I appreciate the clarification. I’m an ethicist who runs a nonprofit to advocate for patients mistakenly denied medical care because of reckless diagnosis of somatoform disorder (or something like it). This problem is an epidemic of staggering proportions, and it’s what created the Pelletier case. How about instead of setting up courts to make these decisions, doctors just respect the rights of patients (and parents) in cases of somatoform diagnosis, so patients (and parents) just continue to make their own autonomous decisions? If everyone respects patients’ rights from the start these kinds of cases cannot occur.