Biomedical subjects
P Lepping
Publications and source records attributed to P Lepping.
[Analysis of the ethical consequences of the new proposed mental health legislation (Mental Health Bill 2004) for England and Wales].
The article examines the ethical consequences of the new Mental Health Act for England and Wales. Particular emphasis is put on the apparent ethical shift from rights-based principles to utilitarian principles. This shift is particularly evident in the proposed provision for compulsory community treatment and with regards to patients with dangerous and severe personality disorders.
[Commitment and treatment of psychiatric patients in Great Britain and Germany. Comparison of legal principles and medical practice].
PURPOSE AND METHODS: The legal provisions concerning the admission to hospital, holding powers and compulsory treatment of mentally ill persons in Great Britain and Germany are compared and the underlying medicolegal conceptions analysed. RESULTS: Whereas British law gives key powers to multiprofessional decision making and relatives, German law requests formal court decisions even in routine issues. This reflects a different understanding of individual rights and their protection. The German mental health law is motivated by the experiences of the totalitarian National Socialist regime. It tries to protect the patient's rights by restricting physicians, hospitals and family members' influence. British law, on the other hand, assumes that experts as well as family members act benevolently in the patient's interest, prefers less formal mechanisms and expresses trust in professional ethics. CONCLUSION: Further research is necessary to analyse the situations in other countries and to investigate which of these approaches is the better one from the point of view of the mentally ill. This is even more important as in the long view European integration will touch these questions and will result in convergence of medicolegal issues.