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An ethical framework for psychiatry

  • Sidney Bloch (a1) and Stephen A. Green (a2)
Summary

Psychiatry has not reached a consensus hitherto concerning an optimal theoretical framework for ethical decision-making and corresponding action. Various theories have been considered, but found wanting. Moreover, classic theories may contradict one another, contribute to confusion and immobilise the clinician. We have examined major theories commonly applied in bioethics, conferred with moral philosophers and psychiatrists and striven to apply more recent insights drawn from moral philosophy. We report that instead of pursuing a single theoretical framework, we should garner the strengths of compatible approaches in a synergistic way. We propose a particular complementarity of principlism – with its pragmatic focus on respect for autonomy, beneficence, non-maleficence and justice – and care ethics, avariant of virtue theory, which highlights character traits pertinent to caring for vulnerable psychiatric patients.

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Copyright
Corresponding author
Professor Sidney Bloch, Department of Psychiatry, University of Melbourne, St Vincent's Hospital, Melbourne, Australia 3065. E-mail: s.bloch@unimelb.edu.au
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Declaration of interest

None.

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References
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The British Journal of Psychiatry
  • ISSN: 0007-1250
  • EISSN: 1472-1465
  • URL: /core/journals/the-british-journal-of-psychiatry
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An ethical framework for psychiatry

  • Sidney Bloch (a1) and Stephen A. Green (a2)
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