Journal articles on the topic 'Psychiatrists Professional ethics'
To see the other types of publications on this topic, follow the link: Psychiatrists Professional ethics.
Create a spot-on reference in APA, MLA, Chicago, Harvard, and other styles
Consult the top 50 journal articles for your research on the topic 'Psychiatrists Professional ethics.'
Next to every source in the list of references, there is an 'Add to bibliography' button. Press on it, and we will generate automatically the bibliographic reference to the chosen work in the citation style you need: APA, MLA, Harvard, Chicago, Vancouver, etc.
You can also download the full text of the academic publication as pdf and read online its abstract whenever available in the metadata.
Browse journal articles on a wide variety of disciplines and organise your bibliography correctly.
1
Allnutt, Stephen H., and David Chaplow. "General Principles of Forensic Report Writing." Australian & New Zealand Journal of Psychiatry 34, no. 6 (December 2000): 980–87. http://dx.doi.org/10.1080/000486700273.
Full textAbstract:
Objective: The aim of this paper is to provide an update of principles of forensic report writing, to guide and assist registrars, junior consultants and psychiatrists considering working within the forensic arena. Method: The literature was reviewed for information on principles of report writing from a variety of jurisdictions. Additionally, literature on medical ethics was examined. Result: Writing reports is a professional activity that most psychiatrists undertake at some point in their careers. The report represents the psychiatrist's professional opinion. It is important that information is accurate, relevant and ethical. In writing medico-legal reports, psychiatry deviates from traditional medical ethics. Conclusion: It is important that psychiatrists who write reports have a good understanding of the process and behave ethically and competently.
2
Adshead, Gwen, and Jeremy Cave. "An introduction to clinical ethics in psychiatry." BJPsych Advances 27, no. 1 (July 23, 2020): 20–25. http://dx.doi.org/10.1192/bja.2020.46.
Full textAbstract:
SUMMARYThe Royal College of Psychiatrists’ continuing professional development (CPD) module on clinical ethics in psychiatry by Pearce & Tan describes some common ethical dilemmas in psychiatric practice and the work of clinical ethics committees in analysing these dilemmas. In this article we build upon their work and offer additional exploration of the nature of ethical dilemmas in psychiatry. We also build upon the models of reasoning that are described in the module and suggest ways for psychiatrists to think about ethical dilemmas when a clinical ethics committee is not available.
3
Taylor, Richard, and Jessica Yakeley. "Working with MAPPA: ethics and pragmatics." BJPsych Advances 25, no. 3 (February 11, 2019): 157–65. http://dx.doi.org/10.1192/bja.2018.5.
Full textAbstract:
SUMMARYMulti-agency public protection arrangements (MAPPA) have been in operation for around 18 years in England and Wales. The primary purpose is for the sharing of information between agencies regarding the risk management of offenders returning to the community from custodial and hospital settings. The legal framework regarding information by psychiatrists is not dealt with in one single policy or guidance document. Psychiatrists must use their clinical and professional judgement when engaging with the MAPPA process, mindful of guidance available from professional bodies such as the Royal College of Psychiatrists, General Medical Council and British Medical Association.LEARNING OBJECTIVESAfter reading this article you will be able to: •Learn the legal and political background that led to the formation of MAPPA•Understand the structure and function of MAPPA•Understand the role of psychiatrists in the MAPPA processDECLARATION OF INTERESTR.T. is a member of the London Strategic Management Board for MAPPA.
4
Bloch, Sidney, Felicity Kenn, and Geoffrey Smith. "Revising the Royal Australian and New Zealand College of Psychiatrists code of ethics." Australasian Psychiatry 26, no. 5 (July 30, 2018): 456–59. http://dx.doi.org/10.1177/1039856218789791.
Full textAbstract:
Objectives: To describe the process adopted by the Committee for Professional Practice (CPP) of the Royal Australian and New Zealand College of Psychiatrists (RANZCP) in devising the 5th edition of its code of ethics and to outline principal changes. Methods: CPP members planned, scrutinised and documented the steps taken in preparing the new edition. Results: The process, following that used in all previous updates of the code and which had proved effective and productive on each occasion, comprised consultations with RANZCP committees and relevant external stakeholders. Canvasing the views of so many groups was regarded as essential to ensure that multiple perspectives were considered and any bias of the CPP avoided. The United Nations Convention on the Rights of Persons with Disabilities (CRPD) was examined with two aims: promoting a robust clinician and patient partnership, and acknowledging the psychiatrist’s advocacy role. The psychiatrist’s duty to be alert to colleagues’ wellbeing and to safeguard respectful professional relationships was highlighted. Conclusions: A comprehensive, rigorous and established review process occurred and was carefully documented resulting in a sound and contemporary revision of the code of ethics. RANZCP members will be duty-bound to adhere to, and apply, the code to optimise their ethical standards.
5
Lee, Sang Min, Kyoung-Min Park, Sungwon Roh, Yong-Jin Seo, Won-Seok Choi, and Tae-Yeon Hwang. "Leadership, Ethics, Professional Role, and Future Direction of Psychiatrists." Journal of Korean Neuropsychiatric Association 53, no. 2 (2014): 92. http://dx.doi.org/10.4306/jkna.2014.53.2.92.
Full text
6
Lee, Sang Min, Kyoung-Min Park, Sungwon Roh, Yong-Jin Seo, Won-Seok Choi, and Tae-Yeon Hwang. "Leadership, Ethics, Professional Role, and Future Direction of Psychiatrists." Journal of Korean Neuropsychiatric Association 53, no. 2 (2014): 92. http://dx.doi.org/10.4306/jknpa.2014.53.2.92.
Full text
7
Pargiter, Russell, and Sidney Bloch. "Developing a Code of Ethics for Psychiatry: The Australasian Experience." Australian & New Zealand Journal of Psychiatry 28, no. 2 (June 1994): 188–96. http://dx.doi.org/10.1080/00048679409075628.
Full textAbstract:
The first ever code of ethics of the Royal Australian and New Zealand College of Psychiatrists was promulgated in 1992. In this paper two of the four members of the College's Ethics Committee (which prepared the document) describe the code's provenance and the procedure used to determine its form and content. The code, a milestone in the College's history, reflects its maturity in confronting the many ethical issues with which psychiatrists have to wrestle in contemporary clinical (and research) practice. We hope that our account will assist them to deal effectively with this pivotal aspect of their professional work.
8
Sarkar, Sameer P., and Gwen Adshead. "Protecting altruism: A call for a code of ethics in British psychiatry." British Journal of Psychiatry 183, no. 2 (August 2003): 95–97. http://dx.doi.org/10.1192/bjp.183.2.95.
Full textAbstract:
Codes of ethics have existed for medicine since the time of Hippocrates. However, a written code of ethics (like a written constitution) has so far eluded British psychiatry. In this editorial we discuss the arguments for and against a code of ethics as an essential aspect of our identity as medical professionals. Our professional identity as psychiatrists is coming under scrutiny from the General Medical Council, the emergence of the user movement and the proposals in the draft Mental Health Bill. At a time when psychiatry is seen increasingly as a guardian of public safety, there has never been a more pressing need for a code of ethics.
