Ethical issues pervade community mental health yet, surprisingly, the field has been virtually ignored in the academic realm of medical ethics.
In the past decade, the ethical questions in psychiatry which have attracted the most scrutiny are derived from the « dramatic » issues of psychiatrist-patient sexual relationships, the tradition's practice of involuntary commitment, and the therapist's duty to warn potential victims at the expense of breaching a client's confidentiality (Eth, 1990 ; Dyer, 1988 ; Bloch, Chodoff, 1991).
Yet the « pragmatic, » and more pervasive, ethical tensions which arise in the daily practice of community psychiatrists have warranted little attention.
Both medical ethics and community psychiatry suffer as a result.
Nonetheless, ethical reasoning is intricately entwined in the decisions ana relationships which make up the community mental health setting.
For example, trying to determine what is the « right » thing to do for a client inevitably entails judgments about moral, social and legal matters.
In other words, no decision in the clinical setting is purely psychiatric (Perlin, 1989).
Mots-clés Pascal : Psychiatrie communautaire, Traitement communautaire, Ethique, Consentement éclairé, Relation médecin malade, Allocation ressource, Organisation santé, Homme, Etats Unis, Amérique du Nord, Amérique
Mots-clés Pascal anglais : Community psychiatry, Community treatment, Ethics, Informed consent, Physician patient relation, Resource allocation, Public health organization, Human, United States, North America, America
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0250587
Code Inist : 002B18I11. Création : 11/06/1997.