Current opinion in psychiatry
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To highlight areas for potential refinement in assessments of capacity to give informed consent. ⋯ To find that a person is incapable by virtue of a mental disorder, a causal connection between the mental disorder and the particular inability should be assessed clinically for the very patient. Furthermore, the term 'acceptance' is more apt than 'appreciation' and 'belief' in capturing that aspect of insight by which a person with psychotic and manic disorders may be rendered incapable of giving informed consent.
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Neuroethics is a recently emerging field that deals with predominantly empirical and practical issues of ethics in neuroscience. In contrast, theoretical and methodological considerations have rather been neglected and thus what may be called theoretical neuroethics. ⋯ It is argued that we need to consider theoretical and methodological issues in order to develop neuroethics as a distinct discipline, which as such can be distinguished from both philosophy/ethics and neuroscience.
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Curr Opin Psychiatry · Nov 2009
ReviewQuality and performance improvement for mental healthcare in Japan.
Until recently, assessing the quality of mental healthcare was a relatively new concept in Japan, although universal health coverage is provided. In this study, I describe the current developments in quality and performance improvement for mental healthcare in Japan. ⋯ Assessing and improving quality and performance are gradually occurring in mental healthcare in Japan in response to the needs of society for high quality care.