Everyday Ethics - Voices from the Front Line of Community Psychiatry

1. Auflage 2013
ISBN: 978-0-520-27478-5
Verlag: University of California Press

Buch, Englisch, 248 Seiten, Cloth Over Boards, Format (B × H): 150 mm x 250 mm, Gewicht: 666 g

This book explores the moral lives of mental health clinicians serving the most marginalized individuals in the US healthcare system. Drawing on years of fieldwork in a community psychiatry outreach team, Brodwin traces the ethical dilemmas and everyday struggles of front line providers. On the street, in staff room debates, or in private confessions, these psychiatrists and social workers confront ongoing challenges to their self-image as competent and compassionate advocates. At times they openly question the coercion and forced-dependency built into the current system of care. At other times they justify their use of extreme power in the face of loud opposition from clients. This in-depth study exposes the fault lines in today's community psychiatry. It shows how people working deep inside the system struggle to maintain their ideals and manage a chronic sense of futility. Their commentaries about the obligatory and the forbidden also suggest ways to bridge formal bioethics and the realities of mental health practice. The experiences of these clinicians pose a single overarching question: how should we bear responsibility for the most vulnerable among us?

Autoren/Hrsg.

Brodwin, Paul

Fachgebiete

• Sozialwissenschaften Soziologie | Soziale Arbeit Soziale Arbeit/Sozialpädagogik Soziale Arbeit/Sozialpädagogik: Kranken-, Alten- und Behindertenhilfe
• Medizin | Veterinärmedizin Medizin | Public Health | Pharmazie | Zahnmedizin Medizinische Fachgebiete Psychiatrie, Sozialpsychiatrie, Suchttherapie
• Sozialwissenschaften Soziologie | Soziale Arbeit Spezielle Soziologie Gesundheitssoziologie, Medizinsoziologie

Inhaltsverzeichnis

Acknowledgments

Introduction: The Terrain of Everyday Ethics

Background to practice
1. Genealogy of the Treatment Model

2. Expert knowledge and Encounters with Futility

Tools of the trade
3. Treatment Plans: Mandatory Narratives of Progress

4. Representative Payeeships: The Deep Logic of Dependency

5. Commitment Orders: The Practice of Consent and Constraint

From Everyday to Formal Ethics
6. Coercion, Confidentiality, and the Moral Contours of Work

Bibliography

Über Autor(innen)

Paul Brodwin is Professor of Anthropology at the University of Wisconsin-Milwaukee and Adjunct Professor of Bioethics and Medical Humanities at the Medical College of Wisconsin. He is the editor of Biotechnology and Culture: Bodies, Anxieties, Ethics, author of Medicine and Morality in Haiti: The Contest for Healing Power, and coeditor of Pain as Human Experience: Anthropological Perspectives.