Journal of Medical Ethics 33 (6):337-341 (2007)
AbstractOne approach to the analysis of ethical dilemmas in medical practice uses the “four principles plus scope” approach. These principles are: respect for autonomy, beneficence, non-maleficence and justice, along with concern for their scope of application. However, conflicts between the different principles are commonplace in psychiatric practice, especially in forensic psychiatry, where duties to patients often conflict with duties to third parties such as the public. This article seeks to highlight some of the specific ethical dilemmas encountered in forensic psychiatry: the excessive use of segregation for the protection of others, the ethics of using mechanical restraint when clinically beneficial and the use of physical treatment without consent. We argue that justice, as a principle, should be paramount in forensic psychiatry, and that there is a need for a more specific code of ethics to cover specialised areas of medicine like forensic psychiatry. This code should specify that in cases of conflict between different principles, justice should gain precedence over the other principles
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Citations of this work
Forensic Psychiatry, One Subspecialty with Two Ethics? A Systematic Review.Gérard Niveau & Ida Welle - 2018 - BMC Medical Ethics 19 (1):25.
Clinical Ethics in Forensic Psychiatry: Fostering Reflection and Dialog on the Ward Through Moral Case Deliberation.Yolande Voskes, Frouk Weidema & Guy Widdershoven - 2016 - Clinical Ethics 11 (2-3):63-69.
Physician Participation in Executions, the Morality of Capital Punishment, and the Practical Implications of Their Relationship.Paul Litton - 2013 - Journal of Law, Medicine and Ethics 41 (1):333-352.
Forensic Mental Health Professionals’ Perceptions of Their Dual Loyalty Conflict: Findings From a Qualitative Study.Tenzin Wangmo, Bernice Elger, Marcelo F. Aebi, Elmar Habermeyer, Ariel Eytan, Sophie Haesen & Helene Merkt - 2021 - BMC Medical Ethics 22 (1):1-15.
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