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Article Commentary: The Right of the Mentally ill to Refuse Treatment Revisited

Over two decades of litigation and regulation on the right of the mentally ill to refuse treatment have left psychiatrists bewildered as to the state of the law. Attorneys general of various states have usually declined to give or avoided giving an advisory opinion. Foreign-born therapists are particularly confused-they constitute the staff of many state hospitalsand they shy away from treating nonconsenting patients. The end result has benefited no one-the individual, the profession, or society. It has proved to be low benefit, high cost. Hospitalization now is very short, on average about 14 days, and time is wasted, at unnecessary expense.