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Published: 10 December 2022
Last updated: 29 January 2023

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1

Complaints and grievances in psychotherapy: A handbook of ethical practice. London: Routledge, 1998.

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2

Calvi, Eugenio. Il Codice deontologico degli psicologi: Commentato articolo per articolo. Milano: Giuffrè, 1999.

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3

Bhugra, Dinesh. Psychiatry's contract with society: Concepts, controversies, and consequences. Oxford: Oxford University Press, 2011.

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4

1942-, Watterson Kathryn, ed. You must be dreaming. New York: Poseidon Press, 1992.

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5

Everyday ethics: Voices from the frontline of community psychiatry. Berkeley: University of California Press, 2013.

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6

Bhugra, Dinesh. Psychiatry's contract with society: Concepts, controversies, and consequences. Oxford: Oxford University Press, USA, 2011.

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7

Kåmpf, Annegret. Confidentiality for mental health professionals: A guide to ethical and legal principles. Bowen Hills, Qld: Australian Academic Press, 2009.

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8

Farber, Stephen. Hollywood on the couch: A candid look at the overheated love affair between psychiatrists and moviemakers. New York: W. Morrow, 1993.

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9

Les patients du docteur Cameron. [Montréal]: Éditions de l'Homme, 1990.

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10

Good psychiatric practice: Confidentiality. London: Royal Col1ege of Psychiatrists, 2000.

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11

1953-, Sadler John Z., ed. The virtuous psychiatrist: Character ethics in psychiatric practice. Oxford: Oxford University Press, 2010.

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12

P, Schneider Jennifer, ed. The wounded healer: Addiction-sensitive approach to the sexually exploitative professional. Northvale, N.J: J. Aronson, 1999.

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13

Abuse of trust: The career of Dr. James Tyhurst. Vancouver: Douglas & McIntyre, 1991.

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14

Tribe, Rachel, and Jean Morrissey. The Handbook of Professional, Ethical and Research Practice for Psychologists, Counsellors, Psychotherapists and Psychiatrists. Edited by Rachel Tribe and Jean Morrissey. 3rd edition. | Abingdon, Oxon ; New York, NY : Routledge, 2020.: Routledge, 2020. http://dx.doi.org/10.4324/9780429428838.

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15

Thomas, Clavin, ed. Fatal analysis: A true story of professional privilege and murder. Far Hills, NJ: New Horizon Press, 1997.

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16

Geppert, Cynthia, and Peter J. Taylor. What Troubles Psychiatrists. Edited by John Z. Sadler, K. W. M. Fulford, and Cornelius Werendly van Staden. Oxford University Press, 2014. http://dx.doi.org/10.1093/oxfordhb/9780198732365.013.14.

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This chapter presents the results of the 2011 Psychiatric Times ethics survey of psychiatrists. The nearly seven hundred participants responded to questions exploring opinions on general questions regarding ethical dilemmas and short scenarios on topics in the domains of end-of-life, professional boundaries, conflict of interest and public health. Qualitative and descriptive analysis of the data reveals three broad areas of ethical conflicts in current psychiatric practice: rise of technology, competing agendas, and the ascendency of medication management.
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17

Finding the Right Psychiatrist: A Guide for Discerning Consumers. Rutgers University Press, 2014.

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18

L, Taylor Robert. Finding the Right Psychiatrist: A Guide for Discerning Consumers. Rutgers University Press, 2014.

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19

Finding the Right Psychiatrist: A Guide for Discerning Consumers. Rutgers University Press, 2014.

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20

Bloch, Sidney, and Stephen A. Green, eds. Psychiatric Ethics. 5th ed. Oxford University Press, 2021. http://dx.doi.org/10.1093/med/9780198839262.001.0001.

