Abstract and Keywords
This chapter examines ethical issues that arise when diagnosing and treating dangerous and self-destructive patients. In particular, we look at sex offenders and those diagnosed with antisocial personality disorder (ASPD), who primarily present a danger to others, and those with borderline personality disorder (BPD), who primarily present a physical danger to self. We identify four questions that arise within this population: (1) when should patients be restrained and secluded; (2) what ethical justifications can be employed to analyze the use of restraint and seclusion in these populations; (3) what special considerations need to be taken into account in the use of restraint and seclusion; and (4) what metaphysical and epistemological challenges are involved with this population? Each of these questions is linked to ethical concerns and responsibilities in the use of confinement measures when patients are dangerous to themselves or others.
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