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Ethics

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Psychiatry and the Law
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Abstract

The chapter begins by discussing a clinical vignette and its ethical considerations in the context of Alsabti v. Board of Registration in Medicine (of Massachusetts), a legal case dealing with disciplinary action against a physician’s unethical conduct while in medical school. The chapter then proceeds with a general introduction to medical ethics. Using ethics guidelines from the American Medical Association (AMA), American Psychiatric Association (APA), and the American Academy for Psychiatry and the Law (AAPL), the principles of medical ethics as applicable to psychiatry are presented and discussed. This discussion then serves as a foundation for illustrating the core elements of these ethical guidelines as they relate to forensic psychiatry, including issues of dual agency, informed consent, confidentiality, and striving for objectivity.

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References

  1. Supreme Judicial Court of Massachusetts. Alsabti vs. Board of Registration in Medicine, 404 Mass. 547; 1989. http://masscases.com/cases/sjc/404/404mass547.html. Accessed 28 Feb 2023.

  2. Supreme Judicial Court of Massachusetts. David A. Levy vs. Board of Registration and Discipline in Medicine, 378 Mass. 519; 1979. http://masscases.com/cases/sjc/378/378mass519.html. Accessed 28 Feb 2023.

  3. Supreme Judicial Court of Massachusetts. Sherwin H. Raymond vs. Board of Registration in Medicine, 387 Mass. 708; 1982. http://masscases.com/cases/sjc/387/387mass708.html. Accessed 28 Feb 2023.

  4. Federation of State Medical Boards. About Physician Licensure; 2023. https://www.fsmb.org/u.s.-medical-regulatory-trends-and-actions/guide-to-medical-regulation-in-the-united-states/about-physician-licensure/. Accessed 16 Jun 2023.

  5. Gert B, Gert J. The definition of morality. In: Stanford Encycl Philos; 2020. https://plato.stanford.edu/entries/morality-definition/. Accessed 28 Feb 2023.

  6. American Board of Psychiatry and Neurology—Policies. https://www.abpn.com/about/policies/. Accessed 28 Feb 2023.

  7. Council on Ethical and Judicial Affairs. American Medical Association. Code of medical Ethics; 2016. https://www.ama-assn.org/about-us/code-medical-ethics. Accessed 28 Feb 2023.

  8. American Psychiatric Association. The principles of medical ethics with annotations especially applicable to psychiatry; 2013. https://www.psychiatry.org/FileLibrary/Psychiatrists/Practice/Ethics/principles-medical-ethics.pdf. Accessed 28 Feb 2023.

  9. American Academy of Psychiatry and the Law. Ethics guidelines; 2005. http://www.aapl.org/ethics.htm. Accessed 28 Feb 2023.

  10. Supreme Judicial Court of Massachusetts. Sugarman vs. Board of Registration in Medicine, 422 Mass. 338; 1996. http://masscases.com/cases/sjc/422/422mass338.html. Accessed 28 Feb 2023.

  11. Edelstein L. The Hippocratic oath: text; translation, and interpretation. In: Cross cultural perspectives in medical ethics. 2nd ed. Baltimore: The Johns Hopkins; 1943. p. 3.

    Google Scholar 

  12. Beauchamp TL, Childress JF. Principles of biomedical ethics. New York, NY: Oxford University Press; 2013. p. 101–301.

    Google Scholar 

  13. American Psychiatric Association. APA Commentary on Ethics in Practice; 2021. https://www.psychiatry.org/FileLibrary/Psychiatrists/Practice/Ethics/APA-Commentary-on-Ethics-in-Practice.pdf. Accessed 28 Feb 2023.

  14. Appelbaum PS, Jorgenson L. Psychotherapist-patient sexual contact after termination of treatment: an analysis and a proposal. Am J Psychiatry. 1991;148:1466–73.

    Article  CAS  PubMed  Google Scholar 

  15. Szasz T. Involuntary mental hospitalization: a crime against humanity. In: Biomedical ethics and the law. Boston, MA: Springer; 1976. p. 151–71.

    Chapter  Google Scholar 

  16. Trachsel M, Sedlakova J. Ethics of telepsychiatry versus face-to-face treatment: let the patients make their autonomous choice. J Med Ethics. 2022;48(1):32–3.

    Article  PubMed  Google Scholar 

  17. McLoughlin A. The Goldwater rule: a bastion of a bygone era? Hist Psychiatry. 2022;33(1):87–94.

    Article  PubMed  Google Scholar 

  18. Timmerbeil S. The role of expert witnesses in German and U.S. civil litigation. Annu Surv Int Comp Law. 2003;9:163. Article 8.

    Google Scholar 

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Correspondence to Karsten M. Heil .

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Heil, K.M., Dike, C. (2024). Ethics. In: Wasser, T., Zhong, R. (eds) Psychiatry and the Law. Springer, Cham. https://doi.org/10.1007/978-3-031-52589-6_10

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  • DOI: https://doi.org/10.1007/978-3-031-52589-6_10

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-52588-9

  • Online ISBN: 978-3-031-52589-6

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