Okay, this question was posed to me hypothetically speaking. Patient is manic and has not responded to psychopharmacological interventions~ECT therapy has been recommended to her and her family~ Pt is fearful that it will enable others to control her mind and is opposed to it. So, in dealing with severely ill psychiatric patients~~what are their rights and at what point does autonomy and selfdetermination end for the SEVERLY ILL???? Thanks for your opinions.....I'm kind of thinking that due to the patient bill of rights that they may refuse treatment~~but even if they are severely ill?? I'm not sure!?!