Ethical coping with refusal treatment of eating disorders

• Project/Area Number: 25500002
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Research Field: Bioethics
• Research Institution: The University of Tokyo
• Principal Investigator: Takimoto Yoshiyuki 東京大学, 大学院医学系研究科(医学部), 准教授 (00396699)
• Project Period (FY): 2013-04-01 – 2017-03-31
• Project Status: Completed (Fiscal Year 2016)
• Budget Amount: ¥5,200,000 (Direct Cost: ¥4,000,000、Indirect Cost: ¥1,200,000); Fiscal Year 2016: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000); Fiscal Year 2015: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000); Fiscal Year 2014: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000); Fiscal Year 2013: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
• Keywords: 臨床倫理 / 摂食障害 / 治療拒否 / 医療倫理 / 心身医学

Outline of Final Research Achievements

Regarding response to treatment rejection of patients with eating disorders, two points- "best interest" and "mental capacity" were extracted by literature research. As a result of investigating the consciousness of experts of eating disorders treatment in Japan, compulsive treatment was choosed at the time of life crisis, because of considering "best interest" in eating disorders patients is life sustaining, while "mental capacity" of eating disorders patients was acknowledged. It became clear that the thought on forced treatment is thought by the health administration side as well. Even in comparison with overseas, the tendency to select compulsive treatment at the time of life crisis was recognized as well, while admitting certain mental capacity. However, in Japan, there was a characteristic that there was a strong tendency to make consent for families as to the basis of compulsive treatment.

Research Products

• [Journal Article] Diamine oxidase activity levels in anorexia nervosa (2014)
  • Author(s): Takimoto Y, Yoshiuchi K, Shimodaira S, Akabayashi A
  • Journal Title: Int J Eat Disord Volume: 43 Pages: 203-205
  • Peer Reviewed
• [Presentation] 治療拒否を考える (2016)
  • Author(s): 瀧本禎之
  • Organizer: 第20回日本摂食障害学会学術集会
  • Place of Presentation: 東京大学（東京都文京区）
  • Year and Date: 2016-09-03
• [Presentation] 神経性やせ症患者の強制栄養治療における文献研究 (2015)
  • Author(s): 瀧本禎之 長尾式子 浦川史歩 山本由加里、吉内一浩 赤林朗
  • Organizer: 第19回日本摂食障害学会
  • Place of Presentation: パピヨン２４（福岡県福岡市）
  • Year and Date: 2015-10-23
• [Presentation] Medical practitioners’ attitude to treatment refusal in anorexia nervosa (2015)
  • Author(s): Yoshiyuki Takimoto, Shiho Urakawa, Yukari Yamamoto, Akira Akabayashi
  • Organizer: International Conference on Eating Disorders
  • Place of Presentation: Boston, USA
  • Year and Date: 2015-04-23 – 2015-04-26
• [Presentation] 摂食障害の臨床上の倫理的問題
  • Author(s): 瀧本禎之
  • Organizer: 第17回日本摂食障害学会学術集会
  • Place of Presentation: 兵庫県