Forcible Amputation in Delusional Patients

NewsBot · Jan 22, 2020

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Forcible Amputation in Delusional Patients: A Narrative Analysis of Decisional Capacity
Lori A. Roscoe, David P. Schenck, Joel L. Eisenberg
Narrative Inquiry in Bioethics Volume 9, Number 3, Winter 2019

This case study concerns the predicaments faced by two women who each had been advised by her physicians to have a gangrenous foot amputated to prevent the potentially fatal spread of infection. In both cases, the determination of the patients' decisional capacity was a critical component in judging whether or not to honor their medical treatment decisions. The communicative complexity of navigating a double bind, a situation in which a person confronts a choice between two undesirable courses of action, is also discussed. The patients in these cases had no medically appropriate choice that also respected other valued outcomes, such as independence, a sense of dignity, or control over one's destiny. Taken together, these cases raise issues about the context-specific meaning of decisional capacity and its role in informed consent.
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