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Ethical issues inherent in psychiatric research and clinical practice are invariably complex and multifaceted. Well-reasoned ethical decision-making is essential to deal effectively with patients and enhance their care. Drawing on the positive reception of Psychiatric Ethics since its first publication in 1981, this highly anticipated fifth edition offers psychiatrists and other mental health professionals a coherent guide to dealing with the diverse ethical issues that challenge them. This edition has been substantially updated to reflect the many changes that have occurred in the field during the past decade. Its 25 chapters are grouped in three sections, as follows: 1) clinical practice in child and adolescent psychiatry, consultation-liaison psychiatry, psychogeriatrics, community psychiatry, and forensic psychiatry; 2) relevant basic sciences such as neuroethics and genetics; and 3) philosophical and social contexts including the history of ethics in psychiatry and the nature of professionalism. Principal aspects of clinical practice in general, such as confidentiality, boundary violations, and involuntary treatment, are covered comprehensively, as is a new chapter on diagnosis. Given the contributors’ expertise in their respective fields, Psychiatric Ethics will undoubtedly continue to serve as a significant resource for all mental health professionals, whatever the role they play in psychiatry. It will also benefit students of moral philosophy in their professional pursuits.
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21

Brodwin, Paul. Everyday Ethics: Voices from the Front Line of Community Psychiatry. University of California Press, 2013.

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22

Wehrly, Rebecca, and Adam Brenner. The Psychiatrist as Community Member. Edited by John Z. Sadler, K. W. M. Fulford, and Werdie (C W. ). van Staden. Oxford University Press, 2015. http://dx.doi.org/10.1093/oxfordhb/9780198732372.013.2.

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We consider the ethical aspects of the relationship of the psychiatrist to the community. We initially use the framework of a “social contract” to explore psychiatrists’ and communities’ reciprocal expectations for one another. We then argue that the concept of an “alliance” between the psychiatrist and community provides a more accurate, productive lens for psychiatrists to advocate and change in their communities. We apply this framework to the following ethical challenges that may arise when psychiatrists become active in their communities: (1) disagreements with allies about public policy; (2) difficulties separating professional expertise and personal values; (3) boundary tensions arising from patient contact outside the usual framework of treatment; and (4) the loss of the psychiatrist’s monopoly on cultural authority.
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23

You Must Be Dreaming. Fawcett, 1993.

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24

Alois, Altenweger, and Stiftung Szondi-Institut, eds. Sexualität, Macht, Geld: Ethische Fragen in der Psychotherapie. Bern: Szondi-Institut, 1995.

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25

(Editor), Richard Rosner, and Robert Weinstock (Editor), eds. Ethical Practice in Psychiatry and the Law (Critical Issues in American Psychiatry and the Law). Springer, 1990.

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26

Weinstock, Robert, and Richard Rosner. Ethical Practice in Psychiatry and the Law. Springer London, Limited, 2013.

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27

Recupero, Patricia R. The Role of the Law and Legal Profession and Relationship to the Psychiatric Consultant. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199374656.003.0039.

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Understanding the roles of laws, regulations, and legal professionals is important to the successful practice of geriatric forensic psychiatry, as geriatric psychiatrists may be among the first clinicians to recognize an elderly person’s need for legal assistance. In working with attorneys, psychiatrists will find it helpful to gain a basic understanding of different aspects of elder law and the ethical obligations of attorneys. This chapter discusses professional ethical codes and rules that lawyers are held to and how these relate to working with the geriatric psychiatrist in assisting an elderly client. When working with an attorney or a court, the geriatric psychiatrist may serve as a consultant, expert witness, educator, or as the treating clinician for a patient involved in legal proceedings. Some degree of reciprocal education is often necessary: the physician can help the attorney learn about a client’s condition (such as its prognosis, treatment, and current or expected impact on cognition and functional status), and the attorney can help the physician to understand how different laws, regulations, or legal professionals may be helpful to the elderly patient or client.
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28

Sadler, John, and Jennifer Radden. Virtuous Psychiatrist: Character Ethics in Psychiatric Practice. Oxford University Press, 2009.

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29

Robertson, Michael. Ethical Issues in Working with Criminal Offenders. Edited by John Z. Sadler, K. W. M. Fulford, and Werdie (C W. ). van Staden. Oxford University Press, 2015. http://dx.doi.org/10.1093/oxfordhb/9780198732372.013.6.

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This chapter examines the ethical issues associated with criminal offending by presenting a conceptualization of crime within the context of social contract theory. It also considers two issues relevant to psychiatry: the common problem of the person with a mental illness and the professional ethics of psychiatry and its fundamentally contractarian nature. It begins by discussing the problem of criminal offending amongst people affected by mental illness, followed by an analysis of the problem of “evil” in relation to mental illness. It then describes problems surrounding the conceptualization of criminal responsibility in the setting of psychiatric disorder, as well as the putative contribution of neuroscience. Finally, the chapter assesses the contractarian responsibilities of professional psychiatric ethics in the area of criminal offending, paying particular attention to the ethical challenges faced by psychiatrists working with criminal offenders.
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30

Peteet, John, Mary Lynn Dell, and Wai Lun Alan Fung, eds. Ethical Considerations at the Intersection of Psychiatry and Religion. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190681968.001.0001.

