Mj. Feldman et Tg. Gutheil, ETHICAL ASPECTS OF COMPETENCE FOR SEXUAL RELATIONSHIPS - A CASE OF ADULT SIBLING INCEST, Journal of the American Academy of Psychiatry and the Law, 25(2), 1997, pp. 217-222
A case of adult sibling incest serves as the occasion to review releva
nt literature and discuss issues related to competence to consent to s
exual relations between adults. The case was presented at ethics round
s at the Massachusetts Mental Health Center (Boston, MA), and the resu
lting discussion is analyzed as to the decision making with which the
treatment team is faced. The relationships among competence and compet
ence assessment, autonomy, morality, and countertransference issues ar
e also considered in this provocative case.