Table of Contents

Section One: Introduction
1: John Z. Sadler, K.W.M. Fulford, and Cornelius Werendly van Staden: Introduction - Why an Oxford Handbook of Psychiatric Ethics?
2: Jennifer Radden: Unique Ethical Challenges for Psychiatric Practice
3: Cynthia Geppert and Peter J. Taylor: What Troubles Psychiatrists: How Psychiatrists View Ethical Dilemmas
4: David Crepaz-Keay, K.W.M. Fulford and Cornelius Werendly van Staden: Putting both a person and people first: interdependence, values-based practice and African Batho Pele as resources for co-production in mental health
Section Two: People Come First
5: Jason M. Thompson: The Dignity of the Psychiatric Patient
6: Wilma Boevink: First-person account of ethics in relation to recovery from mental illness
7: Peter Lehmann: Are users and survivors of psychiatry only allowed to speak about their personal narratives?
8: Matt Reynolds: 5150: On Unethical Privacy
9: Susanne Petermann and Stephen Weiner: Stephen Weiner, Patient in the mental health system
10: Peter K. Chadwick: Was the Treatment of my Psychosis Fair and Just?
11: Jan Verhaegh: The necessity of understanding
12: Roberta Payne: Translation and ethics in psychiatry
13: Dieter Du Plessis: Access Denied: Dieter's Struggle to live in the World(s) of Others
14: Dahlia Virtzberg-Rofe' and Tzviel Rofe': Freedom of choice of hospital for psychiatric admissions: A first person and advocacy account from Israel
15: Pamela Marsh: Timely endings and the ethics of 'being heard'
Section Three: Specific Populations
16: Michael Koelch, Ulrike M.E. Schulze, Jörg M. Fegert: Child and adolescent mental health care
17: Jennifer Clegg and Jo Jones: Intellectual disabilities: Expanding the field of vision
18: Anna Brandon, Geetha Shivakumar, and Anne Drapkin Lyerly: Pregnant women
19: Jack Drescher: Ethical issues in treating LGBT patients
20: Timothy F. Murphy: Ethical aspects in the care of intersex patients
21: Nancy Potter and Jay Englehart: Ethical issues in the treatment of dangerous psychiatric patients
22: Allison K. Zoromski, Steven W. Evans, Heather Davis Gahagan, Verenea J. Serrano, and Alex S. Holdaway: Ethical and contextual issues when collaborating with educators and school mental health professionals
23: James Strain and Rosamond Rhodes: Medical-surgical psychiatry and medical ethics
24: David Crepaz-Keay: Peer support
25: Julian Hughes: Ethical issues in older patients
Section Four: Philosophy and Psychiatric Ethics
26: Jenifer Booth: Pre-Modern ethics, authoritative narratives, and the tribunal
27: Brent Michael Kious: Rawls' Theory of Justice and psychiatry
28: Cornelius Werendly van Staden and K.W.M. Fulford: The indaba in African Values-based Practice: Respecting Diversity of Values without Ethical Relativism or Individual Liberalism
29: Giovanni Stanghellini and René Rosfort: The patient as autonomous person: Hermeneutical phenomenology as a resource for an ethics for psychiatrists
30: Grant Gillett and Claire Amos: The discourse of clinical ethics and the maladies of the soul
31: Lubomira Radoilska: Autonomy in psychiatric ethics
32: George Graham: Identity and agency: Conceptual lessons for the psychiatric ethics of patient care
33: Jillian Craigie and Lisa Bortolotti: Rationality, diagnosis and patient autonomy in psychiatry
34: Tom L. Beauchamp: The theory, method, and practice of principlism
35: Jennifer Radden: Virtue-based psychiatric ethics
36: Nancy Nyquist Potter: Feminist psychiatric ethics in the 21st century and the social context of suffering
37: Dominic Sisti and David Brendel: Philosophical pragmatism in psychiatric ethics
38: Sridhar Venkatapuram: Utilitarian psychiatric ethics
39: John Z. Sadler: Values-based psychiatric ethics
Section Five: Religious Contexts of Psychiatric Ethics
40: Mohammed Abouelleil Rashed: Islamic perspectives on psychiatric ethics
41: Ronald Pies: Jewish and Rabbinic perspectives on psychiatric ethics
42: Emilio Mordini: Roman Catholic perspectives on psychiatric ethics
43: Cornelius Werendly van Staden: A reformational Christian overview on suffering, guilt, failures, and related issues in psychiatry
44: Joseph John Loizzo: Buddhist perspectives on psychiatric ethics
45: Ruiping Fan, Zhengrong Guo, and Michael Wong: Confucian perspectives on psychiatric ethics
46: Santosh K Chaturvedi: Religious, spiritual, and cultural aspects of psychiatric ethics in Hinduism
Section Six: Social Contexts of Psychiatric Ethics
47: Gerald N. Grob: A moral/ethical history of American psychiatry
48: Robert van Voren and Rob Kreukens: Political abuse of psychiatry
49: Chris Heginbotham: Ethics and values of commissioning mental health services
