Citation

Howe E. Innov. Clin. Neurosci. 2014; 11(1-2): 32-38.

Copyright

(Copyright © 2014, Matrix Medical Communications)

DOI

unavailable

PMID

unavailable

Abstract

This article explores several contexts in which psychiatrists may face having to decide whether to make exceptions to rules or guidelines when treating their patients. Contexts discussed include paternalistically going against a patient's autonomy, violating professional psychiatric standards of care, and clashing with some kind of institutional policy. The author contends that standard guidelines cannot possibly apply optimally to all patients, and thus there will be times when exceptions to these guidelines must be made by the psychiatrist. In addition to discussing the ethical considerations, the author offers some suggestions when faced with certain conflicting situations.

Language: en

Keywords

adult; human; suicide; female; male; Ethics; professional practice; psychotherapy; psychiatry; depression; Coercion; medical ethics; Paternalism; article; psychiatrist; patient care; practice guideline; doctor patient relation; hospital discharge; professional standard; persuasive communication; marital therapy; Autonomy; contract; cultural sensitivity; patient autonomy; hospital policy; Advocacy; Anti-suicide contracts; Couple therapy; Discharging; Exceptions; Families; gift giving; Gifts; Intimacy; Persuasion; Psychiatric treatment; Standards of care