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An ethical dilemma in child and adolescent psychiatry

Behavioural Sciences Unit, Institute of Child Health, University of London, 30 Guilford Street, London WC1N 1EH

D. M. Foreman, Consultant/Senior Research Fellow in Child Adolescent Psychiatry

University of Keele, School of Postgraduate Medicine, Stoke-on-Trent ST4 7QB

In this paper the ethical concept of competence is explored in the context of a very challenging child psychiatry case. Both mental disorder and immaturity may impair a child's competence. However, it is emphasised that competence is not a generic quality but one that should be applied to specific decisions, even when working with children.

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