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Practical Ethics for Practicing Clinicians

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Textbook of Community Psychiatry

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Abstract

Working with a formal, multidisciplinary medical ethics consultation program with subject matter expertise in community psychiatry can be tremendously rewarding. However, working in such a team is a relatively rare occurrence and thus should not be a barrier to resolving the complex ethical quandaries that frontline professionals encounter routinely. This chapter is intended to help practitioners stay within the bounds of ethics when possible and to both thoughtfully and effectively navigate the frontiers when necessary. It provides a grounding in fundamental precepts in medical ethics, guidance for resolving novel problems, and solace for the clinician facing unsolvable situations.

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References

  • Agich, G. J. (2001). The Question of Method in Ethics Consultation. The American Journal of Bioethics, 1(4), 31–41. https://doi.org/10.1162/152651601317139360

    Article  Google Scholar 

  • Appelbaum, P. S. (2017). Reflections on the Goldwater Rule. The Journal of the American Academy of Psychiatry and the Law, 45(2), 228–232.

    PubMed  Google Scholar 

  • Beauchamp, T. L., & Childress, J. F. (2019). Principles of Biomedical Ethics (8 edition). Oxford University Press.

    Google Scholar 

  • Charlesworth, M. J. (1993). Bioethics in a liberal society. Cambridge University Press.

    Book  Google Scholar 

  • Cialdini, R. B. (2009). Influence: Science and practice (5th ed). Pearson Education.

    Google Scholar 

  • Clausen, J. A. (2014). Making the Case for a Model Mental Health Advance Directive Statute. Yale J. Health Pol’y L. & Ethics, 14, 1.

    Google Scholar 

  • Crenshaw, K. (1989). Demarginalizing the Intersection of Race and Sex: A Black Feminist Critique of Antidiscrimination Doctrine, Feminist Theory and Antiracist Politics. University of Chicago Legal Forum, 1989(1), Article 8.

    Google Scholar 

  • Fisher, R., Ury, W., & Patton, B. (2011). Getting to yes: Negotiating agreement without giving in (3rd ed., rev. ed). Penguin.

    Google Scholar 

  • Griffith, E. E. H. (2007). Personal Narrative and an African American Perspective on Medical Ethics. In L. Prograis & E. D. Pellegrino (Eds.), African American bioethics: Culture, race, and identity (pp. 105–125). Georgetown University Press.

    Google Scholar 

  • Henderson, C., Swanson, J. W., Szmukler, G., Thornicroft, G., & Zinkler, M. (2008). A Typology of Advance Statements in Mental Health Care. Psychiatric Services, 59(1), 63–71. https://doi.org/10.1176/ps.2008.59.1.63

    Article  Google Scholar 

  • In re B, 394 A. 2d 419 (Supreme Court 1978).

    Google Scholar 

  • Jecker, N. S. (2001). Uncovering Cultural Bias in Ethics Consultation. American Journal of Bioethics, 1(4), 49–50.

    Article  Google Scholar 

  • Kahneman, D. (2013). Thinking, fast and slow. Farrar, Straus and Giroux.

    Google Scholar 

  • Louw, B. (2016). Cultural competence and ethical decision making for health care professionals. Humanities and Social Sciences, 4(2–1), 41–52.

    Article  Google Scholar 

  • Martin, N. (2001). Feminist Bioethics and Psychiatry. Journal of Medicine and Philosophy, 26(4), 431–441. https://doi.org/10.1076/jmep.26.4.431.3008

    Article  Google Scholar 

  • Mitchell, G. (1994). The dignity of risk and the right to failure: One profile of patient-focused care. Perspectives (Gerontological Nursing Association Canada), 18(3), 10.

    Google Scholar 

  • Mulvey, E. P., Geller, J. L., & Roth, L. H. (1987). The promise and peril of involuntary outpatient commitment. American Psychologist, 42(6), 571–584. https://doi.org/10.1037/0003-066X.42.6.571

    Article  Google Scholar 

  • Oexle, N., & Corrigan, P. W. (2018). Understanding Mental Illness Stigma Toward Persons With Multiple Stigmatized Conditions: Implications of Intersectionality Theory. Psychiatric Services, 69(5), 587–589. https://doi.org/10.1176/appi.ps.201700312

    Article  Google Scholar 

  • Prigatano, G. P. (2009). Anosognosia: Clinical and ethical considerations. Current Opinion in Neurology, 22(6), 606–611. https://doi.org/10.1097/WCO.0b013e328332a1e7

    Article  Google Scholar 

  • Richmond, J. S., Berlin, J. S., Fishkind, A. B., Holloman, G. H., Zeller, S. L., Wilson, M. P., Rifai, M. A., & Ng, A. T. (2012). Verbal De-escalation of the Agitated Patient: Consensus Statement of the American Association for Emergency Psychiatry Project BETA De-escalation Workgroup. Western Journal of Emergency Medicine, 13(1), 17–25. https://doi.org/10.5811/westjem.2011.9.6864

