Is Evidence-based Psychiatric Practice, Ethical Practice?

2009

Author : Mona Gupta
Release : 2009
Genre :
Kind : eBook
Book Rating : 736/5 ( reviews)

Book Synopsis Is Evidence-based Psychiatric Practice, Ethical Practice? by : Mona Gupta

Download or read book Is Evidence-based Psychiatric Practice, Ethical Practice? written by Mona Gupta. This book was released on 2009. Available in PDF, EPUB and Kindle. Book excerpt: Since its addition to the medical lexicon in 1992, the concept of 'evidence-based medicine' (EBM) has captured the imagination of the medical world, attracting both passionate advocates and ardent opponents. EBM is defined clinically as "the conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individual patients." Yet, its boldest claim is an ethical one: that EBM, rather than any other method, is the most effective way to fulfill our moral duty to help patients achieve better health. Academic debate on this point has been deeply polarized, from those who assert that ethical practice is evidence-based practice to those who argue that evidence-based practice impoverishes practice and robs it of ethical substance. Mainstream psychiatrists have endorsed EBM which holds out the promise of greater ethical legitimacy for psychiatric disorders and treatments through improved scientific substantiation. Evidence-based psychiatry arises through the straightforward application of EBM to the practice of psychiatry and thus shares the same ethical goal of EBM, to improve patients' health. Given the ethical debates that have framed psychiatry since its iii inception as a medical specialty, and the particular nature of mental disorders and their treatments, it is unclear if EBM can be applied to psychiatry, and therefore, whether it can deliver on its ethical promises. This thesis project involved two phases. The first, a conceptual phase, included an analysis of EBM's ethical commitments as they are represented in its two authoritative textbooks ('literal' EBM). This provisional analysis was then extended by a qualitative analysis of the views of three groups of participants concerning the ethics of EBM: (1) EBM developers; (2) mental health practitioners; and (3) philosophers or bioethicists. Combining the analyses from both phases, a more complete depiction of the ethics of EBM was developed in order to address the main thesis question. Evidence-based psychiatric practice cannot be ethical practice by itself. Instead, it can play a small ethical role in clinical practice, only if it is situated within the larger value structure of contemporary medicine and psychiatry.

Is evidence-based psychiatry ethical?

2014-06-12 Medical

Author : Mona Gupta
Release : 2014-06-12
Genre : Medical
Kind : eBook
Book Rating : 304/5 ( reviews)

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Book Synopsis Is evidence-based psychiatry ethical? by : Mona Gupta

Download or read book Is evidence-based psychiatry ethical? written by Mona Gupta. This book was released on 2014-06-12. Available in PDF, EPUB and Kindle. Book excerpt: Rated as one of the top 15 breakthroughs in medicine over the last 150 years, evidence-based medicine (EBM) has become highly influential in medicine. Put simply, EBM promotes a seemingly irrefutable, principle: that decision-making in medical practice should be based, as much as possible, on the most up-to-date research findings. EBM has been particularly popular within psychiatry, a field that is haunted by a legacy of controversial interventions. For advocates, anchoring psychiatric practice in research data makes psychiatry more scientific valid and ethically legitimate. Few, however, have questioned whether EBM, a concept pioneered by those working in other areas of medicine, can be applied to psychiatric disorders. In this groundbreaking book, the Canadian psychiatrist and ethicist Mona Gupta analyzes the basic assumptions of EBM, and critically examines their applicability to psychiatry. By highlighting the basic ethical tensions between psychiatry and EBM, the author addresses the fundamental and controversial question - should psychiatrists practice evidence-based medicine at all?

Ethics, Culture, and Psychiatry

2008-11-01 Medical

Author : Ahmed Okasha
Release : 2008-11-01
Genre : Medical
Kind : eBook
Book Rating : 28X/5 ( reviews)

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Book Synopsis Ethics, Culture, and Psychiatry by : Ahmed Okasha

Download or read book Ethics, Culture, and Psychiatry written by Ahmed Okasha. This book was released on 2008-11-01. Available in PDF, EPUB and Kindle. Book excerpt: Ethics, Culture, and Psychiatry: International Perspectives is a textbook that explores the best ways to promote the use of the Declaration of Madrid, which outlines ethical standards for psychiatric practice throughout the world. The book is written with two questions in mind, both easy to pose and difficult to answer: Is it possible to formulate a set of principles that will be valid for all psychiatrists, regardless of the cultures to which they belong or in which they live and practice, or are there as many sets of ethical principles as there are cultures? If there is such a set of principles, what should we do to ensure that psychiatry as a discipline makes a significant contribution to societal good without helping the evil? To facilitate the exploration of this territory, 15 experts from a variety of cultures examine the most pressing ethical issues prevalent within the current practice of psychiatry. Many of the dilemmas probed in this book are routinely encountered by clinicians who work in increasingly multicultural societies. The text covers issues that are broadly relevant to clinical practice and research, including: An overview of ethics and societies around the world Discussions of ethical practices and dilemmas specific to various cultural regions Transcultural debate on overarching issues, such as incompetent patients, informed consent, and mental health law reform The complete copy of The Declaration of Madrid printed in the appendix Readers will find that this is a textbook that stimulates and supports, rather than closes, the debate on ethical aspects of professional psychiatric behavior. Ethics, Culture, and Psychiatry: International Perspectives is much more than just a book on ethics -- it is a major contribution to understanding the impact of culture and history on the ethical practice of medicine around the world, and a continuous search for a consensus on how to live together and make contributions to the well-being of people with mental illness, their families, and the family of humans on our planet.

Evidence Based Practice in School Mental Health

2008-04-11 Social Science

Author : James C Raines
Release : 2008-04-11
Genre : Social Science
Kind : eBook
Book Rating : 181/5 ( reviews)

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Book Synopsis Evidence Based Practice in School Mental Health by : James C Raines

Download or read book Evidence Based Practice in School Mental Health written by James C Raines. This book was released on 2008-04-11. Available in PDF, EPUB and Kindle. Book excerpt: Though recent legislation embedded with the No Child Left Behind Act and the Individuals with Disabilities Improvement Act mandates the use of evidence in school-based practice to demonstrate positive outcomes for all students, school social workers - especially those long out of school - often lack the conceptual tools to locate, evaluate, and apply evidence in order to demonstrate the effectiveness of their work. The first of its kind tailored specifically to this audience, this SSAAA Workshop title guides school professionals in infusing research throughout their daily practice. It shows school service providers a pragmatic approach to informing every major practice decision with the appropriate research so that students receive the best possible services. This includes how to use research to make reliable and valid assessments, how to use research to choose the best intervention, and how to do research to evaluate progress. Raines goes beyond creating a catalog of interventions that will soon be outdated and provides school social workers with a detailed road map of the EBP process. Chapters detail the nuts and bolts of EBP, explaining how to ask a relevant, answerable question; where to search for evidence; how to appraise the literature and avoid the pitfalls of web based information; how to adapt and apply the evidence in a developmentally and culturally sensitive way; and how to evaluate the results. Detailed examples along the way, including sample spreadsheets practitioners can easily adapt to evaluate their students' progress, bring accountability within reach for school professionals who struggle to find the time, resources, and support sufficient to apply the best evidence to their schools.

Is evidence-based psychiatry ethical?

2014-06-12 Medical

Author : Mona Gupta
Release : 2014-06-12
Genre : Medical
Kind : eBook
Book Rating : 312/5 ( reviews)

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Book Synopsis Is evidence-based psychiatry ethical? by : Mona Gupta

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