Religious professionals, ethical dilemmas, and mental illness.

2016 ◽  
Vol 3 (3) ◽  
pp. 163-166 ◽  
Author(s):  
Nancy Clare Kehoe
Keyword(s):  
Mental Illness ◽  
Ethical Dilemmas ◽  
Religious Professionals

Ethical Considerations of Court-Ordered Outpatient Therapy

2020 ◽  
Author(s):  
Josh E. Becker ◽  
Audrey Cecil ◽  
Michael C. Gottlieb
Keyword(s):  
Mental Illness ◽  
Substance Use ◽  
Justice System ◽  
Ethical Issues ◽  
Ethical Dilemmas ◽  
Daily Basis ◽  
Outpatient Psychotherapy ◽  
Ethical Considerations ◽  
Outpatient Therapy ◽  
Adolescents And Adults

Court-ordered outpatient psychotherapy (COT) has been used in the criminal justice system for treatment of adolescents and adults for a number of problems such as mental illness, substance use, and sex offenses, and the number and frequency of such orders has grown at a dramatic rate. Practitioners are being asked to treat someone even though they are not free to exercise the normal duties they would have toward their voluntary patients. This circumstance creates a number of potential ethical dilemmas regarding informed consent, potential loyalty conflicts, violations of confidentiality, and the risk of therapeutic ruptures that clinicians typically do not encounter on daily basis. This chapter will explore these ethical issues and provide examples of questions practitioners should take into account when working with this population.

scholarly journals Ethical Dilemmas of Participation of Service Users with Serious Mental Illness: A Thematic Synthesis

2020 ◽  
Vol 41 (4) ◽  
pp. 283-295
Author(s):  
Marjolijn Heerings ◽  
Hester van de Bovenkamp ◽  
Mieke Cardol ◽  
Roland Bal
Keyword(s):  
Mental Illness ◽  
Serious Mental Illness ◽  
Ethical Dilemmas ◽  
Service Users ◽  
Thematic Synthesis

The Role of Religious Professionals in Ethical Decision Making in Mental Health

2018 ◽  
Author(s):  
Nancy C. Kehoe
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Ethical Decision Making ◽  
Ethical Dilemmas ◽  
Health Issues ◽  
Ethical Guidelines ◽  
Faith Tradition ◽  
Religious Professionals ◽  
Ongoing Formation

The term religious professional refers to men and women who are recognized by a faith tradition as leaders and teachers within the tradition. In their respective ministries, religious professionals encounter many issues, including ethical dilemmas related to mental health, but their preparation to deal with these issues varies greatly. Ethical guidelines for religious professionals are in most denominations less specific than the ethical guidelines proposed for mental health professionals. Although the guidelines for religious professionals stress the need for competence and ongoing formation, few are very specific in regard to mental health issues. A review of the literature highlights how little attention has been given to this subject. Case studies are presented that illustrate the complexity of the role of the faith leader in ethical dilemmas and suggest the need for more attention to this topic in the formation of religious professionals.

Unhealthy and Potentially Harmful Uses of Religion

2018 ◽  
Author(s):  
James Griffith ◽  
Gina Magyar-Russell
Keyword(s):  
Mental Illness ◽  
Religious Life ◽  
Moral Worth ◽  
Mental Illnesses ◽  
Common Source ◽  
Spiritual Guidance ◽  
Religious Traditions ◽  
Religious Professionals ◽  
Spiritual Struggles ◽  
Personal Spirituality

Religious coping is the most common source of resilience worldwide among people facing harsh adversities, yet it also can do harm. Three major classes of religious acts pose risks for harm to self or others: group religious life that overshadows personal spirituality; religion that expresses symptoms of mental illness; and spiritual struggle that arises from conflicted meanings, motivations, and actions within religious life. Across religious traditions, personal spirituality sets a standard for relational and ethical living against which the moral worth of religious acts can be judged. When group religious life too strongly dominates personal spirituality, inquiry about existential concerns can re-energize personal spirituality in a corrective rebalancing. Discerning mental illness in the guise of religion requires religious professionals to learn about diagnosis, treatment, and risk factors for relapse of mental illnesses. Psychotherapy or spiritual guidance can resolve intrapsychic, interpersonal, and person-God conflicts for religious persons caught in spiritual struggles.

