(no paper
is attached to this workshop)
Each province in Canada has
its own mental health legislation that sets out criteria for imposing
involuntary psychiatric treatment. While Ontario's mental health
legislation appears to place a high valuation on assessments of
capacity to consent to treatment, British Columbia's Mental Health
Act allows physicians to determine what they think is in the best
interests of persons they diagnose as having mental illnesses and
to impose treatment accordingly. This legislation epitomizes a biomedical
model of human nature and legally sanctions the imposition of psychiatric
treatment, even when the persons who are subject to these laws have
the capacity to withhold consent to this treatment. In the past
20 years, jurisdictions throughout the Western industrial world,
including many provinces in Canada, have been moving away from the
Ontario model and toward that British Columbia model of mental health
law. My doctoral research has two major components. The first is
a theoretical examination of naturalistic and atomistic conceptions
of agency, autonomy and the mental capacities considered necessary
for persons to make decisions for themselves. These traditional
conceptions form the basis of the biomedical model of human nature
and are found throughout Canadian mental health law. This component
of my work draws heavily on the later philosophy of Michele Foucault
and the research on governmentality advanced by the sociologist
Nikolas Rose, both of whom have developed powerful critiques of
these traditional conceptions of human nature. The second component
of my research is an empirical examination of evidence presented
at hearings before review panels established pursuant to British
Columbia's Mental Health Act, which purports to enable persons to
legally challenge and resist involuntary treatment orders. My conference
presentation outlined the progress of my research to date and to
show its implications for Canadian mental health law and the persons
subjected to these laws. |