scholarly journals Mental capacity and borderline personality disorder

2017 ◽  
Vol 41 (1) ◽  
pp. 33-36 ◽  
Author(s):  
Karyn Ayre ◽  
Gareth S. Owen ◽  
Paul Moran
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Borderline Personality ◽  
Emotional Dysregulation ◽  
Mental Capacity ◽  
High Stakes ◽  
Decision Making Capacity ◽  
Clinical Scenarios ◽  
Mental Capacity Act 2005 ◽  
Mental Capacity Act

SummaryThe use of the Mental Capacity Act 2005 in assessing decision-making capacity in patients with borderline personality disorder (BPD) is inconsistent. We believe this may stem from persisting confusion regarding the nosological status of personality disorder and also a failure to recognise the fact that emotional dysregulation and characteristic psychodynamic abnormalities may cause substantial difficulties in using and weighing information. Clearer consensus on these issues is required in order to provide consistent patient care and reduce uncertainty for clinicians in what are often emergency and high-stakes clinical scenarios.

The law relating to mental capacity and mental health

2013 ◽  
Author(s):  
Kay Wheat
Keyword(s):  
Mental Health ◽  
Mental Disorder ◽  
Health Care Professionals ◽  
Well Being ◽  
Mental Capacity ◽  
Best Interests ◽  
Decision Making Capacity ◽  
Mental Capacity Act 2005 ◽  
The Law ◽  
Mental Capacity Act

This chapter will examine two key areas of law relating to medical treatment and care of those with mental disorder. The question of decision-making capacity is important for health care professionals, and other carers and agents dealing with older people. The law relating to this is covered by the Mental Capacity Act 2005 supplemented by previous case law where this is still relevant, and the key aspect of the law is the ability to treat people without capacity in their best interests. However, in the case of some patients, it may be necessary to use the Mental Health Act 1983. This legislation is focussed, not on the capacity of the patient, but upon the effect that a mental disorder can have upon the patient risking damage to their own well-being, or to the well-being of others. The relationship between the two areas is not always clear.

Fluctuating capacity: the concept of micro- and macro-decisions

2020 ◽  
Vol 26 (4) ◽  
pp. 238-244
Author(s):  
Martin Curtice
Keyword(s):  
Clinical Practice ◽  
Personality Disorder ◽  
Clinical Problem ◽  
Case Law ◽  
Mental Capacity ◽  
Routine Clinical Practice ◽  
Unique Case ◽  
Mental Capacity Act 2005 ◽  
Mental Capacity Act ◽  
First Time

SUMMARYThere is much Mental Capacity Act 2005 (MCA) case law emanating from the Court of Protection. This article reviews an important and unique case when the court specifically addressed for the first time the question of fluctuating capacity, a not uncommon clinical problem that can often be complex. It describes how the Court of Protection in Royal Borough of Greenwich v CDM [2019] legally approached an issue of fluctuating capacity in a 64-year-old woman with a personality disorder and chronic diabetes. In doing so it elucidates a new conceptual framework to apply when assessing fluctuating capacity in terms of considering micro- and macro-decisions which can be used in routine clinical practice.

The law relating to mental capacity and mental health

2020 ◽  
pp. 907-916
Author(s):  
Kay Wheat
Keyword(s):  
Mental Health ◽  
Mental Disorder ◽  
Health Care Professionals ◽  
Mental Capacity ◽  
Best Interests ◽  
Decision Making Capacity ◽  
Mental Capacity Act 2005 ◽  
The Law ◽  
Mental Capacity Act ◽  
The Relationship

This chapter examines two key areas of law relating to medical treatment and care of those with mental disorder. The question of decision-making capacity is important for health care professionals, as well as other carers and agents dealing with older people. The law relating to this is covered by the Mental Capacity Act 2005 supplemented by previous case law where this is still relevant, and the key aspect of the law is the ability to treat people without capacity in their best interests. However, in the case of some patients, it may be necessary to use the Mental Health Act 1983. This legislation is focused, not on the capacity of the patient, but upon the effect that a mental disorder can have upon the patient risking damage to their own wellbeing, or to the wellbeing of others. The relationship between the two areas is not always clear.

Effects of Mindfulness Training on Borderline Personality Disorder: Impulsivity Versus Emotional Dysregulation

Mindfulness ◽  
2018 ◽  
Vol 10 (7) ◽  
pp. 1243-1254 ◽  
Author(s):  
Cristina Carmona i Farrés ◽  
Matilde Elices ◽  
Joaquim Soler ◽  
Elisabet Domínguez-Clavé ◽  
Edith Pomarol-Clotet ◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Borderline Personality ◽  
Emotional Dysregulation ◽  
Mindfulness Training
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