Book Section: Essays and Reviews: Ethical Issues in Forensic Psychiatry: Minimizing Harm

2012 ◽  
Vol 40 (2) ◽  
pp. 293-294
2018 ◽  
Vol 51 ◽  
pp. 58-73 ◽  
Author(s):  
Birgit A. Völlm ◽  
Martin Clarke ◽  
Vicenç Tort Herrando ◽  
Allan O. Seppänen ◽  
Paweł Gosek ◽  
...  

AbstractForensic psychiatry in Europe is a specialty primarily concerned with individuals who have either offended or present a risk of doing so, and who also suffer from a psychiatric condition. These mentally disordered offenders (MDOs) are often cared for in secure psychiatric environments or prisons. In this guidance paper we first present an overview of the field of forensic psychiatry from a European perspective. We then present a review of the literature summarising the evidence on the assessment and treatment of MDOs under the following headings: The forensic psychiatrist as expert witness, risk, treatment settings for mentally disordered offenders, and what works for MDOs. We undertook a rapid review of the literature with search terms related to: forensic psychiatry, review articles, randomised controlled trials and best practice. We searched the Medline, Embase, PsycINFO, and Cochrane library databases from 2000 onwards for adult groups only. We scrutinised publications for additional relevant literature, and searched the websites of relevant professional organisations for policies, statements or guidance of interest. We present the findings of the scientific literature as well as recommendations for best practice drawing additionally from the guidance documents identified. We found that the evidence base for forensic-psychiatric practice is weak though there is some evidence to suggest that psychiatric care produces better outcomes than criminal justice detention only. Practitioners need to follow general psychiatric guidance as well as that for offenders, adapted for the complex needs of this patient group, paying particular attention to long-term detention and ethical issues.


1988 ◽  
Vol 18 (5) ◽  
pp. 320-323 ◽  
Author(s):  
Robert L Sadoff

1982 ◽  
Vol 10 (1) ◽  
pp. 7-43 ◽  

The recent, rapid development of the practice of forensic psychiatry has led to an increasing awareness of and a growing concern about the ethical issues that inhere in this subspecialty. While some such issues are similar to those found in the general practice of psychiatry (confidentiality, informed consent, etc.), there are aspects of these and other ethical issues which are unique to the practice of forensic psychiatry. On October 16 and 17, 1980, at the annual meeting of the American Academy of Psychiatry and Law held in Chicago, Illinois, a panel discussion concerning ethical issues in forensic psychiatry took place. The chairman was Henry C. Weinstein, M.D., Director, Forensic Psychiatry Services, Bellevue Hospital Center, New York. This panel, made up of two forensic psychiatrists and two philosophers (with special interests in medical ethics), discussed the ethical issues in the practice of forensic psychiatry from a variety of perspectives. A general statement in regard to ethics and forensic psychiatry opened the panel, followed by a series of presentations relating to specific ethical issues, including those which face the forensic psychiatrist practicing in a secure forensic unit, those which arise in the practice of forensic psychiatry with children and adolescents, as well as ethical issues relating to research in forensic psychiatry. A special program for the exploration and teaching of ethical issues, in a clinical forensic psychiatric setting, utilizing a philosopher-in-residence, was described and discussed. The panel presentation was concluded by a commentary from the philosophical perspective.


Author(s):  
Robyn Bluhm ◽  
Gosia Raczek ◽  
Matthew Broome ◽  
Matthew B. Wall

With the increasing use of neuroimaging research in psychiatry and the role imaging plays in society more generally in how mental illness is understood, it is important to consider the myriad ethical issues raised by imaging technologies, for example, for medicine, for law, and for patients. This chapter provides an overview of major ethical questions concerning: imaging of ethical reasoning in psychiatric disorder; forensic psychiatry, criminality, and responsibility; mindblindness and empathy in autism; the use of neuroimaging for screening, prediction, and diagnosis; “mind reading” and the right to privacy of thoughts; and the implications of imaging for the ethics and politics of biological psychiatry.


Author(s):  
Nancy Nyquist Potter

This chapter covers three central developments in feminist psychiatric ethics: nosology, forensic psychiatry, and advances in feminist theorizing the twenty-firstst century. Each of these sections raises key questions in how to think about gender and other socially marked bodies as they intersect with psychiatry. In particular, I highlight feminist challenges to nosological and ontological issues in psychiatry and their relation to ethics; the concept of relationality as it affects our understanding of intimate partner abuse; postcolonialism and how an understanding of epistemologies of ignorance present ethical challenges to psychiatry; and the crucial question of testimonial justice when it comes to listening appropriately to patients. I argue that a consideration of each of these areas entails a shift in how feminists approach ethical issues, making psychiatric ethics more complex, more challenging and, in general, messier, as reflects current social conditions.


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