Professional ethics and decision making have become areas of heightened critical inquiry, as well as matters of normal but challenging psychiatric practice. Informed by the extensive clinical experience of the author and guest contributors, A Clinical Guide to Psychiatric Ethics approaches the ethical aspects of mental health care - both subtle and dramatic - with clarity, coherence, and optimism. This engaging text functions as both a review and a guide to issues on the horizon, as well as those encountered every day. The Guide achieves these objectives by employing several strategic features: Structured logically into three parts (Fundamentals, Caring for Special Populations, and Evolving Topics), the book takes the reader from the general to the specific and from the traditional to the emergent. Case scenarios at the end of each chapter not only focus the individual reader on the chapter's concepts and issues, but also may be used in independent study or small-group discussions. The text emphasizes real experience over remote theories, attuning readers to clinical realities with keen sensitivity.
It does not offer simple answers, but provides guideposts to impart information, foster skill development, and encourage openness, collaboration, and self-reflection among both veteran clinicians and trainees. Significant focus is given to the care of individuals from distinct populations (e.g., children and veterans) and care occurring in unique contexts (e.g., small communities), underscoring the book's broad usefulness. The material is thoroughly current, aided by useful lists, tables, and figures to enhance its accessibility. A Clinical Guide to Psychiatric Ethics provides a trustworthy compass and expert companion for those traveling with their patients along the ethical frontier of mental illness.
Laura Weiss Roberts, M.D., M.A., is Chairman and Katharine Dexter McCormick and Stanley McCormick Memorial Professor in the Department of Psychiatry and Behavioral Sciences at Stanford University School of Medicine, Stanford, California.
Contributors. Preface. Part I: Fundamentals. Ethics Principles and Professionalism. Clinical Decision-Making and Ethics Skills. The Tradition of the Psychotherapeutic Relationship. Informed Consent and Decisional Capacity. Ethical Use of Influence and the Role of Physician in High-Risk Situations. Confidentiality and Truth-Telling. Part II: Caring for Special Populations. Children and Transitional-Age Youth. People in Small Communities. Veterans. People From Culturally Distinct Populations. People Living With HIV/AIDS. People at the End of Life. Difficult Patients. People Living With Addictions. Part III: Evolving Topics. Integrity and the Professional Roles of Psychiatrists. Patient Care Ethics Committees and Consultation Services. Clinician Well-Being and Impairment. Psychiatric Research. Innovation in Psychiatry. Clinical Training. Population Health and Evolving Systems of Care. References. Appendix. Cases for Discussion. Index.
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