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  1. A narrative review of the active ingredients in psychotherapy delivered by conversational agents.Arthur Herbener, Michal Klincewicz & Malene Flensborg Damholdt A. Show More - forthcoming - Computers in Human Behavior Reports.
    The present narrative review seeks to unravel where we are now, and where we need to go to delineate the active ingredients in psychotherapy delivered by conversational agents (e.g., chatbots). While psychotherapy delivered by conversational agents has shown promising effectiveness for depression, anxiety, and psychological distress across several randomized controlled trials, little emphasis has been placed on the therapeutic processes in these interventions. The theoretical framework of this narrative review is grounded in prominent perspectives on the active ingredients in psychotherapy. (...)
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  2. Freud, S.Jim Hopkins - forthcoming - In E. Neukrug (ed.), Encyclopaedia of Theory in Counselling and Psychotherapy. Sage Publications.
    Brief description of Freud's life and work, emphasising the role of fictive belief and experience (phantasy) in his account of mental disorder.
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  3. Essay Review: The Historiography of the History of Psychiatry.Dr Jerome Kroll - forthcoming - Philosophy, Psychiatry, and Psychology 2 (3):267-275.
  4. Psychiatry's repressed past and its relevance for philosophy.Helge Malmgren - forthcoming - Philosophy, Ethics and Humanities in Medicine.
  5. Commentary on "Suicide, Euthanasia, and the Psychiatrist".Kelleher Michael J. - forthcoming - Philosophy, Psychiatry, and Psychology 5 (2):145-149.
  6. The Medical Ethics of Psychiatric Restraint in Emergency Medicine.William Monti - forthcoming - Tabula Rasa.
    An emergency room is not a place of calm. An unremitting cacophony of monitors chirp and an orchestra of howling, coughing, and emesis fills the air, to which swirling physicians serve as its conductor. Amidst this storm can reside a hurricane: the 'psych patient.' Conventional moral judgments and preeminent theories of morality hinge on tangential alternatives and options. Thus, moral condemnations are calls for alternative action. However, as this piece argues, the restraint of patients in psychiatric emergencies are situations of (...)
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  7. Deep brain stimulation and revising the Mental Health Act: the case for intervention-specific safeguards.Jonathan Pugh, Tipu Aziz, Jonathan Herring & Julian Savulescu - forthcoming - British Journal of Psychiatry.
    Under the current Mental Health Act of England and Wales, it is lawful to perform deep brain stimulation in the absence of consent and independent approval. We argue against the Care Quality Commission's preferred strategy of addressing this problematic issue, and offer recommendations for deep brain stimulation-specific provisions in a revised Mental Health Act.
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  8. The Moral Obligation to Prioritize Research Into Deep Brain Stimulation Over Brain Lesioning Procedures for Severe Enduring Anorexia Nervosa.Jonathan Pugh, Jacinta Tan, Tipu Aziz & Rebecca J. Park - forthcoming - Frontiers in Psychiatry 9:523.
    Deep Brain Stimulation is currently being investigated as an experimental treatment for patients suffering from treatment-refractory AN, with an increasing number of case reports and small-scale trials published. Although still at an exploratory and experimental stage, initial results have been promising. Despite the risks associated with an invasive neurosurgical procedure and the long-term implantation of a foreign body, DBS has a number of advantageous features for patients with SE-AN. Stimulation can be fine-tuned to the specific needs of the particular patient, (...)
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  9. Can being told you ’re ill make you ill? A discussion of psychiatry, religion, and out of the ordinary experiences.‘.Anastasia Philippa Scrutton - forthcoming - Think.
  10. Do Suicide Attempters Have a Right Not to Be Stabilized in an Emergency?Aleksy Tarasenko-Struc - forthcoming - Hastings Center Report.
    The standard of care in the United States favors stabilizing any adult who arrives in an emergency department after a failed suicide attempt, even if he appears decisionally capacitated and refuses life-sustaining treatment. I challenge this ubiquitous practice. Emergency clinicians generally have a moral obligation to err on the side of stabilizing even suicide attempters who refuse such interventions. This obligation reflects the fact that it is typically infeasible to determine these patients’ level of decisional capacitation—among other relevant information—in this (...)
