Ethics, Culture, and Psychiatry


Book Description

Ethics, Culture, and Psychiatry: International Perspectives is a textbook that explores the best ways to promote the use of the Declaration of Madrid, which outlines ethical standards for psychiatric practice throughout the world. The book is written with two questions in mind, both easy to pose and difficult to answer: * Is it possible to formulate a set of principles that will be valid for all psychiatrists, regardless of the cultures to which they belong or in which they live and practice, or are there as many sets of ethical principles as there are cultures?* If there is such a set of principles, what should we do to ensure that psychiatry as a discipline makes a significant contribution to societal good without helping the evil? To facilitate the exploration of this territory, 15 experts from a variety of cultures examine the most pressing ethical issues prevalent within the current practice of psychiatry. Many of the dilemmas probed in this book are routinely encountered by clinicians who work in increasingly multicultural societies. The text covers issues that are broadly relevant to clinical practice and research, including: * An overview of ethics and societies around the world* Discussions of ethical practices and dilemmas specific to various cultural regions* Transcultural debate on overarching issues, such as incompetent patients, informed consent, and mental health law reform* The complete copy of The Declaration of Madrid printed in the appendix Readers will find that this is a textbook that stimulates and supports, rather than closes, the debate on ethical aspects of professional psychiatric behavior. Ethics, Culture, and Psychiatry: International Perspectives is much more than just a book on ethics -- it is a major contribution to understanding the impact of culture and history on the ethical practice of medicine around the world, and a continuous search for a consensus on how to live together and make contributions to the well-being of people with mental illness, their families, and the family of humans on our planet.




Global Mental Health Ethics


Book Description

This volume addresses gaps in the existing literature of global mental health by focusing on the ethical considerations that are implicit in discussions of health policy. In line with trends in clinical education around the world today, this text is explicitly designed to draw out the principles and values by which programs can be designed and policy decisions enacted. It presents an ethical lens for understanding right and wrong in conditions of scarcity and crisis, and the common controversies that lead to conflict. Additionally, a focus on the mental health response in “post-conflict” settings, provides guidance for real-world matters facing clinicians and humanitarian workers today. Global Mental Health Ethics fills a crucial gap for students in psychiatry, psychology, addictions, public health, geriatric medicine, social work, nursing, humanitarian response, and other disciplines.




Ethics, Culture, and Psychiatry


Book Description

Ethics, Culture, and Psychiatry: International Perspectives is a textbook that explores the best ways to promote the use of the Declaration of Madrid, which outlines ethical standards for psychiatric practice throughout the world. The book is written with two questions in mind, both easy to pose and difficult to answer: Is it possible to formulate a set of principles that will be valid for all psychiatrists, regardless of the cultures to which they belong or in which they live and practice, or are there as many sets of ethical principles as there are cultures? If there is such a set of principles, what should we do to ensure that psychiatry as a discipline makes a significant contribution to societal good without helping the evil? To facilitate the exploration of this territory, 15 experts from a variety of cultures examine the most pressing ethical issues prevalent within the current practice of psychiatry. Many of the dilemmas probed in this book are routinely encountered by clinicians who work in increasingly multicultural societies. The text covers issues that are broadly relevant to clinical practice and research, including: An overview of ethics and societies around the world Discussions of ethical practices and dilemmas specific to various cultural regions Transcultural debate on overarching issues, such as incompetent patients, informed consent, and mental health law reform The complete copy of The Declaration of Madrid printed in the appendix Readers will find that this is a textbook that stimulates and supports, rather than closes, the debate on ethical aspects of professional psychiatric behavior. Ethics, Culture, and Psychiatry: International Perspectives is much more than just a book on ethics -- it is a major contribution to understanding the impact of culture and history on the ethical practice of medicine around the world, and a continuous search for a consensus on how to live together and make contributions to the well-being of people with mental illness, their families, and the family of humans on our planet.




