ETHICS IN PSYCHIATRY Dr. Tuti Wahmurti AS, dr , SpKJ. REFERENCES Lubit RH, Ladds B, Eth S. Ethics in Psychiatry. In : Sadock B J & Sadock V editors, Kaplan & Sadocks Comprehe nsive Text book of Psychiatry 9 th ed, Lippincot Williams & Wilkins. Philadelphia, 2005 : 3988 – 97.
Lubit RH, Ladds B, Eth S. Ethics in Psychiatry. In : Sadock B J & Sadock V editors, Kaplan & Sadocks Comprehe nsive Text book of Psychiatry 9thed, Lippincot Williams & Wilkins. Philadelphia, 2005 : 3988 – 97
2. Sadock BJ, Sadock VA. Synopsis of Psychiatry Behavioral Sciences / Clinical Psychiatry 10th ed. Lippincot Williams & Wilkins, Philadelphia, 2007: 1365 – 1373.
Tension between what one wants to do and what is ethically right to do.
Help physician avoid ethical conflicts.
Reflect a consensus about the general standards of appropriate professional conduct.
Four ethical principles that physician ought to weigh in their work :
The concept of justice concerns the issues of reward and punishment and the equitable distribution of social benefits
A physician shall be dedicated to providing competent medical service with compassion and respect for human dignity
A physician should not be a party to any type of policy that excludes, segregates, or demeans the dignity of any patient because of ethnic origin, race, sex, creed, age, socioeconomic status, or sexual orientation.
A physician shall deal honestly with patient and colleagues :
e.g drug abuser
4.1. Psychiatrist’s records, including even the identification of person as a patient, must be protected with extreme care. Confidentiality is essential to psychiatric treatment.
A physician shall respect the rights of patients, of colleagues, and other health professionals, and shall safeguard patient’s confidences within the constraints of the law.
4.2. A physician may release confidential information only with the authorization of the patient or under proper legal compulsion.
For a patient’s consent to be informed, 3 essential elements must be satisfied : competency, information, and voluntary.
Diagnosis – description of the condition or problem.
Treatment – nature and purpose of proposed treatment.
Consequences – risk and benefits of the proposed treatment.
Alternative – viable alternatives to the proposed treatment, including risks and benefits
Prognosis – projected outcome with and without treatment.
A physician shall continue to study, apply, and advance scientific knowledge, make relevant information available to patients, colleagues, and the public, obtain consultation, and use the talents of other health professionals when indicated.
The doctor – patient relationship is a vital factor in effective treatment of the patient that preservation of optimal conditions for development of a sound working relationship between the doctors and their patient should take precedence over all other considerations.
There was a time when doctors decided that was best for a patient and informed the patient what the course of treatment would be
A physician shall recognize a responsibility to participate in activities contributing to an improved community
( Medical Ethics )
Code of Medical Ethics
Basic Ethical Principles
The principle of Ethics Especially
Applicable to Psychiatry