- International Perspectives in Philosophy and Psychiatry
- The Oxford Handbook of Psychiatric Ethics
- List of Contributors
- Introduction: Why an Oxford Handbook of Psychiatric Ethics?
- Unique Ethical Challenges for Psychiatric Practice
- What Troubles Psychiatrists: How Psychiatrists View Ethical Dilemmas
- Putting Both a Person and People First: Interdependence, Values-Based Practice, and African Batho Pele as Resources for Co-Production in Mental Health
- The Dignity of the Psychiatric Patient
- Risk and Recovery: First-Person Account of Ethics in Relation to Recovery from Mental Illness
- Are Users and Survivors of Psychiatry Only Allowed to Speak about their Personal Narratives?
- 5150: On Unethical Privacy
- Stephen Weiner, Patient in the Mental Health System
- Was the Treatment of my Psychosis Fair and Just?
- The Necessity of Understanding
- Translation and Ethics in Psychiatry
- Access Denied: Dieter’s Struggle to Live in the World(s) of Others
- Freedom of Choice of Hospital for Psychiatric Admissions: A First-Person and Advocacy Account from Israel
- Timely Endings and the Ethics of “Being Heard”
- Child and Adolescent Mental Health Care
- Intellectual Disabilities: Expanding the Field of Vision
- Specific Populations: Pregnant Women
- Ethical Issues in Treating LGBT Patients
- Ethical Aspects in the Care of Intersex Patients
- Ethical Issues in the Treatment of Dangerous Psychiatric Patients
- Ethical and Contextual Issues when Collaborating with Educators and School Mental Health Professionals
- Medical-Surgical Psychiatry and Medical Ethics
- Ethical Issues in Mental Health Peer Support
- Ethical Issues in Older Patients
- Pre-Modern Ethics, Authoritative Narratives, and the Tribunal
- Justice, Fairness, and Mental Health Care
- The Indaba in African Values-Based Practice: Respecting Diversity of Values without Ethical Relativism or Individual Liberalism
- The Patient as an Autonomous Person: Hermeneutical Phenomenology as a Resource for an Ethics for Psychiatrists
- The Discourse of Clinical Ethics and the Maladies of the Soul
- Autonomy in Psychiatric Ethics
- Identity and Agency: Conceptual Lessons for the Psychiatric Ethics of Patient Care
- Rationality, Diagnosis, and Patient Autonomy in Psychiatry
- The Theory, Method, and Practice of Principlism
- Virtue-Based Psychiatric Ethics
- Feminist Psychiatric Ethics in the Twenty-First Century and the Social Context of Suffering
- Philosophical Pragmatism in Psychiatric Ethics
- Utilitarian Psychiatric Ethics
- Values-Based Psychiatric Ethics
- Islamic Perspectives on Psychiatric Ethics
- Jewish and Rabbinic Perspectives on Psychiatric Ethics
- Roman Catholic Perspectives on Psychiatric Ethics
- A Reformational Christian Overview on Suffering, Guilt, Failures, and Related Issues in Psychiatry
- Buddhist Perspectives on Psychiatric Ethics
- Confucian Perspectives on Psychiatric Ethics
- Religious, Spiritual, and Cultural Aspects of Psychiatric Ethics in Hinduism
- Author Index
- Subject Index
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.
Nancy Nyquist Potter is a professor of philosophy at the University of Louisville.
Jay Englehart is a practicing Forensic Psychiatry doctor in Farmington, MO.
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