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  11. The Lived Realities of Chemical Restraint: Prioritizing Patient Experience.Ryan Dougherty, Joanna Smolenski & Jared N. Smith - 2024 - American Journal of Bioethics Neuroscience 15 (1):29-31.
    In The Conditions for Ethical Chemical Restraint, Crutchfield and Redinger (2024) propose ethical standards for the use of chemical restraints, which they consider normatively distinct from physica...
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  12. On the Proper Epistemology of the Mental for Psychiatry: What’s the Point of Understanding and Explaining?Joe Gough - 2023 - British Journal for the Philosophy of Science 74 (4):975-998.
    The distinction between explanation and understanding was foundational to Jaspers’ ‘phenomenological’ approach to psychiatry. It makes sense that those now calling for a phenomenological approach to psychiatry would look to Jaspers for inspiration, and that in doing so, they would take up this distinction. However, I argue that it is and was a mistake to use the distinction in work on psychiatry: adhering to the distinction now would undermine, rather than support, the goals of those advocating a phenomenological approach to (...)
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  13. Autonomy as an Ideal for Neuro-Atypical Agency: Lessons from Bipolar Disorder.Elliot Porter - 2023 - Dissertation, University of Kent
    There is a strong presumption that mental disorder injures a person's autonomy, understood as a set of capacities and as an ideal condition of agency which is worth striving for. However, recent multidimensional approaches to autonomy have revealed a greater diversity in ways of being autonomous than has previously been appreciated. This presumption, then, risks wrongly dismissing variant, neuro-atypical sorts of autonomy as non-autonomy. This is both an epistemic error, which impairs our understanding of autonomy as a phenomenon, and a (...)
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  14. Mental Illness, Lack of Autonomy, and Physician-Assisted Death.Jukka Varelius - 2023 - In Michael Cholbi & Jukka Varelius (eds.), New Directions in the Ethics of Assisted Suicide and Euthanasia. Springer Verlag. pp. 59-77.
    In this chapter, I consider the idea that physician-assisted death might come into question in the cases of psychiatric patients who are incapable of making autonomous choices about ending their lives. I maintain that the main arguments for physician-assisted death found in recent medical ethical literature support physician-assisted death in some of those cases. After assessing several possible criticisms of what I have argued, I conclude that the idea that physicianassisted death can be acceptable in some cases of psychiatric patients (...)
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  15. A Philosophical Psychotherapy: Logic-Based Therapy in the Treatment of Addicted Populations.Guy Pierre Du Plessis - 2022 - Presentation at the 4th International Conference on Philosophical Counseling and Practice, National Philosophical Counseling Association, 11-12 February 2022.
    In my presentation I argue for the utility of a philosophical counseling method, called logic-based therapy (LBT), in the treatment of addicted populations. In the context of addiction treatment LBT could be also classified as a philosophical psychotherapy. Philosophical psychotherapy can be understood as an umbrella term for interventions designed to treat mental health disorders, with theoretical foundations that are philosophical. Philosophical psychotherapy would be distinct from philosophical counseling, as the latter does not directly treat mental health disorders. I suggest (...)
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  16. Bipolar Disorder and Self-Determination: Predicating Self-Determination at Scope.Elliot Porter - 2022 - Philosophy, Psychiatry, and Psychology 29 (3):133-145.
    Abstract:Bipolar or related disorders (BoRD) present unique practical and existential problems for people who live with them. All agents experience changes in the things they care about over time. However people living with BoRD face drastic shifts in what seems valuable to them, which upset their longitudinal values (if, indeed, any stable longitudinal values are available in the first place). Navigating these evaluative high seas presents agents living with BoRD with a distinctive existential question, not shared by those on calmer (...)
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  17. Non-Consensuality Pathologised: Analysing Non-Consensuality as a Determiner for Paraphilic Disorders (2nd edition).Shirah Theron - 2022 - Stellenbosch Socratic Journal 2:1-11.
