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Ethical and Consent Aspects 

Ethical and Consent Aspects
Ethical and Consent Aspects
Electroconvulsive Therapy in Children and Adolescents

Michael Robertson

, Joseph M. Rey

, and Garry Walter


This chapter considers first the value system of child psychiatry as a basis for moral deliberation over the use of ECT in children and adolescents. It then describes, in turn, the context of the impassioned public debate over biological treatments in child psychiatry, risk-benefit considerations of ECT in children and adolescents, complexities in relation to consent for the treatment, processes of consent in different countries and different jurisdictions, core elements of the consent process irrespective of regional differences, and the ethical dilemmas surrounding not providing ECT to this patient group.

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