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<h1>The Briefing: Ethics, law and consent when you don’t believe you’re ill</h1><section class="abstract"><p>A lot of research goes into creating our stories. Here are some of the resources we used to put together our story on treating people who don’t accept that they are ill.</p>
</section><p>Laws are being passed in the USA that make it possible to compel people to receive treatment for health problems they don’t believe they have. In <a href="https://mosaicscience.com/story/anosognosia-assisted-outpatient-treatment-lauras-law?utm_source=reading-list&amp;utm_medium=referral-mosaic&amp;utm_campaign=publication-week-marketing">this&nbsp;feature for Mosaic</a>, Carrie Arnold explores anosognosia, which is a symptom that impairs someone’s ability to understand and perceive their own illness.</p>
<p>If you want to dive deeper into this topic, here’s some further reading. We’ve broken things down into key subtopics, but otherwise these links aren’t listed in any particular order – so feel free to dip in and out.</p>

<h3>Exploring anosognosia</h3>

<p>The National Alliance on Mental Illness explains what&nbsp;<a href="https://www.nami.org/Learn-More/Mental-Health-Conditions/Related-Conditions/Anosognosia">anosognosia</a>&nbsp;means.</p>
<p>This <a href="https://www.mcgill.ca/newsroom/channels/news/not-being-aware-memory-problems-predicts-onset-alzheimers-disease-285116">article from McGill University</a> looks at the role of anosognosia in Alzheimer’s disease as a predictor of the speed of onset.</p>
<p>This <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4140620/">literature review</a>&nbsp;covers research into anosognosia as a symptom of schizophrenia.</p>

<h3>The law around treating people who don’t believe that they’re ill </h3>

<p>This <a href="https://www.cschs.org/wp-content/uploads/2014/03/2015-Writing-Competition-Castro.pdf">essay from the California Supreme Court Historical Society</a> looks at the concerns, effectiveness and implementation of Laura’s Law, a law in California&nbsp;that allows for court-ordered assisted outpatient treatment.</p>

<h3>Types of treatment</h3>

<p>This <a href="https://www.vox.com/2017/11/27/16686730/court-ordered-assisted-out-patient-treatment-aot-mental-illness-podcast">podcast on Vox</a> asks whether court-ordered treatment for mental illness works.</p>
<p>This <a href="https://ps.psychiatryonline.org/doi/full/10.1176/appi.ps.52.3.325">study in&nbsp;<em>Psychiatric&nbsp;Services</em></a>&nbsp;found that court-ordered treatment for mental health can improve outcomes.</p>
<p>This <a href="https://ps.psychiatryonline.org/doi/abs/10.1176/appi.ps.52.3.330">study in&nbsp;<em>Psychiatric&nbsp;Services</em></a>&nbsp;found no statistical difference in outcomes between individuals who received court-ordered treatment and those who received treatment without a court order.</p>

<h3>Patients’ rights</h3>

<p>The book <a href="https://jhupbooks.press.jhu.edu/content/committed"><em>Committed</em></a> by&nbsp;Dinah Miller and Annette Hanson&nbsp;discusses the controversy surrounding involuntary psychiatric care in the USA.</p>

<h3>Mental health treatment in the UK</h3>

<p>This <a href="https://www.nhs.uk/NHSEngland/AboutNHSservices/mental-health-services-explained/Pages/TheMentalHealthAct.aspx">NHS resource</a> explains the Mental Health Act in the UK, including the right to detain individuals and treat them without their agreement.</p>

<h3>Further understanding of schizophrenia</h3>

<p>This <a href="https://www.rcpsych.ac.uk/healthadvice/problemsanddisorders/schizophreniakeyfacts.aspx">Royal College of Psychiatrists resource</a> provides key facts about schizophrenia.</p>

<span>Newsletter:&nbsp;</span>
<h3>Read more Mosaic stories on consent in medicine </h3>

<p>In <a href="https://mosaicscience.com/story/whos-control-when-youre-giving-birth/?utm_source=reading-list&amp;utm_medium=referral-mosaic&amp;utm_campaign=archive">‘Who’s in control when you’re giving birth?’</a>, Rebecca Grant reports on the ethics and laws around consenting to treatment in the delivery room.</p>
<p>In <a href="https://mosaicscience.com/story/post-mortem-sperm-donation/?utm_source=reading-list&amp;utm_medium=referral-mosaic&amp;utm_campaign=archive">‘Dead man’s sperm’</a>, Jenny Morber delves into the legally and ethically fraught world of post-mortem sperm donation.</p>
<p><em>In the UK and Republic of Ireland, the</em>&nbsp;<em><a href="http://www.samaritans.org/how-we-can-help-you/contact-us">Samaritans</a></em>&nbsp;<em>can be contacted on 116 123. In the USA, the&nbsp;National Suicide Prevention Lifeline is 1-800-273-TALK</em></p>