Applying Ethical Guidelines in Nursing Research on People with mental illness

2001 ◽  
Vol 8 (4) ◽  
pp. 328-339 ◽  
Author(s):  
Kaisa Koivisto ◽  
Sirpa Janhonen ◽  
Eila Latvala ◽  
Leena Väisänen
Keyword(s):  
Mental Illness ◽  
Ethical Dilemmas ◽  
Psychiatric Patients ◽  
Small Body ◽  
Nursing Research ◽  
Ethical Guidelines ◽  
Capacity To Consent ◽  
People With Mental Illness ◽  
Voluntary Consent ◽  
Decision Making Capacity

This article describes how ethical guidelines have been applied while interviewing psychiatric patients who were recovering from mental illness, especially from psychosis, to allow nurses to understand these patients’ experiences. Because psychiatric patients are vulnerable, their participation in research involves ethical dilemmas, such as voluntary consent, legal capacity to consent, freedom of choice, and sufficient knowledge and comprehension. The first part of this article describes the most important ethical guidelines concerning human research. These have been published by different organizations, departments, committees and commissions for the purpose of protecting human rights and dignity whenever research participants are vulnerable persons or their capacity to consent is limited. At present, however, no special regulations govern research involving adults who have been diagnosed with a condition characterized by mental impairment. Furthermore, a relatively small body of research has documented the effects of various disorders (e.g. psychiatric conditions) on decision-making capacity per se. One basic moral and policy question is whether these individuals should ever be involved in research. The second part of this article concentrates on how the investigator made sure that participating patients had understood their role in this particular piece of nursing research. During the interviews the investigator noticed that some ethical dilemmas required further study and debate because of the lack of consensus on the proposed regulatory provisions on research involving institutionalized persons and their ability to make an informed and voluntary decision.

Fool’s Gold: Psychologists Using Disingenuous Reasoning to Mislead Legislatures into Granting Psychologists Prescriptive Authority

2003 ◽  
Vol 29 (4) ◽  
pp. 489-524
Author(s):  
Brent Pollitt
Keyword(s):  
Primary Care ◽  
Mental Illness ◽  
Nurse Practitioners ◽  
Primary Care Physicians ◽  
American Psychological Association ◽  
The United States ◽  
Psychotropic Medications ◽  
American Psychological ◽  
Training Requirements ◽  
Prescriptive Authority

Mental illness is a serious problem in the United States. Based on “current epidemiological estimates, at least one in five people has a diagnosable mental disorder during the course of a year.” Fortunately, many of these disorders respond positively to psychotropic medications. While psychiatrists write some of the prescriptions for psychotropic medications, primary care physicians write more of them. State legislatures, seeking to expand patient access to pharmacological treatment, granted physician assistants and nurse practitioners prescriptive authority for psychotropic medications. Over the past decade other groups have gained some form of prescriptive authority. Currently, psychologists comprise the primary group seeking prescriptive authority for psychotropic medications.The American Society for the Advancement of Pharmacotherapy (“ASAP”), a division of the American Psychological Association (“APA”), spearheads the drive for psychologists to gain prescriptive authority. The American Psychological Association offers five main reasons why legislatures should grant psychologists this privilege: 1) psychologists’ education and clinical training better qualify them to diagnose and treat mental illness in comparison with primary care physicians; 2) the Department of Defense Psychopharmacology Demonstration Project (“PDP”) demonstrated non-physician psychologists can prescribe psychotropic medications safely; 3) the recommended post-doctoral training requirements adequately prepare psychologists to prescribe safely psychotropic medications; 4) this privilege will increase availability of mental healthcare services, especially in rural areas; and 5) this privilege will result in an overall reduction in medical expenses, because patients will visit only one healthcare provider instead of two–one for psychotherapy and one for medication.

A Tribute to the Late William J. Curran

1996 ◽  
Vol 24 (3) ◽  
pp. 274-275
Author(s):  
O. Lawrence ◽  
J.D. Gostin
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Illness ◽  
United Nations ◽  
Mental Health Care ◽  
Harvard University ◽  
Legal Medicine ◽  
General Assembly ◽  
International Institute ◽  
University Professor

In the summer of 1979, a group of experts on law, medicine, and ethics assembled in Siracusa, Sicily, under the auspices of the International Commission of Jurists and the International Institute of Higher Studies in Criminal Science, to draft guidelines on the rights of persons with mental illness. Sitting across the table from me was a quiet, proud man of distinctive intelligence, William J. Curran, Frances Glessner Lee Professor of Legal Medicine at Harvard University. Professor Curran was one of the principal drafters of those guidelines. Many years later in 1991, after several subsequent re-drafts by United Nations (U.N.) Rapporteur Erica-Irene Daes, the text was adopted by the U.N. General Assembly as the Principles for the Protection of Persons with Mental Illness and for the Improvement of Mental Health Care. This was the kind of remarkable achievement in the field of law and medicine that Professor Curran repeated throughout his distinguished career.

Ethical Dilemmas in Audiology

2011 ◽  
Vol 38 (Spring) ◽  
pp. 76-86 ◽  
Author(s):  
Ashleigh J. Callahan ◽  
Norman J. Lass ◽  
Kimberly L. Richards ◽  
Andrea B. Yost ◽  
Kristen S. Porter ◽  
...  
Keyword(s):  
Ethical Dilemmas
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