scholarly journals Ethical Issues in Delivering Psychological Therapies in Geriatric Psychiatry in India

2021 ◽  
pp. 025371762110269
Author(s):  
Sridhar Vaitheswaran ◽  
Suhavana Balasubramanian ◽  
Nirupama Natarajan ◽  
Shreenila Venkatesan ◽  
Nivedhitha Srinivasan ◽  
...  
Author(s):  
Gwen Adshead

In this chapter, I review the ethical issues that are common to all therapies. I suggest that ethical reasoning is an intrinsic part of all the psychological therapies; specifically, reasoning that involves consideration of values and changes in value perspectives. I discuss traditional ethical concerns in psychological therapy, and go on to explore more contemporary concerns, including the construction of autonomy, privacy, and change as a political stance. I conclude that all the psychological therapies seek to help people “change their minds” to some degree and thereby to change their evaluations of themselves, their situations, and others. Judgments about enhancement of preferences and the value of change are therefore at the heart of all therapies.


2010 ◽  
Vol 22 (3) ◽  
pp. 267-273 ◽  
Author(s):  
Peter V. Rabins ◽  
Betty S. Black

2021 ◽  
pp. 423-450
Author(s):  
Mahesh Jayaram ◽  
Sarah Farrand ◽  
Dennis Velakoulis ◽  
Christos Pantelis

Physical treatments in psychiatry form the mainstay of psychiatric treatments alongside other psychological therapies. Ethical decision-making in the best interest of the patient should always take precedence over any conflict of interest; however, this is a complex area given multiple competing interests and which requires careful evaluation and reflection. We explore the complex interplay between psychiatrists and the pharmaceutical industry with a particular focus on research, drug development and discovery, publication, and dissemination. We also focus on ethics relating to treatments in special groups such as those experiencing pregnancy and postnatal care, early intervention, pharmacogenomics, or treatment-resistant schizophrenia. We then discuss issues relating to consent that correlate with case law and precedents set, which have impact on daily clinical life. Ethical issues relating to neurostimulation including electroconvulsive therapy or newer treatments such as transcranial magnetic stimulation and deep brain stimulation are also explored, outlining historical issues and contemporary guidelines leading to improvements in care.


2019 ◽  
Vol 3 (6) ◽  
pp. 707-711 ◽  
Author(s):  
Andrew Peterson ◽  
Adrian M. Owen

In recent years, rapid technological developments in the field of neuroimaging have provided several new methods for revealing thoughts, actions and intentions based solely on the pattern of activity that is observed in the brain. In specialized centres, these methods are now being employed routinely to assess residual cognition, detect consciousness and even communicate with some behaviorally non-responsive patients who clinically appear to be comatose or in a vegetative state. In this article, we consider some of the ethical issues raised by these developments and the profound implications they have for clinical care, diagnosis, prognosis and medical-legal decision-making after severe brain injury.


Pflege ◽  
2001 ◽  
Vol 14 (1) ◽  
pp. 13-16
Author(s):  
Monika Bobbert

Pflegeethik als relativ neuer Bereich der angewandten Ethik hat unter anderem die Aufgabe, auf ethische Probleme in der pflegerischen Praxis aufmerksam zu machen und diese zu reflektieren. An einem Fallbeispiel wird gezeigt, dass das pflegerische Vorgehen bei der Ernährung von Frühgeborenen ethische Konflikte bergen kann. Am konkreten Fall werden Fragen der Patientenautonomie und Fürsorge diskutiert, die auch für andere pflegerische Situationen relevant sind. Der Artikel leistet einen Beitrag zur Klärung der spezifischen Inhalte einer auf den Handlungsbereich der professionellen Pflege bezogenen Ethik.


GeroPsych ◽  
2015 ◽  
Vol 28 (4) ◽  
pp. 147-148
Author(s):  
Michael A. Rapp
Keyword(s):  

Crisis ◽  
2010 ◽  
Vol 31 (5) ◽  
pp. 238-246 ◽  
Author(s):  
Paul W. C. Wong ◽  
Wincy S. C. Chan ◽  
Philip S. L. Beh ◽  
Fiona W. S. Yau ◽  
Paul S. F. Yip ◽  
...  

Background: Ethical issues have been raised about using the psychological autopsy approach in the study of suicide. The impact on informants of control cases who participated in case-control psychological autopsy studies has not been investigated. Aims: (1) To investigate whether informants of suicide cases recruited by two approaches (coroners’ court and public mortuaries) respond differently to the initial contact by the research team. (2) To explore the reactions, reasons for participation, and comments of both the informants of suicide and control cases to psychological autopsy interviews. (3) To investigate the impact of the interviews on informants of suicide cases about a month after the interviews. Methods: A self-report questionnaire was used for the informants of both suicide and control cases. Telephone follow-up interviews were conducted with the informants of suicide cases. Results: The majority of the informants of suicide cases, regardless of the initial route of contact, as well as the control cases were positive about being approached to take part in the study. A minority of informants of suicide and control cases found the experience of talking about their family member to be more upsetting than expected. The telephone follow-up interviews showed that none of the informants of suicide cases reported being distressed by the psychological autopsy interviews. Limitations: The acceptance rate for our original psychological autopsy study was modest. Conclusions: The findings of this study are useful for future participants and researchers in measuring the potential benefits and risks of participating in similar sensitive research. Psychological autopsy interviews may be utilized as an active engagement approach to reach out to the people bereaved by suicide, especially in places where the postvention work is underdeveloped.


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