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dc.creatorCoverdale, John H.en
dc.creatorMcCullough, Laurence B.en
dc.creatorChervenak, Frank A.en
dc.creatorBayer, Timothyen
dc.creatorWeeks, Saraen
dc.date.accessioned2015-05-05T19:01:32Zen
dc.date.available2015-05-05T19:01:32Zen
dc.date.created1997-02en
dc.date.issued1997-02en
dc.identifier.bibliographicCitationPsychiatric Services. 1997 Feb; 48(2): 209-212.en
dc.identifier.issn1075-2730en
dc.identifier.urihttp://worldcatlibraries.org/registry/gateway?version=1.0&url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&atitle=Clinical+Implications+of+Respect+for+Autonomy+in+the+Psychiatric+treatment+of+Pregnant+Patients+with+Depression&title=Psychiatric+Services.++&volume=48&issue=2&pages=209-212&date=1997&au=Coverdale,+John+H.en
dc.identifier.urihttp://hdl.handle.net/10822/752765en
dc.description.abstractMajor depression, as well as depressive symptoms that do not meet the full diagnostic criteria for a diagnosis of depression, can chronically and variably affect a woman patient's decisions about the management of pregnancy, including the decision about whether to continue a pregnancy. Depression also has potential adverse consequences for the pregnant woman and her pregnancy. However, little attention has been given to the ethical challenges posed by the psychiatric management of depression during pregnancy. The psychiatrist should balance respect for the autonomy of the depressed woman with beneficence-based obligations to the pregnant woman, and also to the fetus, when the fetus is viable. The authors recommend strategies for assessing the decision-making abilities of pregnant patients with depression and for enhancing their autonomy. They suggest that nondirective counseling should generally be used with pregnant patients with depression when the fetus is previable and that directive counseling is ethically justifiable when the fetus is viable.en
dc.formatArticleen
dc.languageenen
dc.sourceBRL:MEDKIE/97173985en
dc.subjectAbortionen
dc.subjectAdvance Directivesen
dc.subjectAutonomyen
dc.subjectBeneficenceen
dc.subjectChildbirthen
dc.subjectCompetenceen
dc.subjectCounselingen
dc.subjectConsenten
dc.subjectDecision Makingen
dc.subjectDiagnosisen
dc.subjectDirective Counselingen
dc.subjectDrugsen
dc.subjectElectroconvulsive Therapyen
dc.subjectFetal Developmenten
dc.subjectFetusesen
dc.subjectInformed Consenten
dc.subjectMoral Obligationsen
dc.subjectNondirective Counselingen
dc.subjectPaternalismen
dc.subjectPatient Careen
dc.subjectPatientsen
dc.subjectPhysiciansen
dc.subjectPregnant Womenen
dc.subjectPsychiatryen
dc.subjectPsychoactive Drugsen
dc.subjectPsychotherapyen
dc.subjectPregnancyen
dc.subjectRisks and Benefitsen
dc.subjectValuesen
dc.subjectViabilityen
dc.titleClinical Implications of Respect for Autonomy in the Psychiatric Treatment of Pregnant Patients With Depressionen
dc.provenanceDigital citation created by the National Reference Center for Bioethics Literature at Georgetown University for the BIOETHICSLINE database, part of the Kennedy Institute of Ethics' Bioethics Information Retrieval Project funded by the United States National Library of Medicine.en
dc.provenanceDigital citation migrated from OpenText LiveLink Discovery Server database named NBIO hosted by the Bioethics Research Library to the DSpace collection BioethicsLine hosted by Georgetown University.en


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