Has the Care in Psychiatry Other Characteristics than those it has in the Other Fields of Medicine? | Jean-Pierre CLERO
Abstract: Everybody knows that Beauchamp and Childress have tried to define four principles in the domain of care ethics. Their definitions are rather rhetorical; but, on the whole, they satisfy the contemporaries in most of medicine fields. On the contrary, in psychiatry, it seems often difficult and sometimes impossible to apply them. The patient who does not know his illness and that is cured against his consent is not autonomous. He cannot understand the cure that imposes upon him while it is brought out as benevolent. Moreover, the question of justice does not raise as elsewhere in medicine. Specifically, the questions of security are put forward so that the cure is partly jeopardized.
Conversely, the notions used to think ethics in psychiatry are not without any repercussion on the whole of care ethics. They point to the necessity of changing the ethical notions in view to match with the situations as they are everywhere in care ethics.
Keywords: autonomy, care, consent, dangerousness (“dangerosité”), decision, ethical principles, freedom, isolation, justice, language, law, locking, paternalism, patient, person, pleasure, psychiatry, psychological treatment, psychotropic drugs, punishment, refusal of care (“refus de soins”), seclusion, security, society, waiver, will.
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