Oxford Casebook of Psychiatric Ethics

Erscheinungsjahr 2025
ISBN: 978-0-19-777451-9
Verlag: Oxford University Press

Buch, Englisch, 160 Seiten, Format (B × H): 179 mm x 253 mm, Gewicht: 290 g

Ethical decision-making is an integral aspect of clinical care. Psychiatrists, psychologists, social workers, and other mental health professionals are often confronted with moral choices, such as whether the involuntary administration of medication is ever ethical, or whether a pledge of confidentiality can be absolute in the face of evolving clinical circumstances. Part of the Oxford Casebooks in Psychiatry series, this book aims to help mental health care personnel identify a myriad of ethical dilemmas that arise during treatment, and to guide them towards resolving such situations in ways that best promote patients' welfare. In so doing, it additionally informs clinicians about their role as moral agents.

Following a review of established ethical theories, and discussion of a methodology for applying them to the clinical setting, the Oxford Casebook of Psychiatric Ethics follows the hypothetical case history of a single patient in order to illustrate prominent, vital ethical issues inherent in mental health care. These include aspects of the therapeutic relationship, confidentiality, informed consent, involuntary treatment, predictive genetic testing, physician-assisted suicide, and the role of culture in mental health care, as well as issues related to diagnosis, academic endeavours, pharmacologic treatment, and forensic practice.

Presented in a clear and approachable way, this cleverly written book is a valuable resource for students beginning their professional training, as well as for established practitioners whose schooling in ethics was limited. It is also an appropriate text for an introductory course of clinical ethics.

Autoren/Hrsg.

Green, Stephen A.

Inhaltsverzeichnis

- Preface

- Part I: THEORETICAL BACKGROUND

- Introduction

- Chapter 1: Moral Agency

- Chapter 2: Theoretical Foundations

- Utilitarianism

- Deontological Theory (Kantianism)

- Principle-based Ethics (Principlism)

- Casuistry

- Virtue Ethics

- Ethics of Care

- Chapter 3: Ethical Reflection

- Part II: CASE HISTORY

- Chapter 4: Confidentiality

- Dual Agency

- Chapter 5: Informed Consent

- Truth-Telling

- Surrogate Decision-Making

- Chapter 6: Involuntary Treatment

- Involuntary Hospitalization

- Involuntary Medication

- The Right to Refuse Treatment

- The Right to Treatment

- The Right to Effective Treatment

- Electroconvulsive Therapy

- Chapter 7: Physician-Assisted Suicide

- Chapter 8: Diagnosis

- Stigmatization

- The Situational Diagnosis

- Posttraumatic Stress Disorder

- Chapter 9: Academic and Educational Issues

- Chapter 10: Pharmacologic Issues

- Chapter 11: Research

- Chapter 12: Genetic Testing

- Chapter 13: Ethical Dimensions of the Therapeutic Relationship

- The Working Alliance

- Therapeutic Boundaries

- The Impaired Clinician

- Practicing Outside One's Area of Expertise

- Patient Abandonment

- Chapter 14: Forensic Issues

- Chapter 15: Cultural Issues

Über Autor(innen)

Dr. Stephen A. Green is a Clinical Professor of Psychiatry at Georgetown University where he taught medical students and psychiatry residents at every level of training, as well as other mental health professionals. He was Chair of the Ethics Committee of the Washington, D.C. Psychiatric Society and the Vice-Chair of the Ethics Committee of the American Psychiatric Association.

Dr. Green has published scientific articles about psychotherapy, psychosomatic issues, psychiatric ethics, and psychohistory in the American Journal of Psychiatry, British Journal of Psychiatry, General Hospital Psychiatry, Academic Psychiatry, and Pharos. He wrote Mind and body: the psychology of physical illness, published by the American Psychiatric Press, and co-edited An anthology of psychiatric ethics, Psychiatry: past, present, and prospect, and several editions of Psychiatric ethics, all published by Oxford University Press. He has contributed chapters to standard textbooks, including Psychiatric care of

the medical patient, published by Oxford University Press, and Foundations of Clinical Psychiatry, published by Melbourne University Press.