Ethics in Psychiatry — Expert Clinical Atlas

Psychiatry · Clinical Specialties

How it begins

La ética psiquiátrica es la aplicación de la bioética al ejercicio de la psiquiatría. Aunque comparte el marco general de la ética médica, la psiquiatría plantea dilemas singulares y de especial gravedad , porque es la única especialidad que, de forma rutinaria y legítima, puede privar de libertad e imponer tratamientos contra la voluntad del paciente. Este poder excepcional sobre la autonomía y los derechos…

What it covers

1. Framework and Specificity of Psychiatric Ethics
2. · 1.1 The memory of historical abuses
3. · 1.2 Reference frames
4. · 1.3 Ethics as deliberation
5. The Four Principles of Bioethics
6. · 2.1 The conflict between principles in psychiatry
7. · 2.2 Beyond principlism
8. Autonomy and Paternalism
9. · 3.1 Types of paternalism
10. · 3.2 Respect for “wrong” decisions
11. · 3.3 Relational autonomy
12. Capacity and Competence
13. · 4.1 The four components of capacity
14. · 4.2 Key Capability Principles
15. · 4.3 When capacity is missing
16. Informed Consent
17. · 5.1 The elements of valid consent
18. · 5.2 Consent as a process
19. · 5.3 Exceptions and nuances in psychiatry
20. Confidentiality and its Limits
21. · 6.1 The foundation and its importance
22. · 6.2 The limits of confidentiality
23. · 6.3 Confidentiality and legitimate third parties
24. Involuntary Admission and Treatment
25. · 7.1 The usual criteria
26. · 7.2 Principles governing involuntariness
27. · 7.3 Involuntary treatment
28. Coercion, Subjection and Restriction
29. · 8.1 The specter of coercion
30. · 8.2 Mechanical fastening and insulation
31. · 8.3 Towards a less coercive psychiatry
32. Limits of the Therapeutic Relationship
33. · 9.1 The setting and limits
34. · 9.2 Boundary crossings and violations
35. · 9.3 Transference, countertransference and double relationships
36. Especially Vulnerable Populations
37. · 10.1 The reinforced duty of protection
38. Research Ethics
39. · 11.1 Historical frameworks
40. · 11.2 Specific challenges in psychiatry
41. · 11.3 The balance between protecting and not excluding
42. Forensic Ethics and Double Loyalty
43. · 12.1 The role change
44. · 12.2 Principles of forensic ethics
45. · 12.3 Psychiatry at the service of control: the abuse to avoid
46. Stigma, Discrimination and Justice
47. · 13.1 The faces of stigma
48. · 13.2 Justice and equity
49. · 13.3 Human rights and mental health
50. End of Life, Suicide and Difficult Decisions
51. · 14.1 Suicide: between protection and autonomy
52. · 14.2 The refusal of life-saving treatment by a capable patient
53. · 14.3 Debates on aid in dying
54. How to Reason an Ethical Dilemma
55. · 15.1 A method of deliberation
56. · 15.2 Moral verification tests
57. · 15.3 Support resources
58. Integrative Synthesis
59. · 16.1 The big themes at a glance
60. · 16.2 Essential principles
61. · 16.3 Ethical errors to avoid
62. · 16.4 Final synthesis