Emotional disturbances

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  • In extreme cases of mental disability, substituted judgment may be appropriate when a severe emotional disturbance or cognitive impairment compromises an individual’s ability to give informed consent. Any restriction or denial of decision-making author- ity to a disabled woman should be the consequence of an objective procedure, con- taining proper legal safeguards against every form of abuse. This procedure must be based on an evaluation of the capability of the mentally disabled person by qualified experts, subject to periodic review and to appeal.

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  • It is with great pleasure and professional pride that I accepted Randy Hayes’s invitation to write this foreword. The implementation and successful use of evidence-based treatments, described in the following chapters, will assist both care providers and consumers in achieving a more satisfying quality of life. For consumers, this is data evident. For providers, nothing succeeds like success, and the satisfaction generated by concrete evidence that your work has helped others is the professional’s ultimate level of satisfaction.

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  • The fact that there is a reciprocal relation between mental states and bodily conditions, acting both for good and ill, is nothing new in human experience. Even among the most crude and unobserving, traditions and incidents have given witness to this knowledge. For centuries stories of the hair turning white during the night on account of fright or sorrow, the cause and cure of diseases through emotional disturbances, and death, usually directly by apoplexy, caused by anger, grief, or joy, have been current and generally accepted.

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  • The Modern-Day Physician No greater opportunity, responsibility, or obligation can fall to the lot of a human being than to become a physician. In the care of the suffering, [the physician] needs technical skill, scientific knowledge, and human understanding. . . . Tact, sympathy, and understanding are expected of the physician, for the patient is no mere collection of symptoms, signs, disordered functions, damaged organs, and disturbed emotions. [The patient] is human, fearful, and hopeful, seeking relief, help, and reassurance.

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