Respect for autonomy
Used by expert academic psychiatrists.
used by average reasonable practitioners.
Endorsed by AP A practice guideline.
Managed care company
managed care reviewer.
Hospital medical director.
The gift does not exceed $500.
The psychiatrist already uses the drug in practice.
The psychiatrist agrees to use the medication, but not exclusively.
The gift contributes to the psychiatrist's education or care of patients.
The gift directly defrays costs of attending a continuing medical education event.
Between DSM-I and DSM-II.
Between DSM-II and DSM-III.
Between DSM-IIIR and DSM-IV.
With each edition of the DSM.
At no point in the evolution of the DSM.
Concerns about child abuse in crowded urban areas in the late nineteenth century.
Sigmund Freud's clinical consultations with children.
The growth of child guidance clinics in the United States in the early twentieth century.
Studies of juvenile delinquency in the 1950s.
the development of pharmacological treatments for attention-deficit hyperactivity disorders (ADHD).
National Alliance for the Mentally Ill.
American Psychiatric Association.
National Institute for Mental Health.
Joint Commission on Mental Illness and Mental Health.
Pharmaceutical Research and Manufacturers of America.
A living trust
Durable power of attorney
A writ of sanctity
A document of accord
Clear and convincing evidence
A preponderance of evidence
Beyond a reasonable doubt
Reasonable medical certainty
Reasonable medical probability
It must be maintained under most circumstances.
It can be waived by next of kin
It can be waived for legitimate research approved by an institutional review board.
It can be waived for legal purposes by the executor of the patient's will
It must be waived if the information involves the health of surviving children.
After obtaining a second opinion from a psychiatric colleague who is experienced in caring for patients with AIDS
After consultation with an internist who can help quantify the risk of transmission for the at-risk party
Upon receiving the approval of a probate court judge after a hearing on the matter
When a patient with AIDS is unwilling or unable to take autonomy-preserving precautions, such as abstinence
When a patient with AIDS has a significant Axis I or Axis II mental disorder
Consider her consent valid.
Delegate treatment decisions to her children.
Obtain "vicarious" consent from the hospital's chief of staff.
Urgently request that the probate court appoint a guardian with the power to make treatment decisions.
Assume responsibility for discussing treatment options with the patient and subsequently for granting consent.