<p>Laws are being passed in the USA that make it possible to compel people to receive treatment for health problems they don’t believe they have. In <a href="https://mosaicscience.com/story/anosognosia-assisted-outpatient-treatment-lauras-law?utm_source=reading-list&amp;utm_medium=referral-mosaic&amp;utm_campaign=publication-week-marketing">this&nbsp;feature for Mosaic</a>, Carrie Arnold explores anosognosia, which is a symptom that impairs someone’s ability to understand and perceive their own illness.</p>
<p>If you want to dive deeper into this topic, here’s some further reading. We’ve broken things down into key subtopics, but otherwise these links aren’t listed in any particular order – so feel free to dip in and out.</p>

<h3>Exploring anosognosia</h3>

<p>The National Alliance on Mental Illness explains what&nbsp;<a href="https://www.nami.org/Learn-More/Mental-Health-Conditions/Related-Conditions/Anosognosia">anosognosia</a>&nbsp;means.</p>
<p>This <a href="https://www.mcgill.ca/newsroom/channels/news/not-being-aware-memory-problems-predicts-onset-alzheimers-disease-285116">article from McGill University</a> looks at the role of anosognosia in Alzheimer’s disease as a predictor of the speed of onset.</p>
<p>This <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4140620/">literature review</a>&nbsp;covers research into anosognosia as a symptom of schizophrenia.</p>

<h3>The law around treating people who don’t believe that they’re ill </h3>

<p>This <a href="https://www.cschs.org/wp-content/uploads/2014/03/2015-Writing-Competition-Castro.pdf">essay from the California Supreme Court Historical Society</a> looks at the concerns, effectiveness and implementation of Laura’s Law, a law in California&nbsp;that allows for court-ordered assisted outpatient treatment.</p>

<h3>Types of treatment</h3>

<p>This <a href="https://www.vox.com/2017/11/27/16686730/court-ordered-assisted-out-patient-treatment-aot-mental-illness-podcast">podcast on Vox</a> asks whether court-ordered treatment for mental illness works.</p>
<p>This <a href="https://ps.psychiatryonline.org/doi/full/10.1176/appi.ps.52.3.325">study in&nbsp;<em>Psychiatric&nbsp;Services</em></a>&nbsp;found that court-ordered treatment for mental health can improve outcomes.</p>
<p>This <a href="https://ps.psychiatryonline.org/doi/abs/10.1176/appi.ps.52.3.330">study in&nbsp;<em>Psychiatric&nbsp;Services</em></a>&nbsp;found no statistical difference in outcomes between individuals who received court-ordered treatment and those who received treatment without a court order.</p>

<h3>Patients’ rights</h3>

<p>The book <a href="https://jhupbooks.press.jhu.edu/content/committed"><em>Committed</em></a> by&nbsp;Dinah Miller and Annette Hanson&nbsp;discusses the controversy surrounding involuntary psychiatric care in the USA.</p>

<h3>Mental health treatment in the UK</h3>

<p>This <a href="https://www.nhs.uk/NHSEngland/AboutNHSservices/mental-health-services-explained/Pages/TheMentalHealthAct.aspx">NHS resource</a> explains the Mental Health Act in the UK, including the right to detain individuals and treat them without their agreement.</p>

<h3>Further understanding of schizophrenia</h3>

<p>This <a href="https://www.rcpsych.ac.uk/healthadvice/problemsanddisorders/schizophreniakeyfacts.aspx">Royal College of Psychiatrists resource</a> provides key facts about schizophrenia.</p>

Newsletter:&nbsp;
<h3>Read more Mosaic stories on consent in medicine </h3>

<p>In <a href="https://mosaicscience.com/story/whos-control-when-youre-giving-birth/?utm_source=reading-list&amp;utm_medium=referral-mosaic&amp;utm_campaign=archive">‘Who’s in control when you’re giving birth?’</a>, Rebecca Grant reports on the ethics and laws around consenting to treatment in the delivery room.</p>
<p>In <a href="https://mosaicscience.com/story/post-mortem-sperm-donation/?utm_source=reading-list&amp;utm_medium=referral-mosaic&amp;utm_campaign=archive">‘Dead man’s sperm’</a>, Jenny Morber delves into the legally and ethically fraught world of post-mortem sperm donation.</p>
<p><em>In the UK and Republic of Ireland, the</em>&nbsp;<em><a href="http://www.samaritans.org/how-we-can-help-you/contact-us">Samaritans</a></em>&nbsp;<em>can be contacted on 116 123. In the USA, the&nbsp;National Suicide Prevention Lifeline is 1-800-273-TALK</em></p>

<img src="https://mosaicscience.com/mwt-republish-img/1553/republish.gif" />This <a href="https://mosaicscience.com/story/briefing-reading-anosognosia-assisted-outpatient-treatment-lauras-law">article</a> first appeared on <a href="https://mosaicscience.com">Mosaic</a> and is republished here under a Creative Commons licence.
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