9
Polubinskaya, Svetlana V., and Richard J. Bonnie. "The Code of professional ethics of the Russian society of psychiatrists." International Journal of Law and Psychiatry 19, no. 2 (March 1996): 143–72. http://dx.doi.org/10.1016/0160-2527(96)00002-7.
Full text
10
Bloch, Sidney. "Psychiatry: An Impossible Profession?" Australian & New Zealand Journal of Psychiatry 31, no. 2 (April 1997): 172–83. http://dx.doi.org/10.3109/00048679709073818.
Full textAbstract:
Objective: To examine the disconcerting question as to whether psychiatry is a fully-fledged profession or not. Method: A review of pertinent literature regarding the criteria of a profession, the vulnerability of psychiatry to abuse, and potential models for the proper practice of psychiatry. Results: Psychiatry lost its professional anchorage entirely with its misuse to suppress dissent in the former Soviet Union and in the so-called euthanasia program in Nazi Germany. It remains vulnerable to abuse unless psychiatrists recognise the professional criteria they must satisfy. A new symbol, a humble stool, is proposed. Its three legs represent the three equally significant dimensions of psychiatric practice: science, art and ethics. Conclusion: Psychiatry just ‘scrapes home’ in constituting a profession but only subject to three provisos: namely (i) that psychiatrists appreciate the need to achieve a coherent body of special knowledge through a genuine creative process which necessarily results in uncomfortable tension from time to time; (ii) that we promote the art of psychiatry by cultivating an ethos of caring and sensitivity; and (iii) that we function within an articulated ethical framework with respect for codes of ethics as guidelines.
11
Cebuliak, Colleen. "Life as a Blonde: The Use of Prozac in the 90's." Alberta Law Review 33, no. 3 (June 1, 1995): 611. http://dx.doi.org/10.29173/alr1132.
Full textAbstract:
With the rapid rise in the use of such anti-depressant drugs as Prozac comes a host of legal and ethical issues for psychiatrists prescribing the drugs. This article examines the implications of prescribing mood-altering drugs from the standpoint of professional ethics and the law. The author discusses the side-effects of Prozac and the current trend towards "cosmetic psychopharmacology" - the use of the drug to alter or enhance the personalities of patients who are technically healthy but looking for an "edge" or mood-improver. The article explores the controversy surrounding the claim that Prozac patients experience suicidal and violent thoughts as a result of the drug; the author goes on to discuss the issue of the psychiatrist's potential liability when something goes wrong and when the drug has been prescribed to a patient who is well. Following is a summary of current civil and criminal litigation surrounding the Prozac controversy. The author concludes that in most cases, the legal and ethical implications of prescribing Prozac to the "normal" patient should prohibit psychiatrists from doing so; however, the reality is that the prescription of Prozac to patients who are not clinically depressed is already widespread. Thus, the author concludes that the psychiatric community must encourage public debate and education.
12
Keown, Patrick, and Alec Buchanan. "The Eye of the Beholder: Ratings of Risk Using a Reliable Instrument and Identical Clinical Material." Medicine, Science and the Law 42, no. 4 (October 2002): 294–99. http://dx.doi.org/10.1177/002580240204200403.
Full textAbstract:
Risk management is increasingly seen as a task for health professionals. However little is known about how different professionals perceive and rate risk. The purpose of this study was to see if professional background and experience influence how an assessor rates risk. Psychiatric staff were presented with identical clinical information about one case. They were then asked to score the HCR-20. This is a structured clinical assessment and gives a score of between 0 and 40. Higher scores indicate increased risk of future violence. There was a twofold variation in the score from 15 to 30. There was no difference between medical and non-medical staff. However there was a significant difference between different grades of psychiatrists. Senior psychiatrists scored the clinical and risk items significantly lower when compared with junior psychiatrists. There was no significant difference in the scoring of historical items. The twofold variation in the score on the HCR-20 emphasises that risk assessment is a two-way process. Individual differences of assessors may be very important. Our findings suggest that senior psychiatrists score risks as lower. Possible explanations are discussed.
13
Gillies, Robert Donald, and Izaak Lim. "Psychiatry in Nazi Germany: an ethical analysis and relevance to psychiatry today." Australasian Psychiatry 29, no. 4 (February 24, 2021): 406–8. http://dx.doi.org/10.1177/1039856221992639.
Full textAbstract:
Objective: To investigate the war crimes committed by psychiatrists during the German Nazi regime in the twentieth century and better understand the moral arguments used to justify them. Method: This article provides a historical review of the crimes committed by psychiatrists in Nazi Germany and ethical analysis from the perspectives of consequentialism and deontology. Results: Nazi psychiatrists oversaw the death of more than 200,000 people with mental illnesses and inflicted harm on many more. Consequentialist reasoning may have been used to justify these atrocities. Deontological reasoning proved impervious to exploitation by the Nazi regime, but without codification it was too easily abandoned and thus failed to protect patients. Conclusions: A duty-based code of ethics that enshrines universal respect for the humanity, dignity and autonomy of all persons, and condemns the misuse of professional knowledge and skills, may be a safeguard against the future political abuse of psychiatry.
14
Robertson, Michael, and Garry Walter. "Overview of Psychiatric Ethics VI: Newer Approaches to the Field." Australasian Psychiatry 15, no. 5 (October 2007): 411–16. http://dx.doi.org/10.1080/10398560701439657.
Full textAbstract:
Objective: The aim of this paper is to consider two recent approaches to moral philosophy – postmodernism and discourse ethics – and evaluate their potential contribution to psychiatric ethics. Conclusion: Postmodern ethics arose from the perceived moral failures of the grand theories of ethics, as evident in the horrors of the twentieth century. As a result, such approaches to ethics emphasize the individual's moral situation in a particular context, such as the doctor–patient relationship. Postmodern approaches have some relevance to current and future psychiatric practice. Discourse ethics sees ethical norms generated by a process of a discourse procedure, in which all members of a discourse are able to express their views. Discourse ethics allows the generation of moral ‘norms’, which are universal in as far as all those affected by them can accept their consequences. Applied to professional ethics, psychiatrists are members of a large group engaged in a discourse with diverse parts of society, yet exist within small moral communities in which micro-discourses are compatible with different individual ethical positions.
15
Pargiter, Russell, and Sidney Bloch. "The Ethics Committee of a Psychiatric College: Its Procedures and Themes." Australian & New Zealand Journal of Psychiatry 31, no. 1 (February 1997): 76–82. http://dx.doi.org/10.3109/00048679709073802.