    The fifth text-revised iteration of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5-TR) defines paraphilia as “any intense and persistent sexual interest other than sexual interest in genital stimulation or preparatory fondling with phenotypically normal, physically mature, consenting human partners”. Paraphilic disorders specifically denote a paraphilia that is “currently causing distress or impairment to the individual or a paraphilia whose satisfaction has entailed personal harm, or risk of harm, to others”. A diagnosis of paraphilic disorder either demands the personal (...)
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  18. Nothing about Us without Us: Inclusion and IRB Review of Mental Health Research Protocols.Ian Tully - 2022 - Ethics and Human Research 44 (3):34-40.
    Research on mental health and illness presents a variety of unique ethical challenges. This article argues that institutional review boards (IRBs) can improve their reviews of such research by including the perspectives of individuals with the condition under study either as members of the IRB or as consultants thereto. Several reasons for including the perspectives of these individuals are advanced, with the discussion organized around a hypothetical case study involving the assessment of a novel talk-therapy modality. Having made this case, (...)
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  19. Self-treatment of psychosis and complex post-traumatic stress disorder with LSD and DMT—A retrospective case study.Mika Turkia - 2022 - Psychiatry Research Case Reports 1 (2):100029.
    This article describes a case of a teenager with early complex trauma due to chronic domestic violence. Cannabis use triggered auditory hallucinations, after which the teenager was diagnosed with an acute schizophrenia-like psychotic disorder. Antipsychotic medication did not fully resolve symptoms. Eventually the teenager chose to self-medicate with LSD in order to resolve a suicidal condition. The teenager carried out six unsupervised LSD sessions, followed by an extended period of almost daily use of inhaled low-dose DMT. Psychotic symptoms were mostly (...)
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  20. Expanding Diversity, Equity, and Inclusion to Disability: Opportunities for Biological Psychiatry.Perry Zurn, Joseph A. Stramondo, Joel Michael Reynolds & Danielle Bassett - 2022 - Biological Psychiatry: Cognitive Neuroscience and Neuroimaging 7 (12):1280-1288.
    Given its subject matter, biological psychiatry is uniquely poised to lead STEM DEI initiatives related to disability. Drawing on literatures in science, philosophy, psychiatry, and disability studies, we outline how that leadership might be undertaken. We first review existing opportunities for the advancement of DEI in biological psychiatry around axes of gender and race. We then explore the expansion of biological psychiatry’s DEI efforts to disability, especially along the lines of representation and access, community accountability, first person testimony, and revised (...)
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  21. Medicating Vulnerability Through State Psychiatry: An Ethnography of Client Manipulation in Involuntary Outpatient Commitment.Ryan Dougherty - 2021 - Dissertation, University of California, Los Angeles
    In mental health policy, a central ethical dilemma concerns involuntary outpatient commitment (OPC), which aims to treat vulnerable individuals with serious mental illness who decline services. The first concern regards whether coercive services undermine the quality of clinical interactions within treatment, particularly as it relates to psychiatric medication use. The second concern is the unexamined role that OPC, and coercive psychiatric programs more broadly, play in the broader landscape of social welfare policy. To examine these concerns, the purpose of this (...)
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  22. Prevalence of Potentially Morally Injurious Events in Operationally Deployed Canadian Armed Forces Members.Kevin T. Hansen, Charles G. Nelson & Ken Kirkwood - 2021 - Journal of Traumatic Stress 34:764-772.
    As moral injury is a still-emerging concept within the area of military mental health, prevalence estimates for moral injury and its precursor, potentially morally injurious events (PMIEs), remain unknown for many of the world’s militaries. The present study sought to estimate the prevalence of PMIEs in the Canadian Armed Forces (CAF), using data collected from CAF personnel deployed to Afghanistan, via logistic regressions controlling for relevant sociodemographic, military, and deployment characteristics. Analyses revealed that over 65% of CAF members reported exposure (...)
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  23. Why Even a Liberal Can Justify Limited Paternalistic Intervention in Anorexia Nervosa.Jennifer Hawkins - 2021 - Philosophy, Psychiatry, and Psychology 28 (2):155-158.
