Ethics in Psychiatry

Preface Introduction (Helmchen/Sartorius) Part I The Context 1 Societal framework of psychiatry (Helmchen/Sartorius) 2 Stigmatisation of people with mental illness and of psychiatric institutions(Mehta/Thornicroft) 3 Economical framework of psychiatric care (van der Feltz-Cornelis) 4 Conflicts of interest (Fava) 5 Between legislation and bioethics: The European Convention on Human Rights and Biomedicine (Callard) 6 Ethics committees for clinical research: the West-European paradigm (Doppelfeld) 7 Clinical ethics committees and ethics consultation in psychiatry (Vollmann) Part II Principles of ethics in psychiatry 8 Ethical principles in psychiatry: the Declarations of Hawaii and Madrid (Steenfeldt-Foss) 9 Informed consent in psychiatric practice (Helmchen) 10 Advance directives: balancing patient's self-determination with professional paternalism (Sass/May) 11 Confidentiality (McClelland) 12 Justice in access to and distribution of resources in psychiatry and mental health care (ter Meulen) Part III The applications of the ethical principles in psychiatric practice and research 13 Ethics of diagnosis and classification in psychiatry (Lopez-Ibor/Lopez-Ibor/Helmchen) 14 Competence assessment (Maeck/Stoppe) 15 General overview of ethical issues in psychiatric treatment (Helmchen) 16 Prevention and early treatment (Klosterkoetter/Schultze-Lutter) 17 Ethical implications of psychopharmacotherapy (Helmchen) 18 Ethical problems in psychotherapy (Ruger/Reimer) 19 Neuromodulation - ECT, rTMS, DBS (Synofzik/Schlapfer) 20 'Coercive' measures (Szmukler) 21 Ethics of deinstitutionalisation (Claassen/Priebe) 22 Ethical issues in forensic and prison psychiatry (Konrad/Vollm) 23 Treatment of substance dependence (Uchtenhagen) 24 Dementia and end-of-life decisions: ethical issues - a perspective from the Netherlands (Berghmans) 25 Ethics of research with decisionally impaired patients (Maio) 26 Ethical concerns in carrying surveys of psychiatric morbidity (Meltzer/Brugha) 27 Genetics - ethical implications of research, diagnostics and counseling (Propping) Part IV Non-medical uses of psychiatry 28 Political abuse of psychiatry. Preliminary remark (the editors). 29 Abuse of psychiatry for political purposes in the USSR: a case-study and personal account of the efforts to bring them to an end (Van Voren) 30 (Neuro-)Enhancement (Schone-Seifert/Talbot) Part V Teaching ethics in psychiatry 31 Teaching ethics in psychiatry (Bowman) Part VI Conclusions and summary 32 Summary and conclusions (Sartorius/Helmchen) Authors Reviewers Name Index Subject Index