{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,3,21]],"date-time":"2025-03-21T14:10:13Z","timestamp":1742566213464,"version":"3.40.2"},"reference-count":24,"publisher":"Cambridge University Press (CUP)","issue":"1","license":[{"start":{"date-parts":[[2025,3,21]],"date-time":"2025-03-21T00:00:00Z","timestamp":1742515200000},"content-version":"unspecified","delay-in-days":79,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["CNS Spectr."],"published-print":{"date-parts":[[2025]]},"abstract":"<jats:title>Abstract<\/jats:title>\n\t  <jats:p>Anosognosia, commonly understood as a lack of insight, renders individuals with schizophrenia and schizoaffective disorder unable to understand that they are living with a disease, often resulting in a refusal to accept treatment. Typically, to impose involuntary commitment in an effort to obtain treatment, an individual must be a danger to others or themselves. Even if involuntary commitment is imposed, however, an individual may remain competent to refuse <jats:italic>medication<\/jats:italic>\u2014despite symptoms of anosognosia and an inability to understand that they are ill. This article examines the existing legal theories of competency and informed consent and proposes a statutory definition of competency that encompasses the specific needs of people with anosognosia, while considering the significant interests at stake when taking away an individual\u2019s right to choose or refuse treatment.<\/jats:p>","DOI":"10.1017\/s109285292400227x","type":"journal-article","created":{"date-parts":[[2025,3,21]],"date-time":"2025-03-21T13:49:58Z","timestamp":1742564998000},"source":"Crossref","is-referenced-by-count":0,"title":["Complexities of competency and informed consent as applied to individuals with symptoms of Anosognosia"],"prefix":"10.1017","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-4330-6033","authenticated-orcid":false,"given":"Nina M.","family":"Labovich","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2025,3,21]]},"reference":[{"key":"S109285292400227X_r11","unstructured":"11. 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Code Ann. \u00a7 32\u201311-103(1)."},{"key":"S109285292400227X_r20","first-page":"181","article-title":"Competency to refuse medication: revisiting the role of denial of mental illness in capacity determinations","volume":"22","author":"Saks","year":"2013","journal-title":"South Calif Rev Law Soc Justice."},{"key":"S109285292400227X_r3","unstructured":"3. Moldoff, WM. Malpractice: physician\u2019s duty to inform patient of nature and hazards of disease or treatment. 79 A.L.R. 2d 1028. Am Law Rep. 1961."},{"key":"S109285292400227X_r14","unstructured":"14. 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