    Most adult persons with anorexia satisfy the existing criteria widely used to assess decision-making capacity, meaning that incapacity typically cannot be used to justify coercive intervention. After rejecting two other approaches to justification, Professor Radden concludes that it is most likely not possible to justify coercive medical intervention for persons with anorexia in liberal terms, though she leaves it open whether some other framework might succeed. I shall assume here that the standard approach to assessing decisionmaking capacity is adequate.1 The (...)
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  24. How to obtain informed consent for psychotherapy: a reply to criticism.Garson Leder - 2021 - Journal of Medical Ethics 47 (7):450-451.
    In ‘Psychotherapy, Placebos and Informed Consent’, I argued that the minimal standard for informed consent in psychotherapy requires that ‘patients understand that there is currently no consensus about the mechanisms of change in psychotherapy, and that the therapy on offer…is based on disputed theoretical foundations’, and that the dissemination of this information is compatible with the delivery of many theory-specific forms of psychotherapy (including cognitive behavioural therapy [CBT]). I also argued that the minimal requirements for informed consent do not include (...)
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  25. Informed Consent: Foundations and Applications.Joanna Smolenski - 2021 - Dissertation, Cuny Graduate Center
    Since its advent in the 20th century, informed consent has become a cornerstone of ethical healthcare, and obtaining it a core obligation in medical contexts. In my dissertation, I aim to examine the theoretical underpinnings of informed consent and identify what values it is taken to protect. I will suggest that the fundamental motivation behind informed consent rests in something I’ll call bodily self-sovereignty, which I argue involves a coupling of two groups of values: autonomy and non-domination on the one (...)
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  26. Centrifugal and Centripetal Thinking About the Biopsychosocial Model in Psychiatry.Kathryn Tabb - 2021 - European Journal of Analytic Philosophy 17 (2):(M3)5-28.
    The biopsychosocial model, which was deeply influential on psychiatry following its introduction by George L. Engel in 1977, has recently made a comeback. Derek Bolton and Grant Gillett have argued that Engel’s original formulation offered a promising general framework for thinking about health and disease, but that this promise requires new empirical and philosophical tools in order to be realized. In particular, Bolton and Gillett offer an original analysis of the ontological relations between Engel’s biological, social, and psychological levels of (...)
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  27. Mental Health Without Well-being.Sam Wren-Lewis & Anna Alexandrova - 2021 - Journal of Medicine and Philosophy 46 (6):684-703.
    What is it to be mentally healthy? In the ongoing movement to promote mental health, to reduce stigma, and to establish parity between mental and physical health, there is a clear enthusiasm about this concept and a recognition of its value in human life. However, it is often unclear what mental health means in all these efforts and whether there is a single concept underlying them. Sometimes, the initiatives for the sake of mental health are aimed just at reducing mental (...)
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  28. From Phenomenological Psychopathology to Neurodiversity and Mad Pride: Reflections on Prejudice.Anthony Vincent Fernandez - 2020 - Puncta 3 (2):19-22.
    Musing for Puncta special issue "Critically Sick: New Phenomenologies Of Illness, Madness, And Disability.".
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  29. Empathy and indifference: philosophical reflections on schizophrenia.Ignace Haaz - 2020 - Geneva, Switzerland: Globethics Publications.
    The professional application of ethics often lacks the necessary conceptual tools to construct adequate theoretical foundations that can be used for practical enterprise. This book focuses on an anthropological approach to mental illness, describing how schizophrenia can distort one's experience of empathy and of the presence in the world through pathological indifference. It describes factual and phenomenological perspectives on a case of schizophrenia, based on the method of Eugène Minkowski.
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  30. Clean Hands? Philosophical Lessons from Scrupulosity. Jesse S. Summers and Walter Sinnott‐Armstrong, 2019. New York, Oxford University Press. xii 202pp, $74. [REVIEW]Pei-hua Huang - 2020 - Journal of Applied Philosophy 37 (3):505-507.