    Article  Google Scholar 

  • Rozel, J. S. (2020). Identifying and Understanding Legal Aspects of Emergency Psychiatry Unique to Different Jurisdictions. In M. J. Fitz-Gerald & J. Takeshita (Eds.), Models of Emergency Psychiatric Services That Work (pp. 165–175). Springer International Publishing. https://doi.org/10.1007/978-3-030-50808-1_16

    Chapter  Google Scholar 

  • Rozel, J. S., & Zacharia, M. (2021). Risk Management in Behavioral Emergencies: Liabilities, Duties and EMTALA [Chapter]. In L. S. Zun, M. P. Wilson, & K. Nordstrom (Eds.), Behavioral Emergencies for Healthcare Providers. Springer.

    Google Scholar 

  • Segal, S. P. (2017). Assessment of outpatient commitment in randomised trials. The Lancet Psychiatry, 4(12), e26–e28. https://doi.org/10.1016/S2215-0366(17)30286-9

    Article  Google Scholar 

  • Shea, M. (2020). Forty Years of the Four Principles: Enduring Themes from Beauchamp and Childress. The Journal of Medicine and Philosophy: A Forum for Bioethics and Philosophy of Medicine, 45(4–5), 387–395. https://doi.org/10.1093/jmp/jhaa020

    Article  Google Scholar 

  • Simon, R. I., & Shuman, D. W. (2009). Therapeutic Risk Management of Clinical-Legal Dilemmas: Should It Be a Core Competency? Journal of the American Academy of Psychiatry and the Law Online, 37(2), 155–161.

    Google Scholar 

  • Srebnik, D. S., & Fond, J. Q. L. (1999). Advance Directives for Mental Health Treatment. Psychiatric Services, 50(7), 919–925. https://doi.org/10.1176/ps.50.7.919

    Article  Google Scholar 

  • Staats, B. R., & Upton, D. M. (2011). Lean Knowledge Work. Harvard Business Review, 89(10), 100–110.

    Google Scholar 

  • Sukhera, J., Watling, C. J., & Gonzalez, C. M. (2020). Implicit Bias in Health Professions: From Recognition to Transformation. Academic Medicine, 95(5), 717–723. https://doi.org/10.1097/ACM.0000000000003173

    Article  Google Scholar 

  • The Principles of Medical Ethics with Annotations Especially Applicable to Psychiatry. (2013). American Psychiatric Association.

    Google Scholar 

  • Thornicroft, G., Farrelly, S., Birchwood, M., Marshall, M., Szmukler, G., Waheed, W., Byford, S., Dunn, G., Henderson, C., Lester, H., Leese, M., Rose, D., & Sutherby, K. (2010). CRIMSON [CRisis plan IMpact: Subjective and Objective coercion and eNgagement] protocol: a randomised controlled trial of joint crisis plans to reduce compulsory treatment of people with psychosis. Trials, 11, 102. https://doi.org/10.1186/1745-6215-11-102

    Article  Google Scholar 

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Author information

Authors and Affiliations

  1. University of Pittsburgh, Pittsburgh, PA, USA

    John S. Rozel & Darcy M. Moschenross

  2. Resolve Crisis Services of UPMC Western Psychiatric Hospital, Pittsburgh, PA, USA

    John S. Rozel

  3. Psychiatric Consult Liaison Service, UPMC Western Psychiatric Hospital, Pittsburgh, PA, USA

    Darcy M. Moschenross

Authors
  1. John S. Rozel
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  2. Darcy M. Moschenross
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Corresponding author

Correspondence to John S. Rozel .

Editor information

Editors and Affiliations

  1. Clinical Professor of Psychiatry, University of Pittsburgh Medical Center, Pittsburgh, PA, USA

    Wesley E. Sowers

  2. Clinical Professor of Psychiatry, New York University Grossman School of Medicine | NYU Langone Health, New York, NY, USA

    Hunter L. McQuistion

  3. Clinical Professor of Psychiatry, Columbia University, Vagelos College of Physicians and Surgeons, New York, NY, USA

    Jules M. Ranz

  4. Professor Emerita of Psychiatry, Department of Psychiatry and Behavioral Neurobiology, University of Alabama at Birmingham, Birmingham, AL, USA

    Jacqueline Maus Feldman

  5. Vice Chair/Professor, Department of Psychiatry, Case Western Reserve School of Medicine, Ohio, OH, USA

    Patrick S. Runnels

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Rozel, J.S., Moschenross, D.M. (2022). Practical Ethics for Practicing Clinicians. In: Sowers, W.E., McQuistion, H.L., Ranz, J.M., Feldman, J.M., Runnels, P.S. (eds) Textbook of Community Psychiatry. Springer, Cham. https://doi.org/10.1007/978-3-031-10239-4_58

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