Ethics Primer of the American Psychiatric Association
In questions of psychiatric ethics, simple yes or no answers are rare, yet questions arise frequently in the clinical setting. Should I accept a patient's invitation to a party? Is it OK to tell a patient that I, too, have had a depression? Can I release sensitive information about my patient without the patient's consent? Can I give a psychiatric opinion about someone I've never examined?
A shortage of ethics instruction from medical school through residency has left many psychiatrists facing the increasingly complex field of ethics without a clear guide to ethical decision making and conductuntil now.
Informed by some of the formal proceedings of the APA Ethics Committee, Ethics Primer of the American Psychiatric Association presents today's ethical dilemmas in eleven informative chapters—brought to life by the clinical vignettes based on actual cases seen by this primer's distinguished contributors.
- Boundary violations between the doctor—patient relationship and any other relationship (e.g., social, sexual/romantic, business)
- Issues such as informed consent, psychopharmacology, hospitalization, and psychotherapy with children, adolescents, and families
- Issues such as confidentiality, competence and consent, quality of life, abuse and neglect, and use of restraints with geriatric populations
- Involuntary hospitalization rife with conflict and controversy where many ethical principles clash (e.g., beneficence, autonomy, informed consent)
- Reconciling ethical conduct (as delineated in guidelines of the AMA, APA, and Sabin) with managed care's cost containment and rationing of medical services
- Confidentiality, how this fundamental ethics principle can clash with the business ethics of managed care and insurance companies
- Gifts from patients and industry when and why they are or are not acceptable
- The often uncomfortable duty to report colleagues who engage in fraud or deception, from speaking privately with a colleague to referring a concern to a departmental committee, supervisor, or local APA ethics committee (and applicable legal mandates)
- Emergency care ethics how to ensure proper treatment for psychiatric patients who come to the emergency room with physical illnesses forensic psychiatry, including codes of ethics, boundary issues, and management of allegations of ethical misconduct
- When consultations and second opinions are needed
Including an appendix with selected material from The Principles of Medical Ethics With Annotations Especially Applicable to Psychiatry, this clinical guide and reference is sure to stimulate the discussion so integral to maintaining the dynamic tradition of ethics. As such, it is essential reading for every psychiatrist—whether in training or in established clinical practice—who aspires to a richer appreciation for the wisdom and subtleties of the guidelines and principles of medical ethics.
- Introduction: Role of the APA in Developing and Enforcing Psychiatric Ethics
- Introduction for Psychiatric Residents
- Chapter 1. Boundary Violations
- Chapter 2. Children, Adolescents, and Families
- Chapter 3. Geriatric Populations
- Chapter 4. Involuntary Hospitalization
- Chapter 5. Managed Care
- Chapter 6. Confidentiality
- Chapter 7. Gifts
- Chapter 8. Duty to Report Colleagues Who Engage in Fraud or Deception
- Chapter 9. Ethics of Emergency Care
- Chapter 10. Ethics and Forensic Psychiatry
- Chapter 11. Consultations and Second Opinions
- APPENDIX: The Principles of Medical Ethics With Annotations Especially Applicable to Psychiatry, 2001 Edition
Ethics Primer of the American Psychiatric Association is a practical compilation of ethical thinking regarding the most frequently encountered problems in psychiatric ethics. It provides useful advice on how to recognize ethical problems in clinical and administrative settings. Sections on child and forensic ethics will be especially appreciated in the field. All psychiatrists, including residents, can benefit from this book.—Jeremy Lazarus, M.D., Associate Clinical Professor of Psychiatry, University of Colorado Health Sciences Center
In this concise book, a dozen doctors contributed chapters to create this compilation of ethical thinking about the most frequently encountered problems in psychiatric ethics. It provides useful advice on how to recognize ethical problems in clinical and administrative settings.—Administration and Policy in Mental Health, 1/1/2002
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