Bioethics In Psychiatry: An Existential Contribution
DOI:
https://doi.org/10.65828/tbaes972Keywords:
Psychiatric bioethics, psychotherapy, existentialism, existential analysis, psychotropic drugs, K. Jaspers, V. E. Frankl, informed consentAbstract
Every medical act has repercussions for the existence of the individual patient and of those closest to him or her. Such repercussions are all the more significant in psychiatry. Many of the choices facing the psychiatrist have major bioethical implications. The bioethical topics pertaining to mental health are at the heart of many declarations by national and international organisations; yet the topics they deal with by no means cover all the bioethical issues in psychiatry. This essay sets out to highlight some aspects of psychiatric treatment which have a strong bioethical impact and which do not receive much attention in the existing literature on bioethics. I have identified six topics which, starting from epistemological premises, will focus on the sorts of dilemma psychiatrists inevitably encounter in their daily contact with patients.
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References
American Medical Association. 'Principles of medical ethics, V principle'. 2001 version. In http://www.ama-assn.org/ama/pub/physician-resources/medical-ethics/ama-code-medical-ethics/principles-medical-ethics.shtml
Bacharach, L.L. (1981). Continuity of care for chronic mental patients: a conceptual analysis, American Journal of Psychiatry, 138(11). DOI: https://doi.org/10.1176/ajp.138.11.1449
Bauman, Z. (2000). Liquid Modernity. Cambridge: Cambridge University Press.
Bauman, Z. (2005). Liquid Life. Cambridge: Cambridge University Press.
Beauchamp, T.L. e Childress, J.F. (1994/2001) Principles of Biomedical Ethics (Fifth edition). Oxford: Oxford University Press.
Buffardi, G. (2000). Neurologia e Psichiatria: Un Divorzio Impossibile; SEAM; Roma
Buffardi G. (2001), Modello esistenziale tra normalità e patologia; in http://www.mondointermedio.it.
Childress, J.F. (1994/2001) Principles of Biomedical Ethics (Fifth edition). Oxford: Oxford University Press.
Blackburn, S. (2008). Oxford Dictionary of Philosophy (Second edition). Oxford: Oxford University Press. DOI: https://doi.org/10.1093/acref/9780198735304.001.0001
Bloch, S., Chadoff P. (1991). Psychiatric Ethics (Second edition). Oxford: Oxford University Press.
Bracelard, F. J. (1969). 'Historical Prospective of the Ethical Practice of Psychiatry'. American Journal of Psychiatry, 126: pp230-237.
Clouser, K.D. (1973). Medical Ethics: some uses, abuses and limitations, New England Journal of Medicine, 293: pp384-387. DOI: https://doi.org/10.1056/nejm197508212930805
Council of Europe Convention for the Protection of Human Rights and Dignity of the Human Being with regard to the Application of Biology and Medicine. Oviedo, 4.4.1997.
Correl, C.U. (2007) Balancing efficacy and safety in treatment with antipsychotics; CNS Spectr, 12 (Suppl. 17).
Fabry, J. (1968/1980). The Pursuit of Meaning: Viktor Frankl, Logotherapy, and Life. Preface by Viktor E. Frankl. New York: Harper & Row.
Farmer, A.E., Owen M.J. & McGuffin P. (2000). Bioethics and genetic research in psychiatry. British Journal of Psychiatry, 176. DOI: https://doi.org/10.1192/bjp.176.2.105
Frankl V. E. (1987) Logotherapie und Existenzanalyse (Logotherapy and Existential Analysis. Fifth edition). München: Piper.
Glover, E. (1928). The Technique of Psychoanalysis. London: Baillière, Tindal & Cassel, Ltd.
Hales, R.E., Yudofsky S.C. & Talbott, J.A. (1997). The American Psychiatric Press Textbook of Psychiatry (Third Edition). Washington D.C: American Psychiatric Press. Inc.
Hersch, J. 'Le droits de l'homme d'un pont de vue philosophique' ('Human rights by philosophical view'). The estate of Jeanne Hersch, 2000.
Hoche, A. & Binding K. Die Freigabe der Vernichtung lebensunwerten Lebens, Freiburg 1920, in http://www.staff.uni-marburg.de/~rohrmann/Literatur/binding.html . DOI: https://doi.org/10.1515/9783110849516-005
Jaspers, K. (1913/1959).Allgemeine Psychopathologie (General Psychopathology) Heidelberg. DOI: https://doi.org/10.1007/978-3-662-11113-0
Kaplan, H.I., Sadock B.J. & Grebb J.A. (1997). Kaplan & Sadock's Synopsis of Psychiatry. Baltimore, MD: William & Wilkins
Kraepelin, E. (1883/1895) Compendium der Psychiatrie: Zum Gebrauche für Studirende und Aerzte. Leipzig: Abel.
Lolas, F. (2002). 'Bioethics and psychiatry: a challenging future'. World Psychiatry, June.
Maj, M. (2009) Physical health care in persons with severe mental illness: a public health and ethical priority. World Psychiatry, 8(1): February. DOI: https://doi.org/10.1002/j.2051-5545.2009.tb00196.x
National Institute of Mental Health. Clinical Antipsychotic Trials of Intervention Effectiveness Study (CATIE). http://www.nimh.nih.gov/healthinformation/catie_qa.cfm.
Potter, V.R. (1970). Bioethics. The science of survival. Perspectives in Biology and Medicine, 14(1). DOI: https://doi.org/10.1353/pbm.1970.0015
Potter, V.R. (1971) Bioethics, Bridge To The Future. Englewood Cliffs ed. (N.J.).
Reich, T. (1978). Encyclopedia of Bioethics. New York: The Free Press.
Schneider, K. (1960). Psychiatrie Teute (Psychiatry Today). Stuttgart: Thieme.
Tauber, A.I. (2005). Patient Autonomy and the Ethics of Responsibility (Basic Bioethics Series). Massachussets Institute of Thechnology (M.I.T.). DOI: https://doi.org/10.7551/mitpress/9311.003.0012
United Nations Declaration of Human Rights (1948).
World Medical Association (WMA). The Medical Oath. Geneva. 1948, revised 1964.
World Medical Association (WMA). Helsinki Declaration, final amendment, 52nd WMA General Assembly, October 2000, Edinburgh.
World Psychiatric Association. (1977). Declaration adopted unanimously by the General Assembly of the World Psychiatric Association at the Sixth World Congress of Psychiatry, 1977. British Medical Journal, November 5 (Hawaii Declaration). DOI: https://doi.org/10.1192/pb.2.1.12