Full textAbstract:
Objective:Ethics committees (ECs) of medical colleges and other medical associations have become part of their professional experience only in recent years. This is probably attributable to such factors as greater professional accountability and informed consumerism. Relatively little is known about the procedures and agendas of such committees. The aim of the present study was to examine the EC of the Royal Australian and New Zealand College of Psychiatrists, with respect to its practices, in order to learn how a medical college grapples with ethical concerns. Methods:Two members of the College's EC, including its foundation chairman, assembled relevant documents, and subjected them to detailed scrutiny. Consensus was used, preceded by independent attempts at categorising these issues covering the period from the EC's inception in 1978 to June, 1995. Results:Three hundred and sixty-seven issues were dealt with by the EC over a 17 year period, covering clinical practice, financial aspects, forensic psychiatry, teaching and research, liaison with other organisations and preparation of guidelines and a code of ethics. Conclusions:An EC can play a vital role in advising its parent body and members in the ethics of day-to-day professional life as well as formulating (and revising) a code of ethics and supplementary ethical guidelines.
16
Mitchell, Edward W. "The ethics of unsolicited diagnosis of mental disorder in acquaintances: benefits and dangers." Psychiatrist 35, no. 8 (August 2011): 297–301. http://dx.doi.org/10.1192/pb.bp.110.032953.
Full textAbstract:
SummaryI examine here the activity of ‘unsolicited diagnosis' of psychiatric disorder – the act of informing a person that they show signs and symptoms of mental disorder, outside of a patient-professional relationship. Whether unsolicited psychiatric diagnosis is a legitimate ethical activity for psychiatrists (and other healthcare professionals) in which to engage is an issue founded upon the trade-off between potential benefits and harm to the recipient of the diagnosis. However, potential harm specific to a psychiatric diagnosis (such as issues related to stigma, confidentiality and paternalism) suggests that making unsolicited diagnoses of psychiatric disorder is even more ethically fraught than making unsolicited diagnoses of physical disorder.
17
Pereira, S. M., J. Bohun, and S. Guimarães. "Psychiatry, politics and national socialism." European Psychiatry 26, S2 (March 2011): 762. http://dx.doi.org/10.1016/s0924-9338(11)72467-1.
Full textAbstract:
IntroductionThe misuse of psychiatry by politics during dictatorships has mainly happened in the first half of the last century during the Third Reich and Stalinist period in Soviet Union. Even today the psychiatric diagnoses may be changed in an abusive way for politic purposes as they were in the past. This may undermine the credibility of psychiatry. The psychiatric professional organizations only recently start to discuss and investigate this issue.MethodsThe authors made a literature review in historic and psychiatric books. They also visited some memorial sites were psychiatry and dictatorship were sadly connected in history. Using as main example the abuse made by psychiatrists as a politic instrument in the Third Reich period, the authors aim to make a historic review about the relationship between psychiatry and politics.ConclusionAbuse and misuse in psychiatry may also easily be done nowadays. Psychiatry is a science with not so clear boundaries, what is normal or abnormal may be sometimes unclear mainly if not seen in a serious and ethic perspective. Because of this psychiatrists should be very clear about their position in ethics, science and society.The psychiatric professional organizations should face the facts of the tragic relationship between psychiatry and politics in history, discussing this issue more openly for an appropriate understanding of the past and for preventing new errors in the future.
18
Raghavan, Vijaya, and Sanjana G. "Ethics and professionalism among community mental health workers." Indian Journal of Medical Ethics 7, no. 4 (October 28, 2022): 290–96. http://dx.doi.org/10.20529/ijme.2022.080.
Full textAbstract:
Background: Delivery of mental health interventions to youth in schools requires a cadre of community mental health workers (CMHWs) in addition to psychiatrists. Literature is sparse in the India context on the ethical and professional challenges faced by CMHWs, especially those working with youth. Hence, the aim of the study was to understand these challenges faced by CMHWs working in schools in urban Chennai and explore ways to overcome them. Methods: A qualitative study was done with CMHWs involved in the delivery of youth mental health (YMH) interventions, including mental health literacy, screening for mental disorders and mental health support to youth in schools in urban Chennai. Focus group discussions (FGDs) were conducted with the study participants and audio recorded. Transcription of the recording was done verbatim and coded for themes using a thematic analysis approach. Results: Two FGDs were conducted with a total of eight participants. The mean (± standard deviation) age of the participants was 27 ± 3.7 years; all having a master’s degree in either psychology, social work, or public health. The major themes that emerged were the meaning of ethics and professionalism, confidentiality, dilemma in decision making, incongruence between the requirements of student and school administration, and personal and professional challenges faced by CMHWs. Recommendations to overcome these challenges were also explored. Conclusion: The results indicate CMHWs face significant ethical challenges with confidentiality, and decision making while delivering YMH interventions in schools, highlighting the need for designing and implementing a framework to address these challenges.
19
Veness, Benjamin G., Holly Tibble, Brin FS Grenyer, Jennifer M. Morris, Matthew J. Spittal, Louise Nash, David M. Studdert, and Marie M. Bismark. "Complaint risk among mental health practitioners compared with physical health practitioners: a retrospective cohort study of complaints to health regulators in Australia." BMJ Open 9, no. 12 (December 2019): e030525. http://dx.doi.org/10.1136/bmjopen-2019-030525.
Full textAbstract:
ObjectivesTo understand complaint risk among mental health practitioners compared with physical health practitioners.DesignRetrospective cohort study, using incidence rate ratios (IRRs) to analyse complaint risk and a multivariate regression model to identify predictors of complaints.SettingNational study using complaints data from health regulators in Australia.ParticipantsAll psychiatrists and psychologists (‘mental health practitioners’) and all physicians, optometrists, physiotherapists, osteopaths and chiropractors (‘physical health practitioners’) registered to practice in Australia between 2011 and 2016.Outcome measuresIncidence rates, source and nature of complaints to regulators.ResultsIn total, 7903 complaints were lodged with regulators over the 6-year period. Most complaints were lodged by patients and their families. Mental health practitioners had a complaint rate that was more than twice that of physical health practitioners (complaints per 1000 practice years: psychiatrists 119.1 vs physicians 48.0, p<0.001; psychologists 21.9 vs other allied health 7.5, p<0.001). Their risk of complaints was especially high in relation to reports, records, confidentiality, interpersonal behaviour, sexual boundary breaches and the mental health of the practitioner. Among mental health practitioners, male practitioners (psychiatrists IRR: 1.61, 95% CI 1.39 to 1.85; psychologists IRR: 1.85, 95% CI 1.65 to 2.07) and older practitioners (≥65 years compared with 36–45 years: psychiatrists IRR 2.37, 95% CI 1.95 to 2.89; psychologists IRR 1.78, 95% CI 1.47 to 2.14) were at increased risk of complaints.ConclusionsMental health practitioners were more likely to be the subject of complaints than physical health practitioners. Areas of increased risk are related to professional ethics, communication skills and the health of mental health practitioners themselves. Further research could usefully explore whether addressing these risk factors through training, professional development and practitioner health initiatives may reduce the risk of complaints about mental health practitioners.
20
Bhugra, D. "What are the Prerequisites for Good Clinical Practice in Europe?" European Psychiatry 24, S1 (January 2009): 1. http://dx.doi.org/10.1016/s0924-9338(09)70500-0.
