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Patient Autonomy

To the Editor: I can't understand how, in the March 2000 issue, Dr. Workman and his associates (1) could leave Dr. Thomas Szasz out of their discussion on autonomy. All of the work Appelbaum and Grisso did for the MacArthur Foundation only confirms Dr. Szasz' position. They wrote, "Mental illness alone does not invariably impair decision-making capacities"(2).

Footnotes

Mr. Herman is a contributing editor to the Szasz Web page at www.enabling.org/ia/szasz/index.html. He lives on Long Island, New York.

References

1. Workman RH Jr, McCullough LB, Molinari V, et al: Clinical and ethical implications of impaired executive control functions for patient autonomy. Psychiatric Services 51:359-363, 2000[Abstract/Free Full Text]
2. Grisso T, Appelbaum PS: MacArthur Treatment Competence Study. Journal of the American Psychiatric Nurses Association 1:125-127, 1995[Free Full Text]

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