1.3.8 Ethics and philosophy in psychiatry

Ethics in Psychiatry

Ethical practice in psychiatry is influenced by the concept of bioethical philosophy for good ethical skills and growing evidence. There are several ethical concepts within psychiatry which include respect, fidelity, non-maleficence, confidentiality, and justice and equality (Schwab, 2013). These ethical principles are needed to be maintained by psychiatrists and clinicians to avoid ethical conflicts with mental health patients and families.

Ethics in psychiatry involves the application of ethical principles and values to the practice of psychiatry, including the delivery of mental health care, the use of psychiatric treatments, and the conduct of research in the field of psychiatry. The goal of ethics in psychiatry is to promote respect for the dignity and autonomy of individuals, to ensure that treatments are safe and effective, and to prevent harm.

Some of the key ethical issues in psychiatry include informed consent, confidentiality, involuntary treatment, use of restraints, use of electroconvulsive therapy, and the use of psychotropic medications. For example, informed consent involves ensuring that individuals are fully informed about the risks and benefits of treatment and are able to make informed decisions about their care. Confidentiality involves protecting the privacy and confidentiality of individuals’ mental health information.

Ethical principles and laws:

Ethics in medicine is based on several key principles that guide the practice of medicine and ensure that patients are treated with dignity and respect. Some of the most commonly recognized ethical principles in medicine include:

International laws around ethics in medicine and science include the Nuremberg Code, which was developed after World War II to establish ethical guidelines for medical research, and the Declaration of Helsinki, which is a set of ethical guidelines for medical research involving human subjects. These laws and guidelines help to ensure that medical research is conducted in an ethical manner, with the goal of promoting the well-being of individuals and society.

The World Medical Association has developed the International Code of Medical Ethics, which provides guidance for medical professionals on ethical issues in the practice of medicine. This code outlines the ethical principles that medical professionals should follow, including respect for patient autonomy, confidentiality, and informed consent, and it provides guidance on how to address ethical dilemmas that may arise in the course of medical practice.

Philosophy in Psychiatry

Philosophy has a long-standing relationship with psychiatry and has had a significant impact on the development of the field. Philosophy provides a framework for exploring fundamental questions about the nature of the mental illness, the goals of treatment, and the ethical implications of psychiatric practices.

One of the key areas where philosophy has influenced psychiatry is in the understanding of the nature of the mental illness. Philosophers have explored questions such as whether mental illness is a biological or psychological phenomenon, whether mental disorders are real illnesses, and whether they are best understood as diseases or as social constructions.

Philosophy has also played an important role in shaping the goals and objectives of psychiatric treatment. For example, some philosophers have emphasized the importance of preserving the autonomy and dignity of individuals, while others have emphasized the goal of relieving suffering and restoring function.

In addition to these fundamental questions, philosophy has also had a significant impact on the ethics of psychiatric practices. For example, philosophers have explored questions related to the use of involuntary treatment, the use of restraints, the use of psychotropic medications, and the role of the psychiatrist in society.

The integration of philosophy and psychiatry continues to be an important area of research and study. By exploring the philosophical foundations of psychiatry, we can gain a deeper understanding of the nature of mental illness and the goals and principles that guide psychiatric practice. This can help us to develop better treatments and to promote the well-being of individuals affected by mental illness.

References:

(1) Schwab, J. (2013). Sociocultural roots of mental illness: An epidemiologic survey. Springer Science & Business Media.