PT - JOURNAL ARTICLE AU - MJ Feldman AU - TG Gutheil TI - Ethical aspects of competence for sexual relationships: a case of adult sibling incest DP - 1997 Jun 01 TA - Journal of the American Academy of Psychiatry and the Law Online PG - 217--222 VI - 25 IP - 2 4099 - http://jaapl.org/content/25/2/217.short 4100 - http://jaapl.org/content/25/2/217.full SO - J Am Acad Psychiatry Law1997 Jun 01; 25 AB - A case of adult sibling incest serves as the occasion to review relevant literature and discuss issues related to competence to consent to sexual relations between adults. The case was presented at ethics rounds at the Massachusetts Mental Health Center (Boston, MA), and the resulting discussion is analyzed as to the decision making with which the treatment team is faced. The relationships among competence and competence assessment, autonomy, morality, and countertransference issues are also considered in this provocative case.