  31. A desirable convulsive threshold. Some reflections about electroconvulsive therapy (ect).Emiliano Loria - 2020 - European Journal of Analytic Philosophy 16 (2):123-144.
    Long-standing psychiatric practice confirms the pervasive use of pharmacological therapies for treating severe mental disorders. In many circumstances, drugs constitute the best allies of psychotherapeutic interventions. A robust scientific literature is oriented on finding the best strategies to improve therapeutic efficacy through different modes and timing of combined interventions. Nevertheless, we are far from triumphal therapeutic success. Despite the advances made by neuropsychiatry, this medical discipline remains lacking in terms of diagnostic and prognostic capabilities when compared to other branches of (...)
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  32. Prologue: Eugenics and its Study.Robert A. Wilson - 2020 - In Frank Stahnisch & Erna Kurbegovic (eds.), Exploring the Relationship of Eugenics and Psychiatry: Canadian and Trans-Atlantic Perspectives 1905 – 1972. Athabasca University Press.
    This is the prologue to a collection of essays on eugenics and psychiatry.
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  33. Putting Minds Together: Commentary on the Interface of Ethics and Psychiatry.Gwen Adshead - 2019 - Philosophy, Psychiatry, and Psychology 26 (3):191-193.
    I am grateful to the editor for asking me to comment on this interesting article about interdisciplinary work between a philosopher and a psychiatrist, with which I found much to agree. As a medical student, I had no exposure to bioethical reasoning in medicine, and even now, I think it is the case that junior doctors in the UK have variable exposure to good quality ethical reasoning in clinical practice. I also agree that lectures are a poor way to learn (...)
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  34. Teaching, Learning, and "Doing": Ethics for the Clinic and the Future of Psychiatry.Rebecca Weintraub Brendel - 2019 - Philosophy, Psychiatry, and Psychology 26 (3):195-197.
    Just over a decade ago, I began teaching medical students in the required preclinical course ethics and professionalism. The point of the course was to introduce basic ethical and professional norms through a small number of large group sessions, but mostly small group tutorials of 10 or 12 students engaging in weekly sessions combining readings from the literature and case scenarios highlighting real-life ethical tensions they either had, or would most likely, encounter in the future. The students wrote perceptively and (...)
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  35. Principle and Practice in Psychiatric Ethics Consultation: An Opening for Interdisciplinary Dialogue.Paul Brodwin - 2019 - Philosophy, Psychiatry, and Psychology 26 (3):207-210.
    The essay by Potter and El-Mallakh proposes "on the ground" consultations in psychiatric ethics as a novel style of bioethics deliberation. The continual dialogue between a moral philosopher and clinician creates the opportunity for informal real-time ethical thinking as cases unfold, instead of formal ethics committee reviews and instead of the artificially simple scenarios found in much bioethics literature. The essay has important practical implications for ethics pedagogy during psychiatric training and in mental health settings more generally. It also has (...)
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  36. The Ethics of Coercion and Other Forms of Influence.Kelso Cratsley - 2019 - In R. Bluhm & S. Tekin (eds.), The Bloomsbury Companion to Philosophy of Psychiatry. Bloomsbury. pp. 283-304.
    Across the health sector there is increased recognition of the ethical significance of interventions that constrain or coerce. Much of the recent interest stems from debates in public health over the use of quarantines and active monitoring in response to epidemics, as well as the manipulation of information in the service of health promotion (or ‘nudges’). But perhaps the area in which these issues remain most pressing is mental health, where the spectre of involuntary treatment has always loomed large. Indeed, (...)
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  37. Mental Health as Public Health: Interdisciplinary Perspectives on the Ethics of Prevention.Kelso Cratsley & Jennifer Radden (eds.) - 2019 - San Diego, CA: Elsevier.
    In recent years there has been increased recognition of the global burden of mental disorders, which in turn has led to the expansion of preventive initiatives at the community and population levels. The application of such public health approaches to mental health raises a number of important ethical questions. The aim of this collection is to address these newly emerging issues, with special attention to the principle of prevention and the distinctive ethical challenges in mental health. The collection brings together (...)