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Psychiatry and religious/spiritual share an interest in human flourishing, a concern with beliefs and values, and an appreciation for community. Yet historical tensions between science and religion have often reinforced disciplinary boundaries and obstructed dialogue, leaving clinicians uncertain about how to approach ethical dilemmas arising between them. Common questions concern conflicting values, the ways that religion/spirituality informs the value commitments of patients and their clinicians, and what principles should guide the interaction between clinicians’ own professional and personal commitments.This volume aims to help readers think more clearly about these issues as they present to psychiatrists and other mental health professionals, religious professionals working in mental health settings, bioethicists and trainees in these disciplines. Rather than philosophical arguments or practice guidelines, chapter authors offer a conceptual framework for understanding the role of religion/spirituality in ethical decision-making, as well as pragmatic guidance for approaching challenging cases. Authors in Part One explore several dimensions of the ethical challenges presented by religious/spiritual related to diagnosis, integrated treatment, harmful religion, and the work of ethics committees and religious professionals. Those in Part Two consider ways of approaching these issues as they arise in different clinical contexts, such as forensic, consultation-liaison, geriatric, child, international and community psychiatry, as well as in psychiatric research and teaching.
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31

Gabbard, Glen O., Holly Crisp-Han, and Gabrielle S. Hobday. Professional Boundaries in Psychiatric Practice. Edited by John Z. Sadler, K. W. M. Fulford, and Werdie (C W. ). van Staden. Oxford University Press, 2014. http://dx.doi.org/10.1093/oxfordhb/9780198732372.013.27.

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Professional boundaries refer to the “edge” or limit of appropriate behavior in the clinical setting. The fundamental ethical principal involved is respect for the patient’s dignity and autonomy. Because there is a potential for exploitation of the patient due to the power differential and asymmetry between psychiatrist and patient, the following dimensions of the treatment frame must be considered: location, time, behavior, language, dress, confidentiality, self-disclosure, money and gifts, dual relationships, and physical/sexual contact. Context is crucially important in assessing professional boundaries. Hence, relatively benign boundary crossings must be differentiated from exploitative boundary violations. Preventive strategies, such as education, self-monitoring, and regular consultation should be part of the practice of all clinicians. The domain of the Internet is a recent context that has emerged, and psychiatrists must now be attuned to boundary issues in cyberspace.
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32

Glas, Gerrit. Psychiatric Education. Edited by John R. Peteet, Mary Lynn Dell, and Wai Lun Alan Fung. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190681968.003.0022.

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This chapter addresses the topic of how to teach psychiatric residents to understand and deal with religion and spirituality in an ethically responsible and sensitive way. It focuses on ethical concerns of both trainees (learning the psychiatrist’s role in dealing with patients’ religious/spiritual issues) and educators (finding a proper stance with respect to religious/spiritual issues that emerge in the teaching context). The competence of professionalism as such is addressed, including ethical implications of dealing with patients’ religious/spiritual issues and interference of these issues with one’s own role fulfillment. Being a psychiatrist requires insight into not only the religious/spiritual needs of the patient but also the affective, moral, and spiritual aspects of the professional’s own journey. Sharing the narrative of one’s journey may provide fresh perspectives on how to deal with the tensions and brokenness that are inevitably part of our professional lives.
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33

Moffic, H. Steven, and James Sabin. Ethical Leadership for Psychiatry. Edited by John Z. Sadler, K. W. M. Fulford, and Werdie (C W. ). van Staden. Oxford University Press, 2014. http://dx.doi.org/10.1093/oxfordhb/9780198732372.013.50.