Ethics in Psychiatry


Book Description

Ethics in Psychiatry: (1) presents a comprehensive review of ethical issues arising in psychiatric care and research; (2) relates ethical issues to changes and challenges of society; (3) examines the application of general ethics to specific psychiatric problems and relates these to moral implications of psychiatry practice; (4) deals with recently arising ethical problems; (5) contains contributions of leading European ethicists, philosophers, lawyers, historians and psychiatrists; (6) provides a basis for the exploration of culture-bound influences on morals, manners and customs in the light of ethical principles of global validity.




Everyday Ethics


Book Description

This book explores the moral lives of mental health clinicians serving the most marginalized individuals in the US healthcare system. Drawing on years of fieldwork in a community psychiatry outreach team, Brodwin traces the ethical dilemmas and everyday struggles of front line providers. On the street, in staff room debates, or in private confessions, these psychiatrists and social workers confront ongoing challenges to their self-image as competent and compassionate advocates. At times they openly question the coercion and forced-dependency built into the current system of care. At other times they justify their use of extreme power in the face of loud opposition from clients. This in-depth study exposes the fault lines in today's community psychiatry. It shows how people working deep inside the system struggle to maintain their ideals and manage a chronic sense of futility. Their commentaries about the obligatory and the forbidden also suggest ways to bridge formal bioethics and the realities of mental health practice. The experiences of these clinicians pose a single overarching question: how should we bear responsibility for the most vulnerable among us?




Ethics and Mental Health


Book Description

The field of ethics is expanding and has assumed new significance as a compulsory part of study for psychiatrists and all mental health professionals. Ethics and Mental Health: The Patient, Profession and Community presents a new approach to these ethical dilemmas that have become an increasing part of modern practice. The book begins by exploring current normative theories of psychiatric ethics. It describes how empirical methods can make codes of conduct more representative of professional values. Considering their previous work, concepts of justice, and the moderate communitarian position, the authors outline their methodology, which argues that mental health professionals exist within a perpetual state of tension, caused by conflicts between the Hippocratic Oath, personal values, notions of social justice, and the potentially harmful influences of their social role. Applying their theory to the area of involuntary psychiatric treatment, the authors address the context of psychiatric practice and the moral agency of psychiatrists. They outline the different influences on the craft of psychiatry to better illustrate the diverse forces that impact moral deliberation and the practice of ethics in mental health. In doing so, they cover areas as diverse as cultural, economic, scientific, and political domains. The final section of the book applies the methodology to contemporary problems in mental health ethics, formulating how mental health clinicians can approach these quandaries. The book brings a new perspective to classic dilemmas from the past, to contemporary challenges, and in anticipation, to new concerns that will inevitably arise in a dynamic and complex professional context.




From Morality to Mental Health


Book Description

Morality and mental health are now inseparably linked in our view of character. Alcoholics are sick, yet they are punished for drunk driving. Drug addicts are criminals, but their punishment can be court ordered therapy. The line between character flaws and personality disorders has become fuzzy, with even the seven deadly sins seen as mental disorders. In addition to pathologizing wrong-doing, we also psychologize virtue; self-respect becomes self-esteem, integrity becomes psychological integration, and responsibility becomes maturity. Moral advice is now sought primarily from psychologists and therapists rather than philosophers or theologians.In this wide-ranging, accessible book, Mike W. Martin asks: are we replacing morality with therapy, in potentially confused and dangerous ways, or are we creatively integrating morality and mental health? According to him, it's a little bit of both. He surveys the ways in which morality and mental health are related, touching on practical concerns like love and work, self-respect and self-fulfillment, guilt and depression, crime and violence, and addictions. Terming this integrative development "the therapeutic trend in ethics," Martin uses examples from popular culture, various moral controversies, and draws on a line of thought that includes Plato, the Stoics, Freud, Nietzsche, and contemporary psychotherapeutic theories. Martin develops some interesting conclusions, among them that sound morality is indeed healthy, and that moral values are inevitably embedded in our conceptions of mental health. In the end, he shows how both morality and mental health are inextricably intertwined in our pursuit of a meaningful life. This book will be of interest to philosophers, psychologists, psychiatrists, and sociologists, as well as the general reader.