Full textAbstract:
Good Medical Practice and Good Psychiatric Practice are key documents in the UK, indicating characteristics of a good doctor and a good psychiatrist respectively. Individual aspects of what constitutes a professional can be seen in relationship with other disciplines, team members and stakeholders. A key task of any organisation that purports to speak for the profession is to identify what these qualities are, how they are to be inculcated and developed. The Royal College of Psychiatrists, therefore, is in a unique position to do this and take it forward without guilt and shame. Leadership, teams, education, appraisals, careers and research are themes which have to be looked at. For any leadership to be successful it must have vision, strategic thinking, motivation and trust, all of which are being challenged at present. The profession of psychiatry must move from nostalgic professionalism to ‘new’ professionalism. of We as psychiatrists must ascertain our civic and fiduciary responsibilities by identifying and agreeing standards of quality of care, altruism and values of the profession identified by us and worked at with other stakeholders. The primacy of patient welfare and advocacy for our patients is critical. For our medical-moral interdependence we must be honest with ourselves as to what our strengths and weaknesses are, but also with society to declare what we can deliver in reality and what our aspirations are. Courses in ethics, humanities and human values (medical history, social sciences, literature and films) can sensitize the clinician by raising awareness and developing critical reflection.
21
Appel, Jacob M., and Akaela Michels-Gualtieri. "Goldwater After Trump." Cambridge Quarterly of Healthcare Ethics 30, no. 4 (October 2021): 651–61. http://dx.doi.org/10.1017/s0963180121000128.
Full textAbstract:
AbstractThe “Goldwater rule,” a policy adopted by the American Psychiatry Association (APA) in 1973, prohibits organization members from diagnosing or offering professional opinions regarding the mental health of public figures without both first-hand evaluation and authorization. Initially developed in response to a controversial survey of APA members during the 1964 Presidential election campaign, the ethics rule faced few large scale challenges until the election of Donald Trump in 2016. Since that time, a significant number of psychiatrists have either violated or criticized the rule openly. This paper argues that whatever the initial merits of the rule, the prohibition has since been rendered obsolete by the combined lack of professional consensus supporting the policy, absence of a meaningful enforcement mechanism, and the credible statements of non-APA members in the mental health professions regarding public figures.
22
Kurukgy, Jean-Luc, Julie Bourgin, Jean-Pierre Benoit, Sélim Benjamin Guessoum, and Laelia Benoit. "Implementing organicity investigations in early psychosis: Spreading expertise." PLOS ONE 16, no. 6 (June 10, 2021): e0252610. http://dx.doi.org/10.1371/journal.pone.0252610.
Full textAbstract:
Background Many medical disorders may contribute to adolescent psychoses. Although guidelines for thorough organicity investigations (OI) exist, their dissemination appears scarce in nonacademic healthcare facilities and some rare disorders remain undiagnosed, many of them presenting without easily recognized phenotypes. This study aims to understand the challenges underlying the implementation of OI in non-academic facilities by practitioners trained in expert centers. Methods Sixteen psychiatrists working at French non-academic facilities were interviewed about their use of OI for adolescents suspected of early psychosis. Interviews were analyzed with Grounded Theory. Results Organicity investigations were found to be useful in rationalizing psychiatric care for the young patient all the while building trust between the doctor and the patient’s parents. They also are reassuring for psychiatrists confronted with uncertainty about psychosis onset and the consequences of a psychiatric label. However, they commonly find themselves facing the challenges of implementation alone and thus enter a renunciation pathway: from idealistic missionaries, they become torn between their professional ethics and the non-academic work culture. Ultimately, they abandon the use of OI or delegate it to expert centers. Conclusion Specific hindrances to OI implementation must be addressed.
23
Crichton, John H. M. "An Error of Judgement: a play about the sexual abuse of people with learning disability." Psychiatric Bulletin 22, no. 6 (June 1998): 384–85. http://dx.doi.org/10.1192/pb.22.6.384.
Full textAbstract:
In recent years, psychiatrists have become much more aware of the sexual abuse of adults with a learning disability. Having struggled with such a case, which raised challenging problems of law, ethics and management (Crichton, 1997), I turned to the literature to help inform me about the subject. There I found helpful statistics from recent surveys, but sometimes such material fails to convey the true nature of what is a distressing and painful subject. To my astonishment I discovered that at a local theatre there was to be a performance on this very theme: An Error of Judgement I had heard of the Strathcona Theatre Company, a touring company of eight learning disabled professional actors who, with the assistance of two directors, devise the original plays they perform, but I had no idea of what the evening was going to be like.
24
Galletly, Cherrie A. "Psychiatrist-Patient Sexual Relationships: The Ethical Dilemmas." Australian & New Zealand Journal of Psychiatry 27, no. 1 (March 1993): 133–39. http://dx.doi.org/10.3109/00048679309072132.
Full textAbstract:
Sexual relationships between psychiatrists and their patients raise a number of important ethical issues. The power inequality, transference and dependence which often occur in a therapeutic relationship render patients vulnerable to exploitation. Psychiatrists informed by a patient of sexual contact with a previous psychiatrist face a complex ethical dilemma. Attempts at regulation by professional organisations, or by the legal system, may create conflicts between the rights of the persons involved. The role of the psychiatric profession in confronting the problem of sexual exploitation of patients is discussed.
25
Adshead, Gwen. "Duties of psychiatrists: treat the patient or protect the public?" Advances in Psychiatric Treatment 5, no. 5 (September 1999): 321–28. http://dx.doi.org/10.1192/apt.5.5.321.
Full textAbstract:
In this paper I will be discussing the professional duties of psychiatrists. I will argue that there is an ethical tension at the heart of psychiatric practice – between the psychiatrist's professional duties to his or her patient, and what professional duties there might be to protect public safety. It may be of some comfort to clinicians to know that this tension has exercised the best minds for centuries, including thinkers such as Marcus Aurelius nearly 800 years ago (Spruit, 1998).
26
Kapoor, Reena. "Psychiatrists and solitary confinement in US prisons." International Journal of Forensic Psychotherapy 2, no. 2 (December 31, 2020): 127–34. http://dx.doi.org/10.33212/ijfp.v2n2.2020.127.
Full textAbstract:
This article reviews the role of psychiatrists in determining prisoners' suitability for placement in solitary confinement. The task poses ethical challenges to psychiatrists, who may be asked to participate in dehumanising and unjust administrative procedures as part of their professional role in the prison system. The author describes her personal experience as a prison psychiatrist earlier in her career, using a conceptual framework articulated by the legal scholar Robert Cover to navigate the decision of whether to participate in the prison's solitary confinement scheme.
27
Pillay, Anthony L. "Professional and social responsibility in Psychology and other mental health disciplines with reference to the Goldwater Rule." South African Journal of Psychology 48, no. 3 (August 14, 2018): 388–99. http://dx.doi.org/10.1177/0081246318793822.
