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Pavadinimas: DIVIDED STAFFS, DIVIDED SELVES A CASE APPROACH TO MENTAL HEALTH ETHICS
Autoriai: STANLEY JOEL REISER, HAROLD J. BURSZTAJAN, PAUL S. APPELBAUM, THOMAS G. GUTHEIL
Metai: 0000
ISBN: 0-521-26846-X
Brūkšninis kodas: 4202209
Ieškoti VUB kataloge
Anotacija:

     The essays that introduce the volume place the ethical problems of treating mentally ill people in the context of the health care ethics movement and traditions of ethical decision making. The individual cases arise from clinical and consultative experiences. This case material will serve as the basis for learning and reflection by clinicians in interaction with their colleagues, and it also will be especially valuable to students studying ethical concepts who do not have access to real-life cases or problems.


Acknowledgments ix
About the authors xi
1. Introduction 1
2. New problems, new ethics: challenging the value structure of health 3
Stanley Joel Reiser
3. Conflict and synthesis: the comparative anatomy of ethical and clinical decision making 17
Harold J. Bursztajn, Thomas G. Gutheil, and Bonnie Cummins
4. Solving clinical puzzles: strategies for organizing mental health ethics rounds 41
Paul S. Appelbaum
CASES IN MENTAL HEALTH ETHICS
I. Informed consent, competency, and involuntary treatment 63
Giving in to the patient 63
The right to feel good 64
Determining competency 66
Sex and competency 67
Commitability and competency 68
II. Confidentiality 71
Keeping secrets 71
Spilling secrets 73
How close is therapeutic closeness? 74
The impaired professional 76
When the victim is the self 77
III. Truth-telling 79
Are therapists their brother’s keepers? 79
Can you write me a note? 80
Helping patients, hurting others 82
Pay up or clam up 83
Excising evidence 84
IV. Managing difficult patients 87
Helping and hating 87
What home for the violent? 89
His own worst enemy 91
V. Parents and children 95
Protecting children 95
Discovering illegal behavior 96
What does it take to act? 98
When mother’s rights and fetal interests collide 99
VI. Religion and mental health treatment 103
Psychosis and religion 103
Illusion or truth 104
Beliefs unto death 106
VII. Allocation of resources 109
“Do not resuscitate” for the living 109
Only following orders 110
Admission mistakes, discharge dilemmas 112
VIII. Research 115
Willing subjects, questionable competence 115
When science and patient needs conflict 116
Detecting crimes while doing research 118
IX. Mental health and medical illness 121
Reading a closed book 121
The “catch-22” syndrome 123
Getting better to die 125
X. Mental health and criminal justice 127
On probation 127
Detective or doctor? 128
The therapist as policeman 131
The mental hospital as jail 132
When the police dictate the treatment 134
Bibliography 137
Index 143

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