tag:blogger.com,1999:blog-8489009971732520747.post1795363366503963800..comments2024-03-24T07:19:28.136+00:00Comments on Lake Cocytus: SexThe Shrinkhttp://www.blogger.com/profile/10009039342346247138noreply@blogger.comBlogger6125tag:blogger.com,1999:blog-8489009971732520747.post-7013143109071039152007-09-18T22:57:00.000+01:002007-09-18T22:57:00.000+01:00Perhaps you could implement the MCA when Mr Nasty ...<I>Perhaps you could implement the MCA when Mr Nasty is around, but then turn a blind eye when Mr Right gets out of hospital?</I> <BR/><BR/>Pragmatically that sounds right.<BR/><BR/>For us to decide what's an offence and what isn't does seem curiously outwith medical school training and professional roles though. <BR/><BR/>Spoke to police today who seemed to have views at variance with my own ("you mean dementia is a type of mental illness?") so really weren't up to speed with incapacitated adults/consent/vulnerability.<BR/><BR/>We shall see what POVA and police input in to that can generate . . .The Shrinkhttps://www.blogger.com/profile/10009039342346247138noreply@blogger.comtag:blogger.com,1999:blog-8489009971732520747.post-28538616965082735282007-09-18T22:55:00.000+01:002007-09-18T22:55:00.000+01:00Zarathustra, I have indeed commenced Protection Of...Zarathustra, I have indeed commenced Protection Of Vulnerable Adult (POVA) proceedings since I'm feeling a touch muddled. The senior Decision Maker mused over this then asked me my views . . .The Shrinkhttps://www.blogger.com/profile/10009039342346247138noreply@blogger.comtag:blogger.com,1999:blog-8489009971732520747.post-7573880202337518922007-09-18T22:07:00.000+01:002007-09-18T22:07:00.000+01:00Sex? No thanks dearie, we're British.What a fascin...Sex? No thanks dearie, we're British.<BR/><BR/>What a fascinating loophole!<BR/><BR/>Perhaps you could implement the MCA when Mr Nasty is around, but then turn a blind eye when Mr Right gets out of hospital?Dr Andrew Brownhttps://www.blogger.com/profile/13858213625632400403noreply@blogger.comtag:blogger.com,1999:blog-8489009971732520747.post-34388685788791613442007-09-18T20:46:00.000+01:002007-09-18T20:46:00.000+01:00Sounds like a POVA case in the offing to me.Sounds like a POVA case in the offing to me.Spirit of 1976https://www.blogger.com/profile/10314554889217669727noreply@blogger.comtag:blogger.com,1999:blog-8489009971732520747.post-73192631914801427792007-09-18T15:46:00.000+01:002007-09-18T15:46:00.000+01:00I am inclined to agree with milk and two sugars re...I am inclined to agree with milk and two sugars re her totally different attitudes to the two men. I am puzzled, however, as to who takes what action to prevent him taking advantage of your patient.<BR/><BR/>Ignoring the problem will not make it go away and may even make it far worse (how about claiming more than the "rights" he now has, and ending up taking control of her money too?)Elainehttps://www.blogger.com/profile/06847149482684623481noreply@blogger.comtag:blogger.com,1999:blog-8489009971732520747.post-9029577246556229072007-09-18T14:39:00.000+01:002007-09-18T14:39:00.000+01:00Is there a case here for taking into account the p...Is there a case here for taking into account the patient's alarm and disgust with the one man, and her complacancy with the other? Perhaps there would be a role for looking at her pre-morbid functioning, if the first man has been her partner for a long time. <I>If</I> the loophole in the law didn't exist, of course.<BR/><BR/>My personal view would be that in this case, where the patient is so evidently distressed at her relations with the second man, that he is indeed committing a grevious sexual offense. If she's afeared of him, she wouldn't consent were she able to. <BR/><BR/><I>Can the issue be ignored?</I> For your patient - hell no. Our duty of care extends beyond that which the law determines.<BR/><BR/>/end intense reply.Milk and Two Sugarshttps://www.blogger.com/profile/17960085813041665939noreply@blogger.com