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  38. Public Mental Health Ethics: An Overview.Kelso Cratsley & Jennifer Radden - 2019 - In Kelso Cratsley & Jennifer Radden (eds.), Mental Health as Public Health: Interdisciplinary Perspectives on the Ethics of Prevention. Elsevier.
    In this chapter we outline ethical issues raised by the application of public health approaches to the field of mental health. We first set out some of the basics of public health ethics that are particularly relevant to mental health, with special attention to the ongoing debate over the traditional presumption of non-infringement, increased recognition of the social determinants of health, and the concept of prevention. Then we turn to the moral particularities of mental health, focusing on questions concerning coercion (...)
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  39. Aims, Methods, and Resources for Ethics Training.Rif El-Mallakh & Nancy Nyquist Potter - 2019 - Philosophy, Psychiatry, and Psychology 26 (3):215-217.
    We are pleased with the thought-provoking discussion that our article has stimulated. All of the discussants agree that the state of education and infusion of ethical principles and practices into psychiatric decision making is currently suboptimal. The ethical questions raised by the discussants, writ large, have been analyzed, reduced to a seemingly manageable 'core,' or expanded to capture nuance and subtlety, and it is invaluable for clinicians, patients, and others to explore them together.In modern times, where the prevailing Western ethical (...)
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  40. The Importance of Learning Ethics for and from Psychiatrists: A Teacher–Trainee Reflection.Cynthia Geppert & Hammam Yahya - 2019 - Philosophy, Psychiatry, and Psychology 26 (3):199-201.
    It is our privilege to be invited to write a commentary on the "Interface of Ethics and Psychiatry: A Philosophical Case Consultation on Psychiatric Ethics on the Ground." The article presents an innovative collaboration between a philosopher and a psychiatrist reasoning together through the ethical aspects of three clinical cases. The case consultation also offers a unique opportunity to reflect on the teaching of psychiatric ethics in clinical settings. This commentary explores those areas of the article from the perspective of (...)
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  41. Anorexia Nervosa: A Case for Exceptionalism in Ethical Decision Making.Simona Giordano - 2019 - Philosophy, Psychiatry, and Psychology 26 (4):315-331.
    The principles that usually direct ethical decision making are not easily or straightforwardly applicable to the care and treatment of anorexia nervosa, particularly the care and treatment of severe and enduring anorexia nervosa, where the sufferer seems to be recalcitrant to treatment and where the condition has become life-threatening.There are exceptional circumstances that characterize this puzzling and still scarcely understood condition; I suggest that these exceptional circumstances provide moral reasons for partial derogation from the usual principles of ethical decision making.In (...)
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  42. Diagnostic Reasoning in Psychiatry: Acknowledging an Explicit Role for Intersubjective Knowing.Mona Gupta, Nancy Potter & Simon Goyer - 2019 - Philosophy, Psychiatry, and Psychology 26 (1):49-64.
    In most areas of medicine, the physician's primary task is to diagnose the patient's presenting problem by correctly identifying the underlying pathology causing that problem. Diagnoses are established through a process of correlating the information obtained from an interview with the patient about his history of illness and circumstances, with additional evidence of the underlying disease derived from physical examination findings and/or the results of laboratory investigations and diagnostic imaging. In contemporary health care, various movements that call for a shift (...)
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  43. Why Psychiatric Ethics and Social Science Should Be Friends.Omar Sultan Haque - 2019 - Philosophy, Psychiatry, and Psychology 26 (3):211-213.
    The on-the-ground case conference at the interface of philosophical ethics and clinical psychiatry is an innovative idea that advances pedagogy in presenting a creative approach to teaching and practicing psychiatric ethics. In the current exercise of the proposed partnership, there was a generally positive outcome. The philosopher and the psychiatrist learned from each other, were able to find norms that made their collaboration productive, and found that clinical care was enhanced. My commentary aims to help others replicate this model, and (...)
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  44. Understanding Self-Injury through Body Shame and Internalized Oppression.Alycia W. LaGuardia-LoBianco - 2019 - Philosophy, Psychiatry, and Psychology 26 (4):295-313.