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Solutions for the current challenges in mental health care worldwide require improved ethical leadership and administration. Though psychiatrists have the broadest training for stewardship, other disciplines and patient consumers provide their own potential. Business leadership and ethics also need consideration. How to meld the strengths and ethical principles of the various mental health care constituencies is a major global task, but one that can be met. Possible ethical ways to do so are to use emotional intelligence and a culture of compassionate love to prioritize the professional and personal needs of the staff, and to have more leadership provided by formerly disenfranchised prosumers and/or leaders from marginalized cultures. Those responsible for mental health care systems must include the representative viewpoints of all stakeholders. One country, the USA, is highlighted for what can be generalized to other countries, supplemented by some important differences found in other societies.
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34

Charland, Louis C. Contagion, Identity, Misinformation. Edited by John Z. Sadler, K. W. M. Fulford, and Werdie (C W. ). van Staden. Oxford University Press, 2014. http://dx.doi.org/10.1093/oxfordhb/9780198732372.013.15.

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The evolution of the internet and associated social media pose novel challenges for psychiatric ethics. Issues surrounding emotional contagion, personal identity, and misinformation figure importantly among these new challenges, with important consequences for consumers of mental health services, as well as psychiatrists and other mental health professionals. The evolution of the internet and associated social media pose novel challenges for psychiatric ethics. Issues surrounding emotional contagion, personal identity, and misinformation figure importantly among these new challenges, with important consequences for consumers of mental health services, as well as psychiatrists and other mental health professionals.
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35

Marsh, Pamela. Timely Endings and the Ethics of “Being Heard”. Edited by John Z. Sadler, K. W. M. Fulford, and Cornelius Werendly van Staden. Oxford University Press, 2015. http://dx.doi.org/10.1093/oxfordhb/9780198732365.013.9.

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The author reflects on her bout of complex post-traumatic stress disorder (C-PTSD) as well as her encounters with psychiatrists/psychotherapists and other mental health professionals. She recalls first being admitted to a psychiatric ward in 1996, to be followed by many more admissions for crisis intervention, self-harm, and suicide attempts. She says the therapy she received was sometimes traumatic and exacerbated the distress of her symptoms, while also significantly delaying her recovery. She thinks that the mental health care professionals, including psychiatrists, did not seem to understand what she was telling them about her thyroid illness. Had this been diagnosed and treated properly, its impact on her life would not have been as great as it was. Finally, she stresses the importance of a holistic approach in helping patients recover, recognizing when it is time to stop therapy, and the ethics of listening and “being heard” as part of psychotherapy.
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36

Tribe, Rachel, and Jean Morrissey. Handbook of Professional Ethical and Research Practice for Psychologists, Counsellors, Psychotherapists and Psychiatrists. Taylor & Francis Group, 2020.

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37

Tribe, Rachel, and Jean Morrissey. Handbook of Professional Ethical and Research Practice for Psychologists, Counsellors, Psychotherapists and Psychiatrists. Taylor & Francis Group, 2020.

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38

Tribe, Rachel, and Jean Morrissey. Handbook of Professional Ethical and Research Practice for Psychologists, Counsellors, Psychotherapists and Psychiatrists. Taylor & Francis Group, 2020.

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39

Handbook of Professional Ethical and Research Practice for Psychologists, Counsellors, Psychotherapists and Psychiatrists. Taylor & Francis Group, 2020.

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40

Tribe, Rachel, and Jean Morrissey. Handbook of Professional Ethical and Research Practice for Psychologists, Counsellors, Psychotherapists and Psychiatrists. Taylor & Francis Group, 2020.

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41

Candilis, Philip J., and Eric D. Huttenbach. Ethics in correctional mental health. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199360574.003.0008.

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Working as a psychiatrist in a jail or prison presents many ethical issues, many unique to the correctional setting. Obligations to the law, professional standards, the community, and public health require a complex appreciation of competing values. It remains an extraordinary commentary on the state of mental health that the largest mental health institutions in the United States are jails and prisons. In daily practice, acknowledging healthcare, individual, and professional values in a robust vision of professionalism means advocating for clinical values and opposing mistreatment. Making the limits of confidentiality clear is a time-honored element of the informed consent process and need not be diluted in the correctional system. Honoring clear boundaries between treatment and forensic evaluation are the crux of this issue: confidentiality warnings and access to counsel cannot be one-off affairs that do not account for the cognitive, educational, or mental health vulnerabilities of the patient in a correctional setting. Developing trust, offering transparency, and delivering clear descriptions of procedural requirements are the lessons of an empirical database that supports this approach and can lead to more collaboration and less violence. This chapter presents a discussion of the critical concerns, including informed consent and coercion, dual agency, appropriate access to care, and managing professional boundaries and standards.
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42

Hughes, Patrick, and Julie Langan Martin, eds. Teaching Psychiatry to Undergraduates. 2nd ed. Cambridge University Press, 2022. http://dx.doi.org/10.1017/9781108921206.

