Patil Nanasaheb M, Nayak Raghavendra B, Bhogale Govind S, Chate Sameeran S
Department of Psychiatry, KLE University's Jawaharlal Nehru Medical College, Belgaum, Karnataka, India.
Indian J Psychol Med. 2011 Jul;33(2):149-52. doi: 10.4103/0253-7176.92066.
A practicing psychiatrist faces dilemmas on a number of occasions, in deciding the best course of action he/she needs to undertake while treating a patient. At times, this choice may not be in accordance with the ethical and moral principles and may in fact appear to violate patient's autonomy and rights.
To study the nature of psychiatric practice by the practicing psychiatrist in the areas of admission, discharge, consent, physical restraint, electroconvulsive therapy (ECT), certification, treatment, suicide and psychotherapy.
Cross-sectional observational study.
Forty-eight psychiatrists gave consent to participate in the study. A special proforma was prepared, which addresses the common dilemmas in the clinical psychiatric practice. All the psychiatrists were given specially designed profoma and were requested to fill the proforma with appropriate answers. Statistical analysis was done using SPSS software.
There were 42 male and 6 female psychiatrists. The age of the psychiatrists ranged from 28 to 65 years with a mean of 43.08 years. The mean duration of practice of these psychiatrists was 14.81±11.07 years. Question and answers related to admission, discharge, consent, physical restraint, ECT, certification, treatment, suicide and psychotherapy are discussed.
The present standard and practice especially in private psychiatric set-up does not confirm to the rules, recommendations, and regulations suggested by Mental Health Act 1987, Mental Health Authorities and various guidelines of practice. Indian Psychiatric Society and other professional bodies need to take steps to prepare guidelines for a good psychiatric practice.
执业精神科医生在治疗患者时，在决定采取何种最佳行动方案的许多情况下都会面临困境。有时，这种选择可能不符合伦理和道德原则，实际上可能似乎侵犯了患者的自主权和权利。
研究执业精神科医生在收治、出院、同意、身体约束、电休克治疗（ECT）、认证、治疗、自杀和心理治疗等领域的精神科实践性质。
横断面观察性研究。
48名精神科医生同意参与该研究。准备了一份特殊的表格，该表格涉及临床精神科实践中的常见困境。向所有精神科医生发放了专门设计的表格，并要求他们填写合适的答案。使用SPSS软件进行统计分析。
有42名男性精神科医生和6名女性精神科医生。精神科医生的年龄在28岁至65岁之间，平均年龄为43.08岁。这些精神科医生的平均执业年限为14.81±11.07年。讨论了与收治、出院、同意、身体约束、ECT、认证、治疗、自杀和心理治疗相关的问答。
目前的标准和实践，尤其是在私立精神科机构中，不符合1987年《精神健康法》、精神健康管理机构以及各种实践指南所建议的规则、建议和规定。印度精神科协会和其他专业机构需要采取措施制定良好精神科实践的指南。
