Core ethical questions: what do you do when your obligations as a psychiatrist conflict with ethics?
- PMID: 20532154
- PMCID: PMC2882279
Core ethical questions: what do you do when your obligations as a psychiatrist conflict with ethics?
Abstract
Psychiatrists face many difficult ethical decisions in which they must exercise their discretion. In the most difficult decisions they confront, there are significant "harms," regardless of what they choose. The best they can do in these instance is to be as acutely aware of the most important pros and cons as they can. This article will discuss such pros and cons in regard to, particularly, informing patients when they may be dangerous to themselves or others, have dementia, and have genetic illness. This article will also discuss giving moral weight to the psychiatrist's own interests when making these ethical decisions.
Keywords: Informing patients; child abuse; dangerousness; dementia; genetics; reporting; suicide; unprofessional conduct; warning.
Similar articles
-
The psychiatrist's dilemma: a conflict of roles in legal executions.Aust N Z J Psychiatry. 1999 Oct;33(5):629-35. doi: 10.1080/j.1440-1614.1999.00625.x. Aust N Z J Psychiatry. 1999. PMID: 10544985
-
Moral obligations to the not-yet born: the fetus as patient.Clin Perinatol. 1987 Jun;14(2):329-43. Clin Perinatol. 1987. PMID: 3595055
-
Interests, obligations, and justice: some notes toward an ethic of managed care.J Clin Ethics. 1995 Winter;6(4):312-7. J Clin Ethics. 1995. PMID: 8750589
-
Patients' rights and psychiatrists' duties: discharging patients against medical advice.Harv Rev Psychiatry. 2003 Nov-Dec;11(6):333-43. Harv Rev Psychiatry. 2003. PMID: 14713569 Review.
-
Maximizing the Division Psychiatrist's Garrison Prevention Role to Meet the U.S. Army's 21st Century Readiness Expectations.Mil Med. 2019 May 1;184(5-6):e183-e191. doi: 10.1093/milmed/usz017. Mil Med. 2019. PMID: 30793212 Review.
References
-
- Weinstein R, Vari G, Leong GB, Silva JA. Back to the past in California: a temporary retreat to a Tarasoff duty to warn. J Am Acad Psychiatry Law. 2006;34:523–528. - PubMed
-
- Joseph DI, Onek J, Goldstein MM. Confidentiality. In: Bloch S, Green SA, editors. Psychiatric Ethics. New York, NY: Oxford; 2009. pp. 177–210.
-
- Gutheil TG. Ethics and forensic psychiatry. In: Bloch S, Green SA, editors. Psychiatric Ethics. New York, NY: Oxford; 2009. pp. 435–452. at 437.
-
- Chenneville T. Tarasoff and HIV: some considerations for therapists. Focus. 2007;22:5–8. - PubMed
LinkOut - more resources
Full Text Sources
Miscellaneous