Full textAbstract:
The concerns of mental health professionals about the psychological characteristics and behaviour of political leaders forces a rethinking of their professional and social responsibility, especially in the context of the Goldwater Rule that applies to psychiatrists in the United States. Despite the fact that this ethical guideline does not pertain to Psychology professionals or the African continent, it is worthy of discussion and interrogation, considering the prevalence of poor leadership internationally, and the need for the previously colonised world to ensure independent and critical thinking on such matters. The article questions the traditional, narrow focus of psychologists and other mental health specialists in conceptualising professional and ethical roles, and raises the issue of their professional and social responsibility to help shape society and its democratic processes. Psychologists, psychiatrists, and others have much to contribute in this respect and they have to question the ethical and social responsibility impact of remaining silent in the face of behaviourally and psychologically maladjusted individuals being elected to high offices such as President and other influential positions. These professionals must adopt a public health approach that always has in mind the well-being of the broader society.
28
Tyrer, Peter, Jeanette Smith, and Gwen Adshead. "Ethical dilemmas in drug treatments." Psychiatric Bulletin 18, no. 4 (April 1994): 203–4. http://dx.doi.org/10.1192/pb.18.4.203.
Full textAbstract:
A 45-year-old woman with a long history of schizoaffective symptoms associated with disruptive and antisocial behaviour refused to cooperate with out-patient treatment and particularly medication, having developed a strong distrust of psychiatrists. After discussions with the multidisciplinary team, the psychiatrist agreed to share treatment decisions with the patient and accepted her refusal of medication. This course of action is not always comfortable for professionals, especially when a patient challenges clinical judgement. However, this case illustrates how, by adopting a less paternalistic approach, the therapeutic alliance developed and, most importantly, the patient's health improved. The scenario described raises similar issues to those explored in the play Whose Life Is It Anyway?
29
Byford, Sarah, and Barbara Barrett. "Ethics and economics: the case for mental healthcare." Advances in Psychiatric Treatment 16, no. 6 (November 2010): 468–73. http://dx.doi.org/10.1192/apt.bp.107.005355.
Full textAbstract:
SummaryIn making treatment decisions, psychiatrists, like other medical professionals, must adhere to rules of ethical medical conduct. They may also need to negotiate the legalities associated with detention and treatment against a patient's wishes. The growth in guidance produced by organisations such as the National Institute for Health and Clinical Excellence has added further complexity. Practitioners are increasingly required to consider cost-effectiveness in their treatment decisions and this can appear to conflict with the principles of medical ethics. With particular reference to mental healthcare, this article attempts to answer two questions: Is economic evaluation unethical? And are the methods of economic evaluation unsound for the purpose of achieving an ethical distribution of resources?
30
Kurimay, T. "What should General Adult Psychiatrists know about Reproductive Counselling of Women with Severe Mental Illness?" European Psychiatry 65, S1 (June 2022): S50. http://dx.doi.org/10.1192/j.eurpsy.2022.170.
Full textAbstract:
A notable part of psychiatry is prevention. Our job, as psychiatrists, is not only to treat mental disorders, but also to prevent them. Treating mothers in postnatal period reducing the negative consequence of depression for child development, for example. General adult psychiatrists face the challenge of having patients, who receive psychiatric health care, while also planning to have a child. Many professionals may find themselves in a situation, when they feel clueless on what to advise regarding pharmacotherapy and realistic expectations on having a child. The presentation will focus on some crucial topics. What should counselling include when planning pregnancy, highlighting differences among first and second or further children. Potentials risks and harms on the fetus / new-born baby will be introduced with emphasis on pharmacological/chemical agents, infectious effects and social, relational and family stressors. What the guidelines are for Covid-19 vaccination and pregnancy. Relative and absolute contraindications of planned pregnancy will be discussed. The crucial question of artificial/therapeutic abortion; are there any psychiatric conditions, when a psychiatrist can/should suggest it? The advantage and knowledge of perinatal mental health guideline papers, bio-ethical aspects will be discussed, along with the consequences of untreated mental illness. Advantage of breastfeeding and an up-to-date view on what should be psychiatrists’ aim will be introduced. Why is it inevitable to cooperate with GPs, obstetric- and gynecology colleagues and further medical professionals? The essential aspect and advantages of involving fathers and extended family members in this approach also will be explained. Disclosure No significant relationships.
31
Rice, K. L., and M. L. Hendricks. "Curatorship applications: The role of neuropsychology." South African Medical Journal 112, no. 3 (March 1, 2022): 209–13. http://dx.doi.org/10.7196/samj.2022.v112i3.16215.
Full textAbstract:
This article highlights ethical issues that may arise in the relationship between curatorship applications and neuropsychology. In South Africa (SA), curatorship applications for the elderly diagnosed with dementia require substantiation from two medical professionals, one of whom should be a practising psychiatrist deemed competent to provide this. Concurrently, there is often a request for a psychologist to conduct a neuropsychological assessment and to produce a relevant report. The process may result in ethical issues at various stages of the assessment. The balance between protecting the patient’s rights v. freedom of autonomy becomes a central issue. Psychiatrists and psychologists are cautioned to adhere to best practices throughout the assessment, maintaining a critical and reflective stance. The limitations of cognitive assessment as a predictor of functionality should be considered. Furthermore, neuropsychological training in SA differs across institutions, resulting in variable practitioner competency. ‘Competency’ itself is an ambiguous legal term that may be interpreted variably. This article outlines the definitions and requirements of the curatorship process, as well as the role and limitations of neuropsychology, with emphasis on the ethical dilemmas that may arise.
32
Ferris, Rob. "Psychiatry and the death penalty." Psychiatric Bulletin 21, no. 12 (December 1997): 746–48. http://dx.doi.org/10.1192/pb.21.12.746.
Full textAbstract:
Ninety-five countries throughout the world retain the death penalty. All make provision for excluding the ‘insane’ from liability to capital punishment (Hood, 1990). Psychiatrists and other mental health professionals are therefore involved in the process leading up to capital sentencing and execution in many of these countries. Such involvement may take many forms though, with the notable exception of the USA, very little is known of its nature or extent in practice. Whatever form psychiatric involvement takes, and however much it may be shaped in different places by social, economic and cultural variables, as well as the configuration of particular criminal justice systems, certain fundamental ethical questions arise which do not admit of simple answers. It might be argued that these ethical dilemmas no longer have relevance to European countries because they have all effectively abolished capital punishment. However, others may claim that the death penalty, as the most spectacular example of the extra clinical harm to which a psychiatrist's dealings with patients may contribute, ought to be of central concern when practitioners come to consider the uncertain balance between their duty to an individual patient and society at large.
33
Naudts, Kris, Caroline Ducatelle, Jozsef Kovacs, Kristin Laurens, Frederique Van Den Eynde, and Cornelis Van Heeringen. "Euthanasia: the role of the psychiatrist." British Journal of Psychiatry 188, no. 5 (May 2006): 405–9. http://dx.doi.org/10.1192/bjp.bp.105.010256.
Full textAbstract:
SummaryBelgium has become one of the few countries in the world where euthanasia is legally allowed within a specific juridical framework. Even more unique is the inclusion of grounds for requesting euthanasia on the basis of mental suffering. Further refinement of the legal, medical and psychiatric approach to the issue is required in order to clear up essential practical and ethical matters. Psychiatrists and their professional organisations need to play a greater role in this ongoing debate and contribute from a clinical, scientific and ethical point of view.
