- Title Pages
- Series Foreword
- Foreword
- Acknowledgments
-
I Foundational Questions -
1 Contested Boundaries: Psychiatry, Disease, and Diagnosis -
2 Moot Questions in Psychiatric Ethics -
3 The Ethics of Psychotherapy -
4 Character Virtues in Psychiatric Practice -
II Capacity, Coercion, and Consent -
5 Psychiatric Advance Directives and the Treatment of Committed Patients -
6 Denying Autonomy in Order to Create It: The Paradox of Forcing Treatment upon Addicts -
7 End-Stage Anorexia: Criteria for Competence to Refuse Treatment -
8 “Personality Disorder” and Capacity to Make Treatment Decisions -
III Violence, Trauma, and Treatment -
9 Sanctity of Human Life in War: Ethics and Post-traumatic Stress Disorder -
10 The Experience of Violent Injury for Young African American Men: The Meaning of Being a “Sucker” -
11 The Psychological Impact of Rape Victims’ Experiences with the Legal, Medical, and Mental Health Systems -
IV Addiction -
12 Addiction as Accomplishment: The Discursive Construction of Disease -
13 The Ethics of Addiction -
14 Myths about the Treatment of Addiction -
15 Ethical Considerations in Caring for People Living with Addictions -
V Mental Illness and the Courts -
16 Confidentiality and the Prediction of Dangerousness in Psychiatry -
17 Madness versus Badness: The Ethical Tension between the Recovery Movement and Forensic Psychiatry -
18 Ethical Considerations of Multiple Roles in Forensic Services -
19 Watch Your Language: A Review of the Use of Stigmatizing Language by Canadian Judges -
VI Therapeutic Boundaries -
20 Boundary Violation Ethics: Some Conceptual Clarifications -
21 The Price of a Gift: An Approach to Receiving Gifts from Patients in Psychiatric Practice -
22 How Certain Boundaries and Ethics Diminish Therapeutic Effectiveness -
23 Boundary Issues in Social Work: Managing Dual Relationships -
24 Patient-Targeted Googling: The Ethics of Searching Online for Patient Information -
25 Professional Boundaries in the Era of the Internet - Contributors
- Permissions and Credits
- Index
How Certain Boundaries and Ethics Diminish Therapeutic Effectiveness
How Certain Boundaries and Ethics Diminish Therapeutic Effectiveness
- Chapter:
- (p.321) 22 How Certain Boundaries and Ethics Diminish Therapeutic Effectiveness
- Source:
- Applied Ethics in Mental Health Care
- Author(s):
Arnold A. Lazarus
- Publisher:
- The MIT Press
When taken too far, certain well-intentioned ethical guidelines can become transformed into artificial boundaries that serve as destructive prohibitions and thereby undermine clinical effectiveness. Rigid roles and strict codified rules of conduct between therapist and client can obstruct a clinician’s artistry. Those anxious conformists who go entirely by the book, and who live in constant fear of malpractice suits, are unlikely to prove significantly helpful to a broad array of clients. The author argues that one of the worst professional/ethical violations is to permit current risk-management principles to take precedence over humane interventions.
Keywords: Boundaries, Ethics, Risk Management, Gifts, Self-Disclosure, Professionalism
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- Title Pages
- Series Foreword
- Foreword
- Acknowledgments
-
I Foundational Questions -
1 Contested Boundaries: Psychiatry, Disease, and Diagnosis -
2 Moot Questions in Psychiatric Ethics -
3 The Ethics of Psychotherapy -
4 Character Virtues in Psychiatric Practice -
II Capacity, Coercion, and Consent -
5 Psychiatric Advance Directives and the Treatment of Committed Patients -
6 Denying Autonomy in Order to Create It: The Paradox of Forcing Treatment upon Addicts -
7 End-Stage Anorexia: Criteria for Competence to Refuse Treatment -
8 “Personality Disorder” and Capacity to Make Treatment Decisions -
III Violence, Trauma, and Treatment -
9 Sanctity of Human Life in War: Ethics and Post-traumatic Stress Disorder -
10 The Experience of Violent Injury for Young African American Men: The Meaning of Being a “Sucker” -
11 The Psychological Impact of Rape Victims’ Experiences with the Legal, Medical, and Mental Health Systems -
IV Addiction -
12 Addiction as Accomplishment: The Discursive Construction of Disease -
13 The Ethics of Addiction -
14 Myths about the Treatment of Addiction -
15 Ethical Considerations in Caring for People Living with Addictions -
V Mental Illness and the Courts -
16 Confidentiality and the Prediction of Dangerousness in Psychiatry -
17 Madness versus Badness: The Ethical Tension between the Recovery Movement and Forensic Psychiatry -
18 Ethical Considerations of Multiple Roles in Forensic Services -
19 Watch Your Language: A Review of the Use of Stigmatizing Language by Canadian Judges -
VI Therapeutic Boundaries -
20 Boundary Violation Ethics: Some Conceptual Clarifications -
21 The Price of a Gift: An Approach to Receiving Gifts from Patients in Psychiatric Practice -
22 How Certain Boundaries and Ethics Diminish Therapeutic Effectiveness -
23 Boundary Issues in Social Work: Managing Dual Relationships -
24 Patient-Targeted Googling: The Ethics of Searching Online for Patient Information -
25 Professional Boundaries in the Era of the Internet - Contributors
- Permissions and Credits
- Index