    Although clinical understandings of self-injury, the deliberate mutilation of body tissue, have developed significantly since the phenomenon was first studied, the predominant stereotype of who self-injures is still White, teenage girls.1 White girls as well as White women are, indeed, at risk for SI, and sociocultural explanations appealing to oppressive socialization—particularly the influence of Western beauty norms—have been offered to explain their high rates of SI. Yet evidence exists to challenge this conception that SI is exclusively a White, female issue: (...)
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  45. The Interface of Ethics and Psychiatry: A Philosophical Case Consultation on Psychiatric Ethics on the Ground.Nancy Nyquist Potter & Rif El-Mallakh - 2019 - Philosophy, Psychiatry, and Psychology 26 (3):179-189.
    This case consultation offers three cases that illustrate a collaborative consultation model for psychiatric ethics that we have developed in outpatient clinic and in emergency psychiatry over the last 10 years. After we present these cases, we discuss three points of interest: 1) the characteristics we found to be important to our collaborative project, 2) the benefits of an integrative approach, and 3) ways that our collaborative moral reasoning developed our awareness of and sensitivity to ethical issues. We end by (...)
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  46. Introduction.Jennifer Radden & Kelso Cratsley - 2019 - In Kelso Cratsley & Jennifer Radden (eds.), Mental Health as Public Health: Interdisciplinary Perspectives on the Ethics of Prevention. Elsevier.
    In this introduction to the edited volume, we briefly describe some of the current challenges faced by public mental health initiatives, at both the national and global level. We also include several general remarks on interdisciplinary methodology in public mental health ethics, followed by short descriptions of the chapters included in the volume.
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  47. Hormone replacement therapy: informed consent without assessment?Toni C. Saad, Bruce Philip Blackshaw & Daniel Rodger - 2019 - Journal of Medical Ethics 45 (12):1-2.
    Florence Ashley has argued that requiring patients with gender dysphoria to undergo an assessment and referral from a mental health professional before undergoing hormone replacement therapy is unethical and may represent an unconscious hostility towards transgender people. We respond, first, by showing that Ashley has conflated the self-reporting of symptoms with self-diagnosis, and that this is not consistent with the standard model of informed consent to medical treatment. Second, we note that the model of informed consent involved in cosmetic surgery (...)
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  48. Epistemic Injustice and Self-Injury: A Concept with Clinical Implications.Patrick Sullivan - 2019 - Philosophy, Psychiatry, and Psychology 26 (4):349-362.
    SELF-INJURY IS A COMPLEX phenomenon that is encountered on a regular basis by health care professionals in mental health care. In this article, I use the concept of epistemic injustice to examine this complex phenomenon and argue that this helps us to understand developments in the way we think about and support people who self-injure. Individuals with lived experience have important knowledge about the nature of self-injury and particularly how it relates to them. If the credibility of this knowledge is (...)
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  49. Crucial to Optimal Learning and Practice of Ethics: Virtuous Relationships and Diligent Processes that Account for Both Shared and Conflicting Values.Werdie van Staden - 2019 - Philosophy, Psychiatry, and Psychology 26 (3):203-206.
    The article by Potter and Rif S. El-Mallakh read empathically, invokes a sense of fulfilment in their experiences, serving as inspiration for others to learn and practice ethics better. It describes their growth that has culminated to this sense of fulfilment and inspirational dignity. Crucial for this desirable growth has been, I want to highlight, their good investment in virtuous relationships and diligent processes. I also highlight from their article a potential conceptual restriction to growing in our learning and practicing (...)
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  50. The Ethical and Empirical Status of Dimensional Diagnosis: Implications for Public Mental Health?Kelso Cratsley - 2018 - Neuroethics 12 (2):183-199.
    The field of mental health continues to struggle with the question of how best to structure its diagnostic systems. This issue is of considerable ethical importance, but the implications for public health approaches to mental health have yet to be explored in any detail. In this article I offer a preliminary treatment, drawing out several core issues while sounding a note of caution. A central strand of the debates over diagnosis has been the contrast between categorical and dimensional models, with (...)
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