Filaković Pavo, Pozgain Ivan
Klinika za psihijatriju, Medicinskog fakulteta Sveucilista Josipa Jurja Strossmayera u Osijeku, Klinicka bolnica Osije.k
Lijec Vjesn. 2008 Jan-Feb;130(1-2):26-30.
Ethics in the contemporary psychiatry, as well as in medicine in general, is based on the two core ethical traditions: deontological and theological. Good ethical decision takes into the consideration both traditions, and is preceded with ethical dilemmas to provide the best possible care to the patients in that moment. In the article are presented most recent research results of the literature about ethical dilemmas in psychiatry. Ethical dilemmas in everyday practice as well as compliance with the patients, psychiatric consultations, informed consent, treatment of personality disorders, pharmacological investigations, forensic psychiatry, forced hospitalisation, promotion of mental health, and dealing with the stigma of the mental diseases are showed in the article. The authors emphasize the necessity of constant questioning of ethical dilemmas in the contemporary psychiatry, because of the special status of psychiatry as a potentially risky field in practice, and because of intensive pharmacological investigations in psychiatric patients.
道义论和神学论。良好的伦理决策会兼顾这两种传统,并且在做出决策之前会面临伦理困境,以便在当时为患者提供尽可能好的护理。本文介绍了有关精神病学伦理困境的最新文献研究结果。文章展示了日常实践中的伦理困境以及患者依从性、精神科会诊、知情同意、人格障碍治疗、药物研究、法医精神病学、强制住院、促进心理健康以及应对精神疾病污名化等方面的情况。作者强调,鉴于精神病学在实践中作为一个潜在风险领域的特殊地位,以及对精神病患者进行的密集药物研究,在当代精神病学中不断审视伦理困境是必要的。