PT - JOURNAL ARTICLE AU - Wall, Barry W. TI - The Competency Paradox in Somatic Disease DP - 2017 Dec 01 TA - Journal of the American Academy of Psychiatry and the Law Online PG - 426--428 VI - 45 IP - 4 4099 - http://jaapl.org/content/45/4/426.short 4100 - http://jaapl.org/content/45/4/426.full SO - J Am Acad Psychiatry Law2017 Dec 01; 45 AB - Westmoreland et al. have reviewed factors associated with provider reluctance to initiate and judicial reluctance to authorize civil commitment and involuntary treatment for persons with severe anorexia nervosa. Their analysis of the legal, medical, and psychiatric elements that affect treatment outcomes contributes to professional understanding of a complex topic. Although their proposal to create guidelines for involuntary treatment for persons with eating disorders may be of clinical utility, guidelines should not be promulgated for the purposes of reaching judicial findings of law.