34
Talseth, Anne-Grethe, and Fredricka Gilje. "Unburdening Suffering: Responses of Psychiatrists To Patients' Suicide Deaths." Nursing Ethics 14, no. 5 (September 2007): 620–36. http://dx.doi.org/10.1177/0969733007080207.
Full textAbstract:
The research questions was: 'How do psychiatrists describe their responses to patients' suicidal deaths in the light of a published model of consolation?' The textual data (n = 5) was a subset of a larger (n = 19) study. Thematic analysis showed a main theme, 'unburdening grief', and six themes. Embedded in the results is a story about suffering that reveals that, through ethical reflectiveness, a meaning of suffering can be recreated that unburdens grief and opens up new understandings with and among disciplines. This can help to prepare health professionals to respond to people who suffer because of suicidal death.
35
Garfinkel, Paul E., R. Michael Bagby, EM Waring, and Barbara Dorian. "Boundary Violations and Personality Traits among Psychiatrists." Canadian Journal of Psychiatry 42, no. 7 (September 1997): 758–63. http://dx.doi.org/10.1177/070674379704200709.
Full textAbstract:
Objective: To demonstrate that sexual abuse of patients by psychiatrists can be due to a variety of contributors, which may include therapists' psychopathic and narcissistic personality styles. Method: Data from a prospective cohort of residents training in psychiatry were examined to evaluate the personality traits of 2 psychiatrists subsequently convicted of boundary violations. Results: The 2 psychiatrists who lost their licenses were identifiable at the beginning of their residency training as individuals with significant character pathology. Conclusions: For some psychiatrists, repetitive sexual abuse of patients represents one aspect of an ongoing pattern of exploitative relationships. The professional and ethical implications of these findings as they relate to early identification for those at risk are considered.
36
Papanikolaou, K., N. Voura, N. Darai, G. Koukoulas, P. Roboti, and G. F. Angelidis. "The impact of a tragic accident on mental health professionals." European Psychiatry 26, S2 (March 2011): 1078. http://dx.doi.org/10.1016/s0924-9338(11)72783-3.
Full textAbstract:
ObjectiveTo investigate the psychological impact of the tragic accident in Tempi which cost of 21 students’ life (2003), on mental health professionals (MHP).MaterialBDI and Impact of Event Scale-Revised (IES-R) scores of PHPO MHP (psychiatrists/child-psychiatrist/psychologies/social workers) who offered support to victims’families/teachers/rest of the students.Method/resultsThe personnel were deployed to the area exposed to witnessing experiences/impressions of the accident. Participants responded to BDI 10 days and IES-R 9–10 months past-accident. There was an IES-R retest 7 years later. The response rate was 100%. All achieved mild depression scores. As for IES-R, common qualities of conscious experience were found among them, though with different personality styles. Two major response sets, intrusion (unbidden thoughts/troubled dreams/waves of feelings/repetitive behavior) and avoidance (denial of the meanings of the event/behavioral inhibition/counterphobic activity/emotional numbness) were abstracted from evaluation.No sex differences were mentioned as there was only one male in the group.A correlation of 0.42 (p > 0.0002) between intrusion and avoidance subscale scores indicated that the two subsets were associated, though not measuring identical dimensions.7 years later the mean score of the personnel on IES-R was 23: Impact Event: may be affected. All achieved a quite high score on the response ‘any reminder brought back feelings about it’.ConclusionMHP face additional emotional strain often over extended periods of time. There is a need to develop strategies such as insight oriented training. Research is imperative and an ethical requirement to find ways to protect the health of the carers and so their patients.
37
Racey, Daniel. "‘To know before hand is to freeze and kill’ Commentary on… Should psychiatrists write fiction?" BJPsych Bulletin 42, no. 2 (February 26, 2018): 80–81. http://dx.doi.org/10.1192/bjb.2017.22.
Full textAbstract:
SummaryIn this article I argue that fictional accounts of mental illness should be unethically unobliged. I suggest that art is not generated with conscious ethical intent and provide evidence that art proceeding from an ethical agenda is more likely to be poor art. I also consider ways in which a writer-doctor might need to compromise what they articulate to maintain a professional ethical integrity.Declaration of interestNone.
38
Bocchino, Alessia Celeste, Andrea Cocci, Alessandro Zucchi, Riccardo Bartoletti, Antonello De Lisa, and Girolamo Morelli. "The Role of a Multidisciplinary Approach in Gender Affirmation Surgery: What to Expect and Where Are We Currently?" Uro 2, no. 3 (August 23, 2022): 179–90. http://dx.doi.org/10.3390/uro2030022.
Full textAbstract:
Gender Affirmation Surgeries (GASs), erstwhile called Sex Reassignment Surgeries (SRSs), may be necessary for transgender individuals to change their bodily sexual characteristics and thereby affirm their gender identity. GASs encompass all medically necessary interventions to relieve gender dysphoria and should be available to patients who wish to, and who meet the surgical criteria of the World Professional Association for Transgender Health (WPATH) and Standards of Care (SOC). The comprehensive clinical assessment involves many health specialists, including general practitioners, psychologists, psychiatrists, speech therapists, endocrinologists, surgeons, anesthesiologists, nurses, and other healthcare professionals. To define the patients’ complex care needs and their objectives, high-volume specialized centers, accredited training programs, skilled surgeons and health professionals specializing in transgender care within a multidisciplinary team are essential. Currently, the most prominent challenges are related to ethical issues such as the treatment of underage individuals, fertility, parenting and the potential for regret after GAS. Finally, although GAS has been practiced for more than half a century, data on long-term follow-up represents a further topic for investigation.
39
Dias, M. Casanova, and H. Ryland. "Core Competencies for Health Professionals in Global Health." European Psychiatry 41, S1 (April 2017): S58. http://dx.doi.org/10.1016/j.eurpsy.2017.01.042.
Full textAbstract:
IntroductionThe world is becoming increasingly globalised and this has a major impact on the delivery of healthcare. Issues such as conflict, migration, climate change and technological advances all contribute to this. But are we equipped to deal with the challenges of Global Health?ObjectivesTo discuss the core competencies that health professionals should have in Global Health.MethodsThe UK's Global Health Curriculum Group (GHCG), a group of healthcare professionals, was commissioned by the Academy of Medical Royal Colleges to lead a consultation on global health competencies. The consultation took the form of a modified Policy Delphi which involved an online survey and face-to-face and telephone interviews over three rounds. Over 250 stakeholders participated, including doctors, other health professionals, policymakers and members of the public from all continents of the world.ResultsThis study demonstrated broad agreement that global health competence is essential for postgraduate doctors and other health professionals. It identified five core competencies, relevant to the UK and applicable to other parts of the world: (1) diversity, human rights and ethics; (2) environmental, social and economic determinants of health; (3) global epidemiology; (4) global health governance; and (5) health systems and health professionals.ConclusionsThis framework of five core competencies aims to equip psychiatrists and other doctors with the skills, knowledge and attitudes necessary to practice in a globalised world.In the workshop we will harness the international nature of the delegates attending the congress to enable a lively debate about the meaning of global mental health and the skills psychiatrists need.Disclosure of interestThe authors have not supplied their declaration of competing interest.
