The authors discuss two fundamental misconceptions: the myth of the patient’s autonomy, and the myth of the incurability of the patient’s illness.
Cynthia M. A. Geppert, MD, PhD, MPH
If you were the consultant, what issues might you raise in the cases discussed here?
Severe alcohol dependence and frequent relapses in this patient prompts his son to produce a durable power of attorney for health care. He demands that the physicians declare his father to lack decision-making capacity. More in this ethics case report.
The universe of psychiatric ethics has dramatically expanded. Let us boldly go together where psychiatric ethics has never gone before!
How often are you confronted with an ethical dilemma in your clinical practice? How comfortable—and how prepared—are you to deal with these issues? Those are just a few of the questions posed in the Psychiatric Times Ethics Survey—a survey that turned out to be the largest ever of its kind.
Educated and successful individuals, Mr H's children seem able to understand that their father can no longer make his own decisions, but they continue to defer to him for medical and disposition decisions stating, “whatever he wants to do.”
The goal of the survey was to go beyond ethical lessons, useful as these may be, and to learn how Psychiatric Times’ readers—who are on the front line of psychiatric practice—handle a series of hypothetical ethical scenarios.
This essay does not proffer a change in the classification of specific conditions but will sketch a new meta-concept of evaluative disorders that encompasses a number of prevalent and serious psychiatric diagnoses.
Like millions of Americans, I’ve joined Facebook. I really enjoy it because it conveniently lets me stay in touch with my friends. I don’t tell my patients that I have a Facebook profile, but many patients tell me about their Facebook activities during therapy. How should I respond if a patient to “friend” me?
The ancient role of conscience as a moral pilot is rejuvenated, and its neglected function as a spiritual daemon is refurbished for more psychologically minded modern readers.