Ethics and civil law

Author(s):  
Paul Harrison ◽  
Philip Cowen ◽  
Tom Burns ◽  
Mina Fazel

‘Ethics and civil law’ is concerned with the ways in which general ethical principles, relating to matters such as confidentiality, consent, and autonomy, are applied in the care of people with mental disorders. The chapter also covers the law as it applies to psychiatry in the United Kingdom. Ethical principles require extra careful attention in psychiatry because some patients lack capacity and because of the power of involuntary treatment. The ethical principles of beneficence, non-maleficence, autonomy, and dignity are outlined with their inherent potential conflicts. The Mental Health Act for the detention of patients who are unable to recognize their need for treatment is also covered, as are some aspects of civil law that relate to the practice of psychiatry.

Author(s):  
Philip Cowen ◽  
Paul Harrison ◽  
Tom Burns

Chapter 4 is concerned with the ways in which general ethical principles, relating to matters such as confidentiality, consent, and autonomy, are applied to the care of people with mental disorders. It assumes that the reader has already studied ethical aspects of general medicine, otherwise they should consult Hope et al. (2008) or a comparable textbook of medical ethics. Ethical considerations are extremely important in all branches of medicine. However, in psychiatry they have additional importance because some patients lack the capacity to make judgements about their own need for care, and because of the provision for involuntary treatment. Questions about capacity to consent to treatment of psychiatric illness commonly arise, and psychiatrists are sometimes asked by colleagues in other specialties for advice about capacity to consent to treatment for physical illness. This chapter also considers some aspects of the Mental Health Act and the law relevant to psychiatry.


Author(s):  
Ming-Bo Liu ◽  
Géraldine Dufour ◽  
Zhuo-Er Sun ◽  
Julieta Galante ◽  
Chen-Qi Xing ◽  
...  

2021 ◽  
Vol 22 (1_suppl) ◽  
pp. 53S-63S
Author(s):  
Jill Sonke ◽  
Kelley Sams ◽  
Jane Morgan-Daniel ◽  
Andres Pumariega ◽  
Faryal Mallick ◽  
...  

Study Objective. Suicide is a serious health problem that is shaped by a variety of social and mental health factors. A growing body of research connects the arts to positive health outcomes; however, no previous systematic reviews have examined the use of the arts in suicide prevention and survivorship. This review examined how the arts have been used to address suicide prevention and survivorship in nonclinical settings in Australia, Canada, the United Kingdom, and the United States of America. Design and Setting. Ten bibliographic databases, five research repositories, and reference sections of articles were searched to identify published studies. Articles presenting outcomes of interventions conducted between 2014 and 2019 and written in English, were included. Primary Results. Nine studies met inclusion criteria, including qualitative, quantitative randomized controlled trials, quantitative nonrandomized, quantitative descriptive, and mixed-methods studies. The programs studied used film and television (n = 3), mixed-arts (n = 3), theatre (n = 2), and quilting (n = 1). All nine interventions used the arts to elicit emotional involvement, while seven also used the arts to encourage engagement with themes of health. Study outcomes included increased self-efficacy, awareness of mental health issues, and likelihood for taking action to prevent suicide, as well as decreases in suicidal risk and self-harming behaviors. Conclusions. Factors that influence suicide risk and survivorship may be effectively addressed through arts-based interventions. While the current evidence is promising with regard to the potential for arts programs to positively affect suicide prevention and survivorship, this evidence needs to be supplemented to inform recommendations for evidence-based arts interventions.


2015 ◽  
Vol 31 (2) ◽  
pp. 208-222 ◽  
Author(s):  
Rebecca J. Bentley ◽  
David Pevalin ◽  
Emma Baker ◽  
Kate Mason ◽  
Aaron Reeves ◽  
...  

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