40
Curca, George Cristian, Iuliana Diac, Iuliana Dobrescu, Lucia-Emanuela Andrei, Mihaela Stancu, Florina Rad, Elena Stefanache, Simona Dragomirescu, and Georgia Francesca Culea. "Ethical Models in the Double Relationship Physician-Patient when Establishing Child Custody in Parental Divorce and Separation with Intense Conflictuality: Different Concepts for Physician and for Psychologist?" Studia Universitatis Babeş-Bolyai Bioethica 66, Special Issue (September 9, 2021): 57–58. http://dx.doi.org/10.24193/subbbioethica.2021.spiss.31.
Full textAbstract:
"Introduction. Child custody judicial course usually are intense conflictual raising a lot of pressure both on adult parents as on children. Always require a forensic psychiatry set-up at the court request and a professional team, legal doctors, psychiatrists, psychologists of adult and children from the legal medicine institution and from the hospital. Children are carefully looked upon separately by psychologists in a special setu-up diregarding intruding and manipulation. Objective of this presentation is to identify ethical aspects of the relationship physician-patient (the adult parent and separate the child) and psychologist-patient (i.e. similar) in custody litigation. Material and methods. We have casuistry with a high diversity of parental alienation in child custody cases. Discussions: Does physicians (psychiatrist or legal doctor) and psychologists uses different ethical models and concepts to approache the adult parent or the child? Forensic psichiatry examinations are completed with psychiatry examination and psychology examination as much as documents examinations which are presented in the dossier. Social inquiry is very important. Conclusions: similar to physician-patient relationship in pediatry, psychologist-minor patient relationship is based on the same moral values and ethical principles: beneficence, nonmaleficence, justice, loialty, trust, mostly in a paternalistic model to sustain always the best interest of the child/children. Lack of autonomy of the minor child creates correlativity obligations to protect his rights and to sustain the best interests of the child as a primary consideration. Beneficence in forensic psychiatry may take into consideration maintaining also beneficial emotional relationships with both parents after the separation. "
41
Lamichhane, N., DK Thapa, RR Timilsina, R. Sharma, L. Vaidya, and A. Subedi. "Pathway to Care of Psychiatric Services in Gandaki Medical College Teaching Hospital in Western Nepal." Journal of Gandaki Medical College-Nepal 12, no. 2 (December 31, 2019): 80–85. http://dx.doi.org/10.3126/jgmcn.v12i2.27216.
Full textAbstract:
Aims and Objectives: The sequence of contacts with individuals and organizations prompted by the distressed person's efforts, and those of his or her significant others, to seek help is known as the pathways to care. The study of the pathways to care provides the relevant information regarding the individual's health seeking and illness behaviour. A wide range of professionals including psychiatrists, psychologists, other doctors, faith-healers and religious healers cater to the needs of mentally ill patients. This study was carried out to identify the pathway to care of patients up to psychiatric care with no prior psychiatric treatment at GMCTH.
Methodology: It is a cross-sectional, descriptive study conducted in GMCTH, Pokhara from Jan 2015 to Dec 2016. After ethical consideration, all new patients and those newly referred to the psychiatric services and agreed to participate were interviewed until the target 100 participants were recruited. ICD-10 was used for diagnosis. Data were computed and analyzed by using Microsoft excel and SPSS. Parametric & non parametric statistical technique was applied wherever appropriate.
Results: Total of 100 patients (56 females, 44 males) was included in the study. Mean age of the entire study cohort was 37.17 years (SD 15.45). The mean no. of months to seek first help from a psychiatrist was 53.03 months (SD: 81.70).
Conclusion: All the patients here eventually made treatment contact with psychiatrists. However, delay was pervasive. Delay in treatment has negative effect in the treatment outcome. The knowledge and recognition of psychological disorders by the traditional healers as well as other treatment providers in the community are crucial for early treatment of psychiatric patients.
42
Andrade, Gabriel, and Maria Campo Redondo. "The Ethical Soundness of the Goldwater Rule." Ethical Human Psychology and Psychiatry 20, no. 3 (December 1, 2018): 173–86. http://dx.doi.org/10.1891/1559-4343.20.3.173.
Full textAbstract:
In 1964, Fact magazine sent a survey to American psychiatrists asking them to comment on Presidential candidate Barry Goldwater's mental health status. Respondents described Goldwater in very negative terms using the common psychiatric jargon of the time. The American Psychiatric Association realized that this affair damaged the professional integrity of psychiatry and, as a result, in 1973 issued the so-called “Goldwater rule.” Under this rule, psychiatrists are not allowed to comment on the mental health of public figures without a direct interview and without their permission. In 2016, as a result of Donald Trump's rise to power, there has been some public pressure to overcome the Goldwater rule. This article acknowledges that times have changed and that debates about rescinding the Goldwater rule are welcome; however, it also defends the view that the Goldwater rule preserves considerable ethical soundness. This conclusion is reached by analyzing some of the main considerations in this debate: free speech, the “duty to warn,” the suitability of the direct interview, and the politicization of psychiatry.
43
Sher, Leo. "Forensic psychiatric evaluations: an overview of methods, ethical issues, and criminal and civil assessments." International Journal of Adolescent Medicine and Health 27, no. 2 (May 1, 2015): 109–15. http://dx.doi.org/10.1515/ijamh-2015-5001.
Full textAbstract:
Abstract Forensic psychiatry is frequently defined as the branch of psychiatry that deals with issues arising in the interface between psychiatry and the law. Psychiatrists are called on by the legal system to provide testimony in a wide variety of cases, criminal and civil. In criminal cases, forensic psychiatrists may be asked to comment on the competence of a person to make decisions throughout all the phases of criminal investigation, trial, and punishment. These include the competence to stand trial, to plead guilty, to be sentenced, to waive appeal, and to be executed. In civil cases, forensic psychiatric experts are asked to evaluate a number of civil competences, including competence to make a will or contract or to make decisions about one’s person and property. Psychiatrists are also called on to testify about many other issues related to civil cases. Forensic psychiatrists who work with children and adolescents are frequently involved in evaluations and testimonies concerning juvenile delinquency, child custody, termination of parental rights, and other issues. As such, forensic psychiatric experts have now developed into a reputable and well-known group of professionals. Forensic evaluation methods, ethical issues related to forensic psychiatric practice, and some common criminal and civil forensic psychiatric evaluations are discussed in this overview.
44
Reed, Stephanie. "The Prevent programme: an ethical dilemma for teachers as well as psychiatrists." BJPsych Bulletin 40, no. 2 (April 2016): 85–86. http://dx.doi.org/10.1192/pb.bp.116.053611.
Full textAbstract:
SummaryThe UK government's Prevent programme affects professionals and the people who rely on their services across the public sector, particularly now that workers are legally bound to report their concerns about individuals they believe to be at risk of radicalisation. This article discusses the risks that the strategy presents to the work of teachers and the bonds of trusts between staff and students.
