Ethical Aspects of the Prevention of Suicide in Psychiatry

2012 ◽  
Vol 14 (2) ◽  
pp. 140.2-149
Author(s):  
Axel Liégeois ◽  
Marc Eneman

From an ethical perspective, three values are at stake in the prevention of suicide—the inviolability of life, the autonomy of the client, and the care relationship between caregivers and client. These values can be integrated in the following way. The best prevention consists of a good care relationship involving intensive counseling of the client regarding existential questions. In this way, caregivers can increase the client’s autonomy and responsibility. Sometimes, however, caregivers need to intervene with protective measures to safeguard the inviolability of the client’s life. Caregivers strive for a reasonable balance between autonomy and inviolability by means of the integrating value of the relationship.

Author(s):  
Juan Manuel Moreno-Manso ◽  
Mª. Elena García-Baamonde ◽  
Eloísa Guerrero-Barona ◽  
Mª. José Godoy-Merino ◽  
Mónica Guerrero-Molina ◽  
...  

AbstractThis research analyses the internalizing and externalizing symptoms and the coping strategies of young victims of abuse. These young people are in residential care under protective measures due to abuse. The participants were 61 youths (32 male and 29 female) between 12 and 17 years of age. Different works of research stress the need for an early identification of the psychopathological symptomatology that these adolescents may present in order to provide an adequate psycho-educational intervention. The relationship between the adolescents’ psychopathological symptomatology and the coping strategies and styles they use to resolve problems is studied. It is also analyzed whether internalizing and externalizing problems predict the style and coping strategies of adolescents. Two tests were used: 1. Child and Adolescent Evaluation System (SENA); 2. Adolescent Coping Scales (ACS). The results indicate that young victims of abuse have internalizing and externalizing symptoms. These adolescents are characterized by an unproductive coping style, as well as by the use of coping strategies that are not very functional and ineffective for resolving conflicts. The psychopathological symptomatology is related to and predicts an unproductive coping style, badly adapted to solving daily problems (worrying, blaming oneself, not coping, ignoring the problem, or keeping it to oneself). This research has allowed us to identify the presence of several areas of vulnerability in these young persons which could be playing an important role in their psychosocial maladjustment. The research suggests the design of intervention strategies, for both groups and individuals, aimed at mitigating and modifying the sources of the problems in victims of child abuse.


Author(s):  
Jonathan Kimmelman

Many representations of clinical translation present it as a linear process by which bench discoveries are advanced into clinical practice. The present chapter offers a conceptual framework that highlights distinctive ethical aspects of clinical translation. The framework understands clinical translation as a process not so much as developing new treatments but rather generating evidence on how to use (and how not to use) new as well as old interventions. It also emphasizes attending to the relationship of different studies with each other and the importance of coordinating different studies with each other. The model presented here foregrounds the role of coordination in realizing societal objectives of clinical translation at minimal burden and cost for patients and study volunteers.


2019 ◽  
Vol 192 (2) ◽  
pp. 349-364
Author(s):  
Kazimierz Nagody-Mrozowicz ◽  
Piotr Pietrakowski

Values are a component of the human personality that affects a world-view, opinions, emotions and behaviors. This applies equally to managerial and executive behavior, while in the case of rescue organizations, both levels of behavior are also an important factor of organizational effectiveness. The aim of the article is to show the relationship between the ethical aspects of rescue operations and the value system represented by mountain rescuers. The applied idiographic research perspective can become an example for research on other types of organizations and employee teams, including the armed forces.


1999 ◽  
Vol 38 (04/05) ◽  
pp. 313-316 ◽  
Author(s):  
N. Shahsavar ◽  
H. Gill ◽  
G. Collste

AbstractIn this paper the design and implementation of a decision support system for diabetes care is examined from an ethical perspective. It is noted that the system creates potential for enhancing the realization of the principle of autonomy through improved information to patients and participation by patients. However, there is also potential for using the system in a way that is contrary to good health care. It may provide patients with information they are unable to interpret and handle, and it may be used by healthcare authorities for controlling their personnel in ways contrary to good quality working conditions. In order for a decision support system to function as a well-integrated element in ethically based health care, different ethical aspects have to be taken into account during the design of the system. The ethical aspects also constitute one perspective of a systematic re-evaluation and re-design process.


