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Psychiatric Bulletin (1995) 19: 84-86. doi: 10.1192/pb.19.2.84
© 1995 The Royal College of Psychiatrists
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An ethical dilemma in child and adolescent psychiatry

P. J. Graham, Emeritus Professor of Child Psychiatry

Behavioural Sciences Unit, Institute of Child Health, University of London, 30 Guilford Street, London WC1N 1EH

D. M. Foreman, Consultant/Senior Research Fellow in Child Adolescent Psychiatry

University of Keele, School of Postgraduate Medicine, Stoke-on-Trent ST4 7QB

In this paper the ethical concept of competence is explored in the context of a very challenging child psychiatry case. Both mental disorder and immaturity may impair a child's competence. However, it is emphasised that competence is not a generic quality but one that should be applied to specific decisions, even when working with children.




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Copyright © 1995 The Royal College of Psychiatrists.