
- Psychiatric Times Vol 27 No 5
- Volume 27
- Issue 5
Introduction: Ethical Dilemmas Old and New
Bioethicists often debate whether the rapid pace of medical science truly generates new ethical questions or whether what appear to be novel dilemmas are really ancient conflicts presented in modern terms and contexts.1 The valuable essays in this Special Report offer support for each position and, more important, provide clinical wisdom for mental health professionals struggling with ethical issues both profound and prosaic in a variety of practice settings.
Bioethicists often debate whether the rapid pace of medical science truly generates new ethical questions or whether what appear to be novel dilemmas are really ancient conflicts presented in modern terms and contexts.1 The valuable essays in this Special Report offer support for each position and, more important, provide clinical wisdom for mental health professionals struggling with ethical issues both profound and prosaic in a variety of practice settings.
This 2-part Special Report on ethics brings you an update on evolving views regarding one of the historic boundary dilemmas of psychotherapy: self-disclosure.
In the June issue, the article by
The other end of the generational spectrum is represented in a timely article that reviews contemporary issues in child and adolescent psychiatry. The pharmacological treatment of this age-group has increasingly been a subject of media attention and government regulation, but
The scope of this Special Report is truly diverse; it encompasses queries into the appropriate parameters of self-disclosure and explores the very limits of the self as a metaphysical concept. Yet through all the articles, there runs a unifying and unique ethical tradition, which has distinguished and guided the mental health professions since their individuation from their medical ethics progenitor.2
This flexibility and continuity of the specialized psychiatric ethical tradition is evident in the recently published revision of the
As shown in these superb articles, this tradition amplifies the virtues of empathy and altruism and intensifies the principles of confidentiality and nonmaleficence to protect the vulnerable patient in therapy, the dying, children and adolescents, and patients for whom the lines between experimental therapies and research are blurred. The macrocosm of psychiatric ethics is intriguing and vast, and thus the honor of chairing this Special Report presented a moral conundrum of its own: choosing which microcosms of ethical reflection and application to unfold for the ethically aware and responsive readers of Psychiatric Times.
References:
References
1.
Macklin R. Moral issues in human genetics: counseling or control?
Dialogue.
1977;16:375-396.
2.
Radden J, Sadler JZ.
The Virtuous Psychiatrist: Character Ethics in Psychiatric Practice.
New York: Oxford University Press; 2010.
3.
American Psychiatric Association.
Opinions of the Ethics Committee on the Principles of Medical Ethics With Annotations Especially Applicable to Psychiatry.
Arlington, VA: American Psychiatric Association; 2009.
Articles in this issue
over 15 years ago
Get the Bigger Therapeutic Pictureover 15 years ago
Ethical Aspects of Self-Disclosure in Psychotherapyover 15 years ago
Undue Pharmaceutical Influence on Psychiatric Practiceover 15 years ago
A Psychiatrist’s Guitar Poemover 15 years ago
DSM5 and the Medicalization of Grief: Two Perspectivesover 15 years ago
Extraordinarily Ordinaryover 15 years ago
The Political Diagnosis: Psychiatry in the Service of the Lawover 15 years ago
The Fort Hood Aftermath-Army Accountability Review and Psychiatristsover 15 years ago
Memory Reconsolidation and What Albert Ellis Knew All AlongNewsletter
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