50: Jakki Cowley: Advocacy, ethics, and values in mental health
51: Buddhika Lalanie Fernando and Athula Sumathipala: Ethics of public mental health in developing societies
52: Louis Charland: Contagion, identity, misinformation: Challenges for psychiatric ethics in the age of the Internet
53: Nancy Nyquist Potter and Jennifer Radden: "Belonging bulimia": Ethical implications of eating disorders as group contagions
54: Michael Arribas-Ayllon: Genetic counseling in psychiatry
55: Azgad Gold: Conflicts of interest in clinical practice
56: Omar Sultan Haque, Alicia Lu, Daniel Wu, Lisa Cosgrove, and Harold J. Bursztajn: Curing financial conflicts of interest in psychiatric professional organizations
Section Seven: Ethics in Psychiatric Citizenship and the Law
57: Rebecca Anne Wehrly and Adam Brenner: The psychiatrist as community member
58: Steven Moffic and James Sabin: Ethical leadership for psychiatry
59: Stephen H. Dinwiddie: Communication with mass media
60: KWM Fulford, Sarah Dewey and Malcolm King: Values-based involuntary seclusion and treatment: Value pluralism and the UK's Mental Health Act 2007
61: Andrew Howie and Alan Rosen: Ethical approaches to dealing with impaired health practitioners
62: Sean Z. Kaliski: The Professional Role of the Forensic Psychiatrist: a tale of two (or more) loyalties
63: Gwen Adshead: Ethical issues in secure psychiatric settings
64: Michael Robertson: Ethical issues in working with criminal offenders
Section Eight: Ethics of Psychiatric Research
65: Mona Gupta: Ethical issues in evidence-based psychiatry
66: Paul P. Christopher and Laura B. Dunn: Psychiatric research ethics: Informed consent, capacity, and voluntarism
67: Ekaterina Pivovarova and Philip Candilis: Safety monitoring and withdrawal of psychiatric research participants
68: Janet Louisa Wallcraft: Service user involvement in research: Ethics and values
69: Hope Ferdowsian: Ethical problems concerning the use of animals in psychiatric research
70: Stacy Pritt and Shari G. Birnbaum: Animal Welfare Considerations and Ethical Oversight of the Use of Animals in Psychiatric Research
71: Josephine Johnston and Naomi Scheinerman: Protecting Research, Preserving Trust: The Importance of Managing Industry Relationships in Psychiatric Research
Section Nine: Ethics and values in psychiatric assessment and diagnosis
72: John Z. Sadler: Ethics and values in diagnosing and classifying psychopathology
73: K.W.M. Fulford, Lu Duhig, Julie Hankin, Joanna Hicks and Justine Keeble: Values-based Assessment in Mental Health: The 3 Keys to a Shared Approach between Service Users and Service Providers
74: Michael Gottlieb, Travis Whitfill, and Heidi Rossetti: Psychological testing and assessment
75: Robyn Bluhm, Malgorzata Raczek, Matthew Broome, and Matthew B. Wall: Ethical issues in brain imaging in psychiatry
Section Ten: Ethics and values in psychiatric treatment
76: Cornelius Werendly van Staden: Consent to psychiatric treatment and incapacity
77: Douglas W. Heinrichs: Model-based Science and the Ethics of Ongoing Treatment Negotiation
78: Glen O. Gabbard, Holly Crisp-Han, and Gabrielle S. Hobday: Professional boundaries in psychiatric practice
79: Dan Stein and Anton A van Niekerk: Ethics of psychopharmacology
80: Walter Glannon: Psychiatric Neuroethics I: Deep Brain Stimulation and Lesioning
81: Walter Glannon: Psychiatric Neuroethics II: Less invasive techniques
82: Jennifer Hansen: A Virtue-based Approach to Neuro-enhancement in the Context of Psychiatric Practice
83: Gwen Adshead: Ethical Issues Common to All Therapies
84: Adam Brenner and J. Christian Cather: Using a "Virtues" Approach to Ethical Challenges in Psychoanalytic Psychotherapy
85: R.D. Hinshelwood: Projection and introjection: The uses of paternalism, and its abuses
86: Debbie Sookman: Ethical practice of cognitive-behavior therapy
87: Gayla Margolin, Lauren Spies Shapiro, and Kelly Miller: Ethics in couple and family psychotherapy
88: Hanna Pickard: Stories of recovery: The role of narrative and hope in overcoming PTSD and PD
89: Jill Thistlethwaite and Wendy Hawksworth: Handling ethical dilemmas in multidisciplinary teams: an interprofessional values-based approach
90: Gonzalo Perez-Garcia: Ethics of telepsychiatry
91: Evan DeRenzo and Philip Candilis: Ethics and the paradigm shift in schizophrenia: The early intervention story
92: Julian Hughes and Clive Baldwin: Ethics in relation to caregiving and caregivers in mental health
93: Robert L.H. Clements, Wilma Boevink, Juna Lea Cizman, Cheryl Forchuk, Luljeta Pallaveshi, and Abraham Rudnick: Ethics in relation to recovery from mental illness
94: Duff R. Waring: Patient responsibilities in a psychiatric healing project

