Self-Bindinc: Ulysses at the Mast

in Refusing Care

Published by University of Chicago Press

Published in print December 2002 | ISBN: 9780226733975
Published online March 2013 | e-ISBN: 9780226733999 | DOI:
Self-Bindinc: Ulysses at the Mast

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Self-binding has made a strong showing in the medical arena. There has been less of a movement to employ advance directives (ADs) in the mental health context, although commentators have debated their advisability. Patients are civilly committable and treatable with medication the first time their psychosis manifests itself to health professionals absent dangerousness or incompetence, provided they are psychotic, suffering, impaired, not themselves, and likely to benefit from treatment. In the most acceptable Ulysses contracts, objective behavioral indicators will be built into the contract based on someone's actual history. The potential benefits are greater in the ordinary civil commitment context, because the person is prevented from suffering severe harm. If one adopts Ulysses contracts, there is a greater risk of false positives for the simple reason that more people will be subject to evaluation and confinement—people who today are immune.

Keywords: self-binding; Ulysses; health professionals; mental health; medication

Chapter.  6316 words. 

Subjects: Medical and Healthcare Law

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