Making a Situational Diagnosis: Psychiatrists at the Interface of Psychiatry and Ethics in the Consultation-Liaison Setting
Lederberg, Marguerite S.
Psychosomatics. 1997 Jul-Aug; 38(4): 327-338.
Psychiatrists bring a unique understanding to clinical ethics, but psychiatrists need a precise awareness of the difference between exercising their clinical expertise and facilitating ethical decisionmaking. The author outlines a schema for recognizing and honoring that distinction and illustrates "pseudoethics," "pseudopsychiatry," and "psychiatry/ethics" consultations. The author describes how to make a "situational diagnosis" that includes patient/family issues, staff issues, joint issues, legal/regulatory issues, and ethical issues, thus enabling the psychiatrist to institute an appropriate "hierarchy of interventions": educational, psychological, and ethical. The literature on ethics education for psychiatric practitioners is reviewed and a program is suggested.
Case Studies; Clinical Ethics; Competence; Consultation; Decision Making; Diagnosis; Education; Ethicists; Ethics; Ethics Committees; Ethics Consultation; Family Relationship; Guidelines; Interprofessional Relations; Legal Aspects; Literature; Medical Education; Physicians; Psychiatric Diagnosis; Psychiatry; Referral and Consultation; Resuscitation; Terminally Ill;
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Preisman, Richard C.; Steinberg, Maurice D.; Rummans, Teresa A.; Youngner, Stuart J.; Leeman, Cavin P.; Lederberg, Marguerite S.; Cohen, Mary Ann A.; Surman, Owen S.; Blum, Joel A. (1999-09)