45
Kurz, R. "The Satanist Cult of Ted Heath: Ethical Implications of Authority Compromise." European Psychiatry 33, S1 (March 2016): S456. http://dx.doi.org/10.1016/j.eurpsy.2016.01.1658.
Full textAbstract:
IntroductionSeven UK police forces are currently investigating the alleged involvement of the late Edward Heath (Prime Minister 1970–1974) in a child abuse ring with Operation Midland investigating specifically the alleged murder of three boys.ObjectiveThe presentation raises international awareness of the investigation, sheds light on the suspected ‘Satanist’ ideology behind the cult and explores the implications for professional practice.AimsThe paper highlights the corrosive impact on society of powerful pedophile rings that are protected by compromised authority representatives and professionals.MethodDetailed accounts circulate on the Internet that name dozens of individuals allegedly active in the cult including high-ranking politicians, psychiatrists, psychologist, police officers as well as journalists and academics. Some of the alleged crimes can be corroborated with news reports or successful court prosecutions while the vast majority appear to be ‘known crimes’ that are successfully covered up.ResultsThe widespread organisational structures parallel the Marc Dutroux case in Belgium. It appears to be the case that compromised mental health professionals and authority representatives shield the cult. It becomes an ethical obligation for the silent majority to speak out against such criminality and demand from their government effective investigation and prosecution.ConclusionWhilst an enquiry into historical allegations of institutional abuse is currently underway in the UK several cases emerged recently where satanic cults seemingly continue to be protected by the vested interests. Mental health professionals must stand up for victims and resist ill-conceived authority attempts to persecute abuse survivors and their supporters.Disclosure of interestThe author has not supplied his declaration of competing interest.
46
Magelssen, Morten. "Professional and conscience-based refusals: the case of the psychiatrist's harmful prescription." Journal of Medical Ethics 43, no. 12 (April 24, 2017): 841–44. http://dx.doi.org/10.1136/medethics-2017-104162.
Full text
47
Clarke, David M. "Sex, Honesty and the Supervisory Relationship: a Response to Ryan." Australian & New Zealand Journal of Psychiatry 33, no. 3 (June 1999): 339–43. http://dx.doi.org/10.1046/j.1440-1614.1999.00561.x.
Full textAbstract:
Objective: An argument has been presented in this journal for a generally permissive attitude to consensual sexual relations between psychiatrists and trainee psychiatrists except in circumstances where there is a direct supervisory relationship. This paper challenges that view. Method: The arguments are reviewed. A developmental perspective of training is used to show that the autonomy of trainees is restricted in a manner similar to a student in relation to a teacher. This confers on psychiatrists a duty of care. Results: On the basis of respect for autonomy, the strength of argument for a prohibition on consensual sexual relationships is strong for a young trainee, and weakens as a person proceeds through training and approaches the status of a colleague. Apolicy of restraint would facilitate the development of a general atmosphere of trust, which is an important requirement for good supervision and the basis of professional relationships. An ethical judgement cannot be made, however, without the consideration of other relationships and commitments existing outside the supervisory relationship for each person involved. Conclusions: In order to create a secure and unambiguous training environment that maximises trust, a general principle of prohibition on sexual relationships between psychiatrists and trainees is preferred, although circumstances exist where such relationships are not unethical.
48
Silove, Derrick, and Sarah Mares. "The mental health of asylum seekers in Australia and the role of psychiatrists." BJPsych International 15, no. 3 (July 17, 2018): 65–68. http://dx.doi.org/10.1192/bji.2018.11.
Full textAbstract:
There are more displaced people around the world than ever before, and over half are children. Australia and other wealthy nations have implemented increasingly harsh policies, justified as ‘humane deterrence’, and aimed at preventing asylum seekers (persons without preestablished resettlement visas) from entering their borders and gaining protection. Australian psychiatrists and other health professionals have documented the impact of these harsh policies since their inception. Their experience in identifying and challenging the effects of these policies on the mental health of asylum seekers may prove instructive to others facing similar issues. In outlining the Australian experience, we draw selectively on personal experience, research, witness account issues, reports by human rights organisations, clinical observations and commentaries. Australia’s harsh response to asylum seekers, including indefinite mandatory detention and denial of permanent protection for those found to be refugees, starkly demonstrates the ineluctable intersection of mental health, human rights, ethics and social policy, a complexity that the profession is uniquely positioned to understand and hence reflect back to government and the wider society.
49
Vlasova, Olga A. "Philosophy of psychiatry: quarter of a century in discussions." Neurology Bulletin LII, no. 2 (October 19, 2020): 12–19. http://dx.doi.org/10.17816/nb34610.
Full textAbstract:
The papers presents the discussion field of a young branch of the philosophy of science the philosophy of psychiatry. As an interdisciplinary platform in the dialogue of sciences, schools and individual professionals, it unites psychiatrists and philosophers, psychologists and social workers in discussing on crucial issues. The paper analyses a multiple field of discussion of the philosophy of psychiatry, separating two stages of its brief development: the stage of institutionalization and fixing of problems (1995‒2005) and the stage of expansion (2005 present). Modern discussions are studied on the most important thematic blocks: (1)the methodology of human research; (2)the philosophical basis of psychiatric classification; (3)psychiatric ethics. The work presents the first complete and specialized review of discussions of the philosophy of psychiatry in Russian.
50
Hotzy, Florian, Silvan Marty, Sonja Moetteli, Anastasia Theodoridou, Paul Hoff, and Matthias Jaeger. "Involuntary admission of psychiatric patients: Referring physicians’ perceptions of competence." International Journal of Social Psychiatry 65, no. 7-8 (August 4, 2019): 580–88. http://dx.doi.org/10.1177/0020764019866226.
Full textAbstract:
Background: Involuntary admissions can be detrimental for patients. Due to legal, ethical and clinical considerations, they are also challenging for referring physicians. Nevertheless, not much is known about the subjective perceptions of those who have to decide whether to conduct an involuntary admission or not. Aims: This study aimed at answering the question whether psychiatrists’ perceptions of confidence during psychiatric emergency situations and consecutive involuntary admissions differ from those of physicians without a psychiatric training. Method: We assessed the professional background and subjective perceptions during psychiatric emergency situations in physicians who executed involuntary admissions to the University Hospital of Psychiatry Zurich. We used one-way analysis of variance (ANOVA) with Bonferroni-adjusted post hoc tests and chi-square tests to compare the responses of 43 psychiatrists with those of 64 other physicians. Results: Psychiatrists felt less time constraints compared with non-psychiatric residents. The latter also had more doubts on the necessity of the involuntary admission issued. Psychiatrists considered themselves significantly more experienced in handling psychiatric emergency situations and in handling the criteria for involuntary admissions than other physicians. Psychiatrists and other physicians did not differ in their satisfaction concerning course and results of psychiatric emergency situations which was overall high. About half of all participants felt pressure from third parties. Conclusion: Psychiatric emergency situations are challenging situations not only for patients but also for the involved physicians. Physicians with a specialized training might be more confident in the handling of psychiatric emergency situations and exertion of involuntary admissions. Non-psychiatric physicians might benefit from specialized training programs.