Critical Issue Analysis
After reading the selected critical issue, use the following questions to analyze the issue.
1. What are at least two facts presented by each side of the critical issue?
· “The eating disorder anorexia nervosa results in the death of between 20-30 patients per year in the UK 1 and death rates internationally are reported to be between 4-20%” (Draper, 2000, p. 33).
· “Force-feeding (feeding without consent) has been recognized in the UK by the Mental Health Commission as a legitimate therapy to give under section 63 of the UK Mental Health Act 1983” (Draper, 2000, p. 33).
· “The DSM-IV-TR indicates that the long-term mortality for individuals with anorexia admitted to university hospitals is 10%; death usually results from the effects of starvation, an electrolyte imbalance, or suicide” (Werth, et al., 2003, p. 43).
· “Anorexia is a diagnosable mental condition in both the DSM-IV-TR and the ICD-10” (Werth, et al., 2003, p. 46).
2. What are at least two opinions presented by each side of the critical issue?
· “Repeated episodes of force-feeding decrease the chances of long-term recovery and it is doubtful that it is actually in the best interests of a patient to be subjected to a regime of force-feeding on more than a few occasions” (Draper, 2000, p. 33).
· “The decision to refuse therapy is on a par with other decisions to refuse life-prolonging therapy made by sufferers of debilitating chronic, or acute onset terminal illness and that in such cases palliation might justifiably replace aggressive therapy” (Draper, 2000, p. 33).
· “Allowing clients to make their own decisions about treatment and recovery may facilitate the therapeutic relationship but may increase the risk of medical deterioration” (Werth, et al., 2003, p. 46).
· “Although not a cognitive deficit in and of itself, the pattern of thinking by the person with anorexia can be considered to be a thought disturbance” (Werth, et al., 2003, p....