About the Author

John Z. Sadler, M.D. is currently a Professor of Psychiatry and Clinical Sciences and the Daniel W. Foster, M.D. Professor of Medical Ethics at The University of Texas Southwestern Medical Center in Dallas, Texas. Dr. Sadler directs the Division of Ethics in the Department of Psychiatry and the Program in Ethics in Science and Medicine institution-wide. During his career at UT Southwestern, Dr. Sadler has provided clinical ethics consultation for 25 years and
research ethics consultation for eight years. He is a co-editor of The Oxford Handbook of Philosophy and Psychiatry (2013), co-editor, with K.W.M Fulford, of the journal Philosophy, Psychiatry, &
Psychology (Johns Hopkins University Press), coauthor with Jennifer Radden of The Virtuous Psychiatrist (OUP, 2010) and author of Values and Psychiatric Diagnosis (OUP 2005). Werdie (C.W.) van Staden is Nelson Mandela Professor of Philosophy and Psychiatry at the University of Pretoria, South Africa, with a clinical psychiatry attachment at Weskoppies Hospital. He serves as editor-in-chief of the South African Journal of Psychiatry; and editor for Philosophy Psychiatry & Psychology;
Philosophy, Ethics and Humanities in Medicine; and the International Journal of Person Centered Medicine. He is chairperson of the Faculty of Health Sciences Research Ethics Committee (IRB). He founded and
directs postgraduate programmes in Philosophy & Ethics of Mental Health, chairs the committee for residency training in psychiatry, provides clinical training in general adult psychiatry for medical students and psychiatrists, and directs the health ethics training in the School of Medicine. KWM (Bill) Fulford is a Fellow of St Catherine's College and Member of the Philosophy Faculty, University of Oxford; and Emeritus Professor of Philosophy and Mental Health, University of Warwick
Medical School. His previous posts include Honorary Consultant Psychiatrist, University of Oxford, and Special Adviser for Values-Based Practice in the Department of Health, UK. Bill has led on a number of key
academic and administrative developments in the philosophy of psychiatry and has published widely in this field, including Moral Theory and Medical Practice, co-author of The Oxford Textbook of Philosophy and Psychiatry, and Lead editor of The Oxford Handbook of Philosophy and Psychiatry. He is Lead Editor for the Oxford book series International Perspectives in Philosophy and Psychiatry and Founder Editor with John Sadler of the international journal Philosophy, Psychiatry, &
Psychology (PPP).

Reviews

The OHPE functions best as an encyclopedia of topics in psychiatric ethics and will serve as a valuable reference tool for scholars and practitioners... The OHPEs chapter on Ethics and Values in Diagnosing and Classifying Psychopathology renders a timeless ethical issue in a new light with a thought-provoking discourse that includes the social consequences of receiving a diagnosis, and the unique self-illness ambiguity of mental disorders that sets them apart from other medical afflictions.
*Dr. Cheung, Psychiatric Times*

This book is broad-ranging, timely and relevant, and covers an important subject in great depth.
*Martin Guha, Reference Reviews, Vo. 30, No. 3, 2016*

If you think of ethics as something stodgy, the new Oxford Handbook of Psychiatric Ethics will be an eye-opener. Changes in treatment, science, and society have produced a slew of new ethical challenges for psychiatrists. These range from the uses of deep brain stimulation and the impact of evolving concepts of psychiatric genetics, to the role of peer support in treatment. Embracing all this and much more, this comprehensive treatment of ethics in psychiatry will be an irreplaceable resource for psychiatric clinicians and researchers trying to find secure ethical footing in a rapidly changing world.
*Paul S. Appelbaum, MD Dollard Professor of Psychiatry, Medicine & Law, Columbia University USA*

Clinicians practicing psychiatry and other mental health fields confront numerous ethical and values issues daily. In this extremely comprehensive Handbook Sadler, Van Staden and Fulford provide 94 welcome chapters authored by some of todays foremost philosophers, academic physicians, and clinicians who focus on the many points at which clinical care and ethical matters interface. This authoritative volume deserves widespread reading and pondering by those concerned that ethical issues are well considered in psychiatric assessment, treatment, and research, aiming for and that patients treated by psychiatrists and other mental health clinicians receive the highest levels of ethically-informed care scholarship and values-based practice possible.
*Joel Yager, MD Professor, University of Colorado School of Medicine and Chair, Council on Quality Care, American Psychiatric Association*

This comprehensive treatment of ethics in psychiatry covers the whole gamut from the philosophical to the pragmatic; from traditional, ethnic, religious value systems to modern citizenship; from the doctors to the patients perspectives, and more. It is a must have that can serve multiple purposes as a practice guide, a reference book, and a life time companion in our endeavors to think more deeply about ethics and practice.
*Louise Sundararajan, Ph.D. Ed.D. Past President, Society for Humanistic Psychology*

Despite the impressive advances in neuroscience, psychiatry, more than any branch of medicine, is embedded in and constantly shaped by culture. This comprehensive two-volume book provides a scholarly approach to understanding the multifaceted interaction between medical science and society as they both evolve. It will stand as an indispensable resource for many years.
*Stuart J. Youngner, MD, Professor of Bioethics and Psychiatry, Case Western Reserve University*