ArticlePsychiatric research and clinical practice2026
Resisting Contagious Hopelessness: Therapeutic Alliance and the Limits of Physician-Assisted Death in Severe and Enduring Anorexia Nervosa.
Article in Psychiatric research and clinical practice, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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3 authors.
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Abstract
Contemporary psychiatric ethics emphasize autonomy and shared decision-making, yet these frameworks may be strained in severe mental illnesses characterized by cognitive rigidity, fluctuating decisional capacity, and undue clinician influence. Severe and enduring anorexia nervosa serves as a case example to explore how therapeutic alliance, clinician expectations, and suggestibility may shape expressions of choice in high-stakes decision-making, including discussions of physician-assisted death. Drawing on psychotherapy theory, placebo science, and clinical outcome data, this paper argues that clinician framing and prognostic stance function as treatment variables that may transmit either hope or hopelessness. Ongoing therapeutic engagement focused on improving quality of life and the instillation and preservation of hope should precede any consideration of end-of-life interventions.
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Registered trials
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