with diagnoses of a more conventional kind. The process of assessing capacity in such patients is very time-consuming and may become, in itself, a therapeutic intervention.
THE IDEA THAT our Western conception of mental health and illness might be shaping the expression of illnesses in other cultures is rarely discussed in the professional literature. Many modern mental-health practitioners and researchers believe that the scientific standing of our drugs, our illness categories and our theories of the mind have put the field beyond the influence of endlessly shifting cultural trends and beliefs. After all, we now have machines that can literally watch the mind at work. We can change the chemistry of the brain in a variety of interesting ways and we can examine DNA sequences for abnormalities. The assumption is that these remarkable scientific advances have allowed modern-day practitioners to avoid the blind spots and cultural biases of their predecessors.
Potentially dangerous psychiatric patients are being fitted with GPS tracking devices to prevent them absconding on day leave. The South London and Maudsley NHS Trust has attached the £600 ankle devices on more than 60 medium and high risk patients under the pilot scheme. The trust said it had consulted patients and families. The devices, which can track a person's location to within a few yards, are already used for dementia sufferers. They came into use in south London after rapist Terence O'Keefe, 39, escaped from custody at King's College Hospital before strangling 73-year-old David Kemp.
The Neuromedia Corner aims to share news and stimulate an effective dialogue about the state of the art of neuroscience technologies, their risks and benefits and the associated ethical and social issues. The Neuromedia Corner is an idea of the bid - Brains in Dialogue project.
The 30-year-old, known only as SB, could die without emergency treatment for aplastic anemia, a condition in which her bone marrow does not reproduce enough new blood cells. The Court of Protection has now ruled that doctors can restrain SB and force her to undergo the arduous but potentially life-saving treatment, which is administered through a vein in the heart and lasts for five days. SB has been detained under the Mental Health Act. Family Division judge Mrs Justice Hogg ruled that the patient did not have the capacity to make up her own mind over whether to undergo the treatment.
A high court judge in England has ordered that doctors can force a woman without the capacity to decide for herself to have lifesaving treatment for aplastic anaemia. Mrs Justice Hogg made the ruling in the Court of Protection after an unnamed NHS trust applied to the court with the backing of the Official Solicitor, who looks after the interests of those lacking capacity. The judge said the 30 year old woman, named only as SB, who is detained under the Mental Health Act, has a serious psychiatric disorder and lacks the capacity to decide for herself whether or not to have the potentially lifesaving treatment.
Today, the Court decided in the case of Haas v. Switzerland (judgment in French only) that the right to private life is not violated when a state refuses to help a person who wishes to commit suicide by enabling that person to obtain a lethal substance. The applicant in the case, Ernst Haas, had for two decades been suffering from a serious bipolar affective disorder (more commonly known as manic depression). During that time he attempted to commit suicide twice. Later, he tried to obtain a medical prescription for a small amount of sodium pentobarbital, which would have allowed him to end his life without ain or suffering. Not a single psychiatrist, of the around 170 (sic!) he approached, was willing to give him such a prescription. This would have been necessary, under Swiss law, which allowed for assisted suicide if it was not done for selfish motives (in the opposite case, the person assiting could be prosecuted under the criminal code).