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The Michigan Mental Health Code provides that a person " whose judgment is so impaired that he or she is unable to understand his or her need for treatment and whose continued behavior as the result of this mental illness can reasonably be expected, on the basis of competent clinical opinion, to result in significant physical harm to himself or herself or others " may be subjected to involuntary commitment, a provision paralleled in the laws of many other jurisdictions.
These types of provisions have been criticized as a sort of " heads I win, tails you lose ".
Understanding one's " need for treatment " would cause one to agree to voluntary commitment, but the Bazelon Center has said that this " lack of insight " is " often no more than disagreement with the treating professional "

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