The right to treatment and the right to refuse treatment are parallel legal rights which, when in opposition, pose a dilemma. In this paper the issues surrounding the possible force-feeding of a hunger striker are examined together with the pertinent legal precedents and possible courses of action. Although the discussion is particularly relevant to hunger strikers, the principles may be applicable to other circumstances.
References
1.
SchifferM.E.Mental disorder and the criminal trial process.Toronto: Butterworths, 1978.
2.
s.244 Canadian Criminal Code.
3.
Schloendorff v. Society of New York Hospitals, 105 N.E. 92 (1914).
4.
Public Health Protection Act, R.S.Q.1977, C.P.-35.
Canadian Charter of Rights and Freedoms found in the Constitution Act, 1982, enacted by the Canada Act 1982 (U.K.)
9.
MorrisonD.Le droit de refus de traitement chez le patient involuntaire: considérations médico-légales.Can J Psychiatry1985; 30 (1): 60–63.
10.
Declaration of Tokyo: guidelines for medical doctors.World Med J1976; 22: 87–90.
11.
Da SylvaN.P.Coordinator for the Committee on Ethics, CMA, Private communication. Feb. 1985.
12.
Doctor and torture: declaration of Tokyo largely concurs with CMA statement.CMAJ1977; 116(4): 800.
13.
MeiselA., RothL.H., LidzC.W.Toward a model of the legal doctrine of informed consent.Am J Psychiatry1977; (3): 285–289.
14.
RothL.H., MeiselA., LidzC.W.Tests of competency to consent to treatment.Am J Psychiatry1977; 134 (3): 279–284.
15.
RothL.H.Competency to consent to or refuse treatment. In: GrinspoonL., ed. Psychiatry: The American Psychiatric Association Annual Review.1982: Chap. 23, 350–360.
16.
SomervilleM.A.Refusal of medical treatment in captive circumstances.Canadian Bar Review1985; 63 (3): 59–90.
17.
Leigh v. Gladstone, 26 T.L.R. 139 (1909).
18.
ZellickG.The forcible feeding of prisoners: an examination of the legality of enforced therapy.Public Law1976; 153–187.
19.
Attorney General of British Columbia v. Astaforoff [1984] 4W.W.R. pp. 385–390, [1983] 6W.W.R. pp. 322–327.
20.
s. 197Canadian Criminal Code.
21.
s. 224Canadian Criminal Code.
22.
P.G. du Canada c. Hôpital Notre Dame, J.E.84–322 (Montreal C.S. 500–05–003532–841).
