Psychiatric paternalism between Scylla and Charybdis
- Psychiatry is hard. Moorehead, Paul // CMAJ: Canadian Medical Association Journal;1/17/2006, Vol. 174 Issue 2, p210
The article presents the author's views on being a psychiatrist. He describes the condition of his patients. He expresses his difficulty of convincing his patients of anything. He relates a conversation he had with one of his patients. He points out that psychiatrists are not the only ones who...
- Evaluating Patients for Impaired Medical Decisional Capacity: An Overview of Ethical and Clinical Issues. Rovner, Maxwell; Jackson, Willie Mae; Dinwiddie, Stephen H. // Psychiatric Annals;2015, Vol. 45 Issue 8, p417
An impaired ability to make treatment decisions is commonplace but often overlooked among medical and psychiatric patients. Evaluation of a patient's ability to meaningfully make treatment decisions is a complex exercise in clinical judgment, requiring careful attention to the effect of the...
- Randomised controlled trial of day patient versus inpatient psychiatric treatment. Creed, Francis; Black, Dawn; Anthony, Philip; Osborn, Madeline; Thomas, Philip; Tomenson, Barbara // BMJ: British Medical Journal (International Edition);4/21/90, Vol. 300 Issue 6731, p1033
Compares a randomised controlled trial of day patient and inpatient psychiatric treatment in Great Britain. Assessment on allocated patients; Contact with psychiatric services; Change in psychiatric symptoms.
- Doctorï¿½Patient Relations in Nazi Germany and the Fate of Psychiatric Patients. Hassenfeld, Irwin N. // Psychiatric Quarterly;Sep2002, Vol. 73 Issue 3, p183
German psychiatrists actively engaged in the forced sterilization and killing of psychiatrically disabled children and adult patients. Academic psychiatrists embraced the Nazi philosophy and led the way in the ï¿½final solutionï¿½ for psychiatric patients. This took place in a climate of...
- More Blues in ED? // H&HN: Hospitals & Health Networks;Aug2000, Vol. 74 Issue 8, p24
Features a study on the number of children treated for psychiatric problems at the Yale University-affiliated Children's Hospital between 1995 and 1999. Implications of the findings; Results of the study; Most common diagnoses reported.
- The man who had 42 psychiatrists (and rising). Summerfield, Derek // BMJ: British Medical Journal (International Edition);04/28/2001, Vol. 322 Issue 7293, p1026
Presents the author's thoughts on a memorable patient he once had while on psychiatric training. Example of a patient who had been in clinical follow up for 20 years; Thoughts on the role of the institutionally minded field of psychiatry on the shape and substance of the patient's psychiatric...
- Clinical responsibility: II Where does the patient stand? Clare, Anthony W. // British Medical Journal;12/24/1977, Vol. 2 Issue 6103, p1637
Analyzes the position of the patient in a psychiatric practice in Great Britain. Role of clinical psychologist as instructive example; Importance of the patient and therapist relationship to treatment; Need for skilled social workers in the management of patients.
- Avoid getting caught between patient needs and economics. Simon, Robert I. // Psychotherapy Letter;Feb95, Vol. 7 Issue 2, p6
Focuses on the provision of quality health care to psychiatric patients regardless of costs. Possible confusion due to the emergence of health maintenance organizations (HMOs), independent practice associations (IPAs) and preferred provider organizations (PPOs); Consideration of plan...
- The Use of Metaphors by the `Ambulatory Inpatients' of the Managed Care Era. Guinjoan, Salvador M.; Ross, Donald R. // American Journal of Psychotherapy;Spring1999, Vol. 53 Issue 2, p188
Presents a series of clinical cases about the use of metaphorically constructions by psychiatric patients. Discussion on the similarities and differences between metaphors and dreams; Importance of understanding the meaning of metaphors in preventing the patient from regressing.