Hurly-burly of psychiatric ethics

Authors: Hughes, Julian C.; Fulford, K.W.M. (Bill)

Source: Australian and New Zealand Journal of Psychiatry, Volume 39, Numbers 11-12, November 2005 , pp. 1001-1007(7)

Publisher: Wiley-Blackwell

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Abstract:

This is the introductory paper to the special issue on ethics in psychiatry. We introduce the other papers that follow and set them in a context. Inevitably, they represent only a thin slice of the work going on in psychiatric ethics. But they serve to show two unique features of this discipline. First, it has a tendency to dig deep and to make connections with other philosophical concepts. So, for example, in a number of ways the papers that follow touch on the nature of personhood. We examine this notion. Second, psychiatric ethics, because of its content and its embededness in the real world, tends to hit upon diverse and sometimes conflicting values. We introduce the idea of values-based medicine, which provides both a theoretical framework and a practical approach to the common dilemmas of psychiatric practice. The need to think deeply, but also clearly and coherently, combined with the need to engage with the hurly-burly of the world of patients, users and carers, suggests the reasons why psychiatric ethics offers a paradigm for practical ethics generally.

Australian and New Zealand Journal of Psychiatry 2005; 39:1001–1007

Keywords: ethics; narrative; personhood; philosophy; values

Document Type: Research article

DOI: http://dx.doi.org/10.1111/j.1440-1614.2005.01717.x

Publication date: 2005-11-01