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Psychiatry requires a unique blend of knowledge, skills and attitudes, with important ethical and philosophical issues intrinsic to the specialty. Although teaching is an important part of training and working as a psychiatrist, this is often carried out without any specific training in educational theory or practice. This book teaches readers how to apply educational theory in this complex setting to provide the best possible learning experience for students. Chapters are short and focused, allowing the busy psychiatrist or other professional involved in undergraduate psychiatry teaching to pick it up, absorb some of the principles, and start applying them straight away to improve their teaching. Contributions from individuals with lived experience throughout the book provide insight into the patient experience and how this can be sensitively and effectively incorporated into undergraduate teaching and the benefits that can be gained from doing so.
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43

Kapoor, Reena. Crisis assessment and management. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199360574.003.0025.

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Crisis calls are a common occurrence in correctional settings. Psychiatrists are often called upon to triage and manage such events. Requests for urgent psychiatric evaluations can come from many sources, including security staff, non-psychiatric physicians, mental health staff, courts, attorneys, and family members. Psychiatrists responding to these requests for evaluation may feel tremendous pressure to reach a conclusion that is consistent with the opinions of the requesting party. However, maintaining an independent and therapeutic stance when conducting crisis evaluations is crucial. Some aspects of psychiatric evaluations in crisis situations are unique to the correctional environment: evaluations at cell-side, video recording, and leadership by security staff rather than medical professionals. Nonetheless, correctional psychiatrists should be guided by the same principles of medical ethics that apply to patient care in the community, placing the patient’s well-being above all other concerns. They should strive, when possible, to conduct a thorough assessment in a confidential setting. In considering how best to resolve the crisis and care for the patient, they should err on the side of caution and recommend placement in a safe and therapeutic setting, at least until a multidisciplinary team can consider other options. Finally, they should document the encounter carefully, articulating the rationale for the chosen course of action. This chapter reviews the pragmatics of evaluating and managing many common correctional events that lead to mental health crisis calls and discusses the range of concerns, the typical practices and procedures used in correctional settings, and the types of interventions that are best used.
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44

Bhui, Kamaldeep, and Dinesh Bhugra. Terrorism, Violent Radicalisation, and Mental Health. Oxford University Press, 2021. http://dx.doi.org/10.1093/med/9780198845706.001.0001.

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Terrorism, Violent Radicalization, and Mental Health brings together distinct disciplinary and ideological narratives on the political, social, economic, and cultural aspects of radicalization and terrorism today. Specifically, adopting methodologies and concepts from cultural psychiatry, and a range of other disciplines, across 18 chapters, we assesses a wide range of groups and types of extremism and terrorism from around the world. There are key topics such as technology, social and international policies, ethics and cultural competency, and the role that psychiatrists and mental health professionals play in treatment, management, and prevention. There are implications for counter-terrorism policy and practice, as well as wider social and public health and immigration policies. We thank the authors for their commitment to this challenging area of work, yet one which is much needed, to create social and global cohesion and improve public health, enabling all to flouris.
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45

Harrison, Paul, Philip Cowen, Tom Burns, and Mina Fazel. Shorter Oxford Textbook of Psychiatry. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780198747437.001.0001.

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This book provides an up-to-date, authoritative, and highly readable overview of psychiatry, suitable for all psychiatrists, as well as medical students, general practitioners, and other mental health professionals. Written by experienced clinicians, the new edition has been substantially rewritten and updated. The first three chapters cover the symptoms and signs of psychiatric disorders, psychiatric classification (including DSM-5), and how to conduct a psychiatric assessment. Chapters on ethics and the law (including the Mental Health Act), aetiology, and evidence-based approaches, set the scene for description of the major syndromes of adult psychiatry. In each chapter, description of the cardinal clinical features is accompanied by the latest evidence on epidemiology, aetiology, treatment, and outcome. Subsequent chapters cover child psychiatry, the psychiatry of old age, intellectual disability, forensic psychiatry, substance misuse, suicide, and self-harm, and psychiatry in medical settings. After a new chapter on global mental health, two chapters cover psychological and psychopharmacological treatments: their indications, efficacy, side effects, and mechanisms. The final chapter describes how psychiatric services are organized.
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