Robertson Michael, Ryan Christopher, Walter Garry
Royal Prince Alfred Hospital and Sydney South West Area Health Service (Eastern Sector), Sydney, NSW, Australia.
Australas Psychiatry. 2007 Aug;15(4):281-6. doi: 10.1080/10398560701390231.
The aim of this paper is to consider the application of principle-based medical ethics to psychiatry.
Principles-based medical ethics is a useful tool for resolving ethical dilemmas in psychiatry in that clinical aspects of ethical dilemmas can be better articulated then in other methods . The ethical dilemmas unique to psychiatry, such as those related to impairment of autonomy, present a challenge to the method. After considering a case example, we conclude that psychiatrists can best utilise a principles based approach to ethical dilemmas when they combine this with a level of critical reflection in the light of other ethical theories, such as virtue ethics, as well as close consideration of the clinical and social context of the ethical dilemma.
本文旨在探讨基于原则的医学伦理学在精神病学中的应用。
基于原则的医学伦理学是解决精神病学伦理困境的有用工具，因为与其他方法相比，伦理困境的临床方面能够得到更好的阐述。精神病学特有的伦理困境，如与自主性受损相关的困境，对该方法构成了挑战。在考虑一个案例后，我们得出结论，精神科医生在将基于原则的方法应用于伦理困境时，若能结合对其他伦理理论（如美德伦理学）的批判性思考，并密切考虑伦理困境的临床和社会背景，就能最好地利用这一方法。
