Making a situational diagnosis: Psychiatrists at the interface of psychiatry and ethics in the consultation-liaison setting Journal Article
| Author: | Lederberg, M. S. |
| Article Title: | Making a situational diagnosis: Psychiatrists at the interface of psychiatry and ethics in the consultation-liaison setting |
| Abstract: | Psychiatrists bring a unique understanding to clinical ethics, but psychiatrists need a precise awareness of the difference between exercising their clinical expertise and facilitating ethical decisionmaking. The author outlines a schema for recognizing and honoring that distinction and illustrates 'pseudoethics,' 'pseudopsychiatry,' and 'psychiatry/ethics' consultations. The author describes how to make a 'situational diagnosis' that includes patient/family issues, staff issues, joint issues, legal/regulatory issues, and ethical issues, thus enabling the psychiatrist to institute an appropriate 'hierarchy of interventions': educational, psychological, and ethical. The literature on ethics education for psychiatric practitioners is reviewed and a program is suggested. |
| Keywords: | adult; middle aged; case report; conference paper; clinical practice; medical decision making; delirium; patient compliance; cognition; mental disorders; psychiatry; referral and consultation; emotion; stress; medical ethics; family; bioethics; competence; ethics, medical; psychosomatic disorder; ethics consultation; humans; human; male; female; psychiatrist; ethics, clinical; bioethics and professional ethics; mental health therapies; ethicists |
| Journal Title: | Psychosomatics |
| Volume: | 38 |
| Issue: | 4 |
| ISSN: | 0033-3182 |
| Publisher: | Elsevier Science, Inc. |
| Date Published: | 1997-07-01 |
| Start Page: | 327 |
| End Page: | 338 |
| Language: | English |
| PUBMED: | 9217403 |
| PROVIDER: | scopus |
| DOI: | 10.1016/S0033-3182(97)71440-3 |
| DOI/URL: | |
| Notes: | Conference Paper -- Export Date: 17 March 2017 -- Source: Scopus |
