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Psychiatric ethics

Bioethics 16 (5):397–411 (2002)

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  1. The DSM, Big Pharma, and Clinical Practice Guidelines: Protecting Patient Autonomy and Informed Consent. Cosgrove - 2011 - International Journal of Feminist Approaches to Bioethics 4 (1):11-25.
    Researchers, investigative journalists, community physicians, ethicists, and policy makers have voiced strong concerns about the integrity of medicine. Specifically, questions have been raised about the ways in which financial conflicts of interest (FCOI) in the biomedical field may be compromising the integrity of the scientific research process and thus compromising patient care by disseminating imbalanced or even inaccurate information (Angell 2004). Indeed, many of us are no longer surprised when we read about settlements made by pharmaceutical companies—some totaling hundreds of (...)
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  • Locked inpatient units in modern mental health care: values and practice issues.M. Cleary, G. E. Hunt, G. Walter & M. Robertson - 2009 - Journal of Medical Ethics 35 (10):644-646.
    Locked inpatient units are an increasing phenomenon, introduced in response to unforseen abscondences and suicides of patients. This paper identifies some value issues concerning the practice of locked psychiatric inpatient units. Broad strategies, practicalities and ethical matters that must be considered in inpatient mental health services are also explored. The authors draw on the published research and commentary to derive relevant information to provide to patients and staff regarding the aims and rationales of locked units. Further debate is warranted in (...)
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  • The death of Esmin Green: Considering ongoing injustice in psychiatric institutions.Sara M. Bergstresser - 2011 - International Journal of Feminist Approaches to Bioethics 4 (1):221-230.
    Esmin Green died in 2008, in the waiting room of Kings County Psychiatric Hospital in Brooklyn, New York, awaiting an involuntary stay. This case drew wide media attention because she died neglected and face-down on the floor, and her death was caught on video by the hospital’s own cameras. I use this case as an example of how feminist bioethics can offer a unique perspective on power imbalances within social, political, and institutional aspects of psychiatry. I also argue that because (...)
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  • Suicide Risk Assessments: A Scientific and Ethical Critique.Mike Smith - 2022 - Journal of Bioethical Inquiry 19 (3):481-493.
    There are widely held premises that suicide is almost exclusively the result of mental illness and there is “strong evidence for successfully detecting and managing suicidality in healthcare”. In this context, ‘zero-suicide’ policies have emerged, and suicide risk assessment tools have become a normative component of psychiatric practice. This essay discusses how suicide evolved from a moral to a medical problem and how, in an effort to reduce suicide, a paternalistic healthcare response emerged to predict those at high risk. The (...)
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  • Paternalism, autonomy and reciprocity: ethical perspectives in encounters with patients in psychiatric in-patient care.Veikko Pelto-Piri, Karin Engström & Ingemar Engström - 2013 - BMC Medical Ethics 14 (1):49.
    BackgroundPsychiatric staff members have the power to decide the options that frame encounters with patients. Intentional as well as unintentional framing can have a crucial impact on patients’ opportunities to be heard and participate in the process. We identified three dominant ethical perspectives in the normative medical ethics literature concerning how doctors and other staff members should frame interactions in relation to patients; paternalism, autonomy and reciprocity. The aim of this study was to describe and analyse statements describing real work (...)
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  • Investing and Intentions in Financial Markets.Carl David Mildenberger - 2019 - European Journal of Analytic Philosophy 15 (1):71-94.
    Ethical investors are widely thought of as having two main goals. The negative goal of avoiding their investments to be morally tainted. The positive goal to further a certain ethical value they embrace or some normatively laden idea they hold by investing their money in a certain company. In light of these goals, the purpose of this paper is to provide an account of how we can explicitly include investors’ intentions when conceiving of ethical investment. The central idea is that (...)
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  • Resilience and Group-Based Harm.Ami Harbin - 2019 - International Journal of Feminist Approaches to Bioethics 12 (1):24-43.
    This paper considers an area of research in clinical psychology that focuses on the resilience of members of marginalized groups who have experienced traumas directly related to their social identities. The paper describes these as social group-based traumas and outlines three effects of social group-based traumas that can make the experiences of them, as well as experiences of recovery following them, distinct from those involved in other kinds of traumas. In cases where resilience frameworks are useful for understanding such recoveries, (...)
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  • Coercion and pressure in psychiatry: lessons from Ulysses.G. Widdershoven & R. Berghmans - 2007 - Journal of Medical Ethics 33 (10):560-563.
    Coercion and pressure in mental healthcare raise moral questions. This article focuses on moral questions raised by the everyday practice of pressure and coercion in the care for the mentally ill. In view of an example from literature—the story of Ulysses and the Sirens—several ethical issues surrounding this practice of care are discussed. Care giver and patient should be able to express feelings such as frustration, fear and powerlessness, and attention must be paid to those feelings. In order to be (...)
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  • ‘Can you hear me?’: communication, relationship and ethics in video-based telepsychiatric consultations.Eva-Maria Frittgen & Joschka Haltaufderheide - 2022 - Journal of Medical Ethics 48 (1):22-30.
    Telepsychiatry has long been discussed as a supplement to or substitute for face-to-face therapeutic consultations. The current pandemic crisis has fueled the development in an unprecedented way. More and more psychiatric consultations are now carried out online as video-based consultations. Treatment results appear to be comparable with those of face-to-face care in terms of clinical outcome, acceptance, adherence and patient satisfaction. However, evidence on videoconferencing in a variety of different fields indicates that there are extensive changes in the communication behaviour (...)
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  • Reactive attitudes, relationships, and addiction.Jeanette Kennett, Doug McConnell & Anke Snoek - forthcoming - In S. Ahmed & Hanna Pickard (eds.), Routledge Handbook of the Philosophy and Science of Addiction. London, UK: Routledge.
    In this chapter we focus on the structure of close personal relations and diagnose how these relationships are disrupted by addiction. We draw upon Peter Strawson’s landmark paper ‘Freedom and Resentment’ (2008, first published 1962) to argue that loved ones of those with addiction veer between, (1) reactive attitudes of blame and resentment generated by disappointed expectations of goodwill and reciprocity, and (2) the detached objective stance from which the addicted person is seen as less blameworthy but also as less (...)
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