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.
สารบัญ
The Context.- Societal Framework of Psychiatry.- Stigmatisation of People with Mental Illness and of Psychiatric Institutions.- Economical Framework of Psychiatric Care.- Conflicts of Interest.- Between Legislation and Bioethics: The European Convention on Human Rights and Biomedicine.- Ethics Committees for Clinical Research – The West-European Paradigm.- Clinical Ethics Committees and Ethics Consultation in Psychiatry.- Principles of Ethics in Psychiatry.- Ethical Principles in Psychiatry: The Declarations of Hawaii and Madrid.- Informed Consent in Psychiatric Practice.- Advance Directives: Balancing Patient’s Self-Determination with Professional Paternalism.- Confidentiality.- Justice in Access to and Distribution of Resources in Psychiatry and Mental Health Care.- The Applications of the Ethical Principles in Psychiatric Practice and Research.- Ethics of Diagnosis and Classification in Psychiatry.- Competence Assessment.- General Overview of Ethical Issues in Psychiatric Treatment.- Prevention and Early Treatment.- Ethical Implications of Psychopharmacotherapy.- Ethical Problems in Psychotherapy.- Neuromodulation – ECT, r TMS, DBS.- ‘Coercive’ Measures.- Ethics of Deinstitutionalization.- Ethical Issues in Forensic and Prison Psychiatry.- Treatment of Substance Dependence.- Dementia and End-of-Life Decisions: Ethical Issues – A Perspective from The Netherlands.- Ethics of Research with Decisionally Impaired Patients.- Ethical Concerns in Carrying Out Surveys of Psychiatric Morbidity.- Genetics – Ethical Implications of Research, Diagnostics and Counseling.- Non-medical Uses of Psychiatry.- Political Abuse of Psychiatry.- Abuse of Psychiatry for Political Purposes in the USSR: A Case-Study and Personal Account of the Efforts to Bring Them to an End.- (Neuro-)Enhancement.- Teaching Ethics in Psychiatry.- Teaching Ethics in Psychiatry.- Conclusions and Summary.- Summary and Conclusions.
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