1979 ◽  
Vol 7 (4) ◽  
pp. 3-18
Author(s):  
B. Chambers

The proliferation of Aboriginal Studies, as a formal component of teacher education programs, has been variously met with praise and criticism by educators. The financial, educative and ethical aspects of this proliferation have caused such bodies as the Australian Institute of Aboriginal Studies (AIAS) to look closely at the outcomes of such courses. The variability of stated objectives, coupled with a reluctance by individual institutions to evaluate their own courses, has prevented any overall evaluation from a cognitive stance. Implicit in each course, however, are affective aims (sometimes wishes) that students will become more tolerant, sympathetic or positive in their attitudes towards Aborigines and, that those attitudes will be maintained and conveyed to the pupils they teach. Whether or not these are actual outcomes of Aboriginal Studies courses is a question that was chosen for exploration by the Australian Institute of Aboriginal Studies, in a three-year project located at Armidale College of Advanced Education.As the study is essentially a longitudinal one, the focus of this paper is on the attitudes towards Aborigines of 100 primary children aged from six to nine years. Where it is relevant, the relationship between the teachers’ and pupils’ attitudes is discussed but in general, only the methodology of testing teacher attitudes is reported, as it is too early to say whether or not there is a causal relationship and whether or not it can be demonstrated. However, it is already apparent that the use, misuse or neglect of affective strategies in an Aboriginal Studies course affects both teachers’ and pupils’ attitudes towards Aborigines. This factor similarly affects the teacher’s predisposition, and competency, to teach about Aborigines in the classroom.


2014 ◽  
Vol 10 (2) ◽  
pp. 105-120 ◽  
Author(s):  
Lucy Frith

Purpose – The aim of this paper is to advance a conceptual understanding of the role of social enterprises in health care by developing the concept of ethical capital. Social enterprises have been an important part of both the coalition and the previous government’s vision for improving health-care delivery. One of the central arguments for increasing the role of social enterprises in health care is they can provide the benefits of a public service ethos with the efficiencies and innovatory strategies of a business. Social enterprises are well placed to promote the type of values that should underpin health care delivery. Design/methodology/approach – This paper explores the conceptual issues raised by using social enterprises to provide health-care services that were previously provided by the National Health Service (NHS) from an ethical perspective. Findings – It will be argued that conceptualising social enterprises as organisations that can and should produce ethical capital could be a useful way of developing the debate over social enterprises in health care. Practical implications – The paper provides suggestions on how ethical capital might be produced and monitored in social enterprises. Originality/value – This paper advances the debate over the use of the concept of ethical capital in social enterprises and explores the relationship between ethical and social capital – both under researched areas. It also contributes to the emerging discussions of social enterprises in current health policy and their role in the radically reformed English NHS.


Author(s):  
O.O. Strygun ◽  
S.O. Trybel ◽  
O.M. Goncharenko ◽  
Y.М. Suddenko

The basic types of herbivores wheat groups on their affinity to damage of the plants and their impact on the formative processes. It is shown that the constant pressure on the formative processes, inhibition of plant growth and development adversely affects the productivity and quality of grain. Calculated in terms of population of crops of pests, taking into account existing EPSH potential losses from individual groups of herbivores that exceed 5%. Showing actual average loss grain cereals from pests, which is 12.7%, which is evidence of the need to strengthen protective measures and reduce the actual loss to the level of <5%.


Author(s):  
Joyce da Costa Silveira de Camargo ◽  
Régia Cristina Oliveira ◽  
Andiara Rodrigues de Souza ◽  
Kelly Cristina Máxima Pereira Venâncio ◽  
Vitória Karen Raimundo ◽  
...  

This text is part of a research carried out between 2015 and 2016 aimed to investigate the social representations developed by women who gave birth in water about this type of birth. This is a qualitative study carried out with women who experienced waterbirth in a public and private hospital in Portugal. This article is part of this research, seeking to focus on an important theme seized in this investigation: obstetric violence. We seek to discuss the forms of obstetric violence present in the reports of women who have experienced waterbirth. Methodologically, the research was qualitative, using the snowball technique for access to participants and interviews with them. As a result, the existence of resistance and reactions of women is highlighted who, by naming the practices of obstetric violence, including disrespect in the birth scenario, sought to break in different ways with the asymmetry of the relationship with the child health professional, either by silencing and seeking contact with another professional in the care relationship or by denying the impositions to which they were submitted.


2017 ◽  
Vol 46 (2) ◽  
pp. 182-188 ◽  
Author(s):  
Jessica Nihlén Fahlquist

Aim: This paper analyses vaccination policy from an ethical perspective, against the background of the growing hesitancy towards e.g. the measles vaccine. Methods: The paper is normative and analyses ethical aspects of risk communication in the context of vaccination. It is argued that ethical analysis of risk communication should be done at the level of the message, the procedure and the effects. The paper takes examples from the Swedish context, linking the current lack of trust in experts to the 2009 vaccination policy and communication promoting the H1N1 vaccine Pandemrix. Results: During the Swedish H1N1 vaccination policy in 2009, the message was that the vaccine is safe. However, a group of adolescents developed narcolepsy as a side effect of the vaccine. Taking this into account, it becomes clear that the government should communicate risks and benefits responsibly and take responsibility for individuals affected negatively by populational health interventions. Conclusion: To communicate respectfully entails not treating vaccine sceptics as ill-informed or less educated, but instead taking the concerns of the vaccine hesitant, who potentially could change their minds, as a starting-point of a respectful discussion. There will inevitably be individuals who suffer from side effects of justifiable population-based health promotion activities. However, the public should be able to trust the message and count on the government to take responsibility for individuals affected by side effects. This is important for normative reasons, but is additionally likely to contribute to restored and maintained trust.


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