Concise Guide to Ethics in Mental Health Care


Book Description

Writing with clarity, coherence, and optimism, the authors summarize fundamental principles, enumerate essential skills, and review recent empirical findings in the overlapping areas of clinical ethics and psychiatry. Case illustrations, tables, and strategic lists enhance the book's 17 informative chapters.




Biotechnology and Culture


Book Description

Biotechnology and Culture Bodies, Anxieties, Ethics Edited by Paul Brodwin Untangles the broad cultural effects of biotechnologies "A timely and perceptive look from many acute angles, at some of the most anxiety producing issues of the day." --Paul Rabinow, University of California, Berkeley "This impressive collection offers a number of rich examples of why the development of anthropological studies of science, technology, and their disruptive social effects is a leading edge of critical enquiry." --Arthur Kleinman, Harvard University As birth, illness, and death increasingly come under technological control, struggles arise over who should control the body and define its limits and capacities. Biotechnologies turn the traditional "facts of life" into matters of expert judgment and partisan debate. They blur the boundary separating people from machines, male from female, and nature from culture. In these diverse ways, they destroy the "gold standard" of the body, formerly taken for granted. Biotechnologies become a convenient, tangible focus for political contests over the nuclear family, legal and professional authority, and relations between the sexes. Medical interventions also transform intimate personal experience: giving birth, building new families, and surviving serious illness now immerse us in a web of machines, expert authority, and electronic images. We use and imagine the body in radically different ways, and from these emerge new collective discourses of morality and personal identity. Biotechnology and Culture: Bodies, Anxieties, Ethics brings together historians, anthropologists, cultural critics, and feminists to examine the broad cultural effects of technologies such as surrogacy, tissue-culture research, and medical imaging. The moral anxieties raised by biotechnologies and their circulation across class and national boundaries provide other interdisciplinary themes for discourse in these essays. The authors favor complex social dramas of the refusal, celebration, or ambivalent acceptance of new medical procedures. Eschewing polemics or pure theory, contributors show how biotechnology collides with everyday life and reshapes the political and personal meanings of the body. Contributors include Paul Brodwin, Lisa Cartwright, Thomas Csordas, Gillian Goslinga-Roy, Deborah Grayson, Donald Joralemon, Hannah Landecker, Thomas Laqueur, Robert Nelson, Susan Squier, Janelle Taylor, and Alice Wexler. Paul Brodwin, Associate Professor of Anthropology at the University of Wisconsin-Milwaukee and Adjunct Professor of Bioethics at the Medical College of Wisconsin, is the author of Medicine and Morality in Haiti: The Contest for Healing Power and a coeditor of Pain as Human Experience: Anthropological Perspectives. Theories of Contemporary Culture--Kathleen Woodward, general editor




Psychiatric Ethics


Book Description

Consideration of ethics has established a firm place in the affairs of psychiatrists. An increased professional commitment to accountability, together with a growing "consumer" movement has paved the way for a creative engagement with the ethical movement. Psychiatric Ethics has carved out a niche for itself as a major comprehensive text and core reference covering the many complex ethical dilemmas which face clinicians and researchers in their everyday practice. This new edition takes a fresh look at recent trends and developments at the interface between ethics and psychiatric practice.For this edition, Sydney Bloch and Paul Chodoff are joined by Stephen Green, a clinical professor in ethics and psychiatry at Georgetown University, in leading 29 of the finest scholars in the field from around the world. Eleven new contributors join the team of authors. They include Drs. Beauchamp, Gutheils, Sabin, McGuffin, Szmulter, Gabbard and Holmes. Since the second edition, the editors have observed several emerging aspects of psychiatric practice requiring coverage. As a result, six new chapters have been added covering the ethical aspects of community psychiatry, managed care, psychiatric genetics, resource allocation, codes of ethics and boundary violations. All others chapters have been fully revised and updated.The book will continue to be essential reading for psychiatrists and other mental health professionals, as well as of interest to ethicists, policy makers, managers and lawyers.