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Psychosis and substance misuse comorbidity: ethical dilemmas

  • Rob Macpherson (a1)
Abstract

This case demonstrates some of the complex practical and legal difficulties in managing patients suffering from comorbidity of substance misuse and psychosis. A discussion of the ethical issues includes references to absolutist and utilitarian ethical models. Ethical dilemmas in such cases often impinge directly on clinical management, and the paper argues that the success or otherwise of treatment is partly dependent on awareness of such factors.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
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Fariello, D. & Scheidt, S. (1989) Clinical care management of the dually diagnosed patient. Hospital and Community Psychiatry, 40, 10651067.
Hare, R. (1991) The philosophical basis of psychiatric ethics. In Psychiatric Ethics (eds Bloch, S. & Chodoff, P.). Oxford: Oxford University Press.
Holmes, J., Adshead, G. & Smith, J. (1994) An ethical dilemma in psychotherapy. Psychiatric Bulletin, 18, 466468.
Regier, D. A., Farmer, M. E., Rae, D. S., et al (1990) Comorbidity of mental disorders with alcohol and other drugs of abuse: results of the Epidemiologic Catchment Area Study. Journal of the American Medical Association. 264, 25112518.
Smith, J. & Hucker, S. (1994) Schizophrenia and substance abuse. British Journal of Psychiatry, 185, 1321.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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Psychosis and substance misuse comorbidity: ethical dilemmas

  • Rob Macpherson (a1)
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