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Ethics, Culture, and Psychiatry


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Table of Contents

Section I: Ethics and Psychiatry Around the World
Chapter 1. The impact of Arab culture on psychiatric ethics
Chapter 2. Conflicts and crises in Latin America
Chapter 3. A West Mediterranean perspective
Chapter 4. Scandinavian approaches
Chapter 5. Managed care in the United States
Chapter 6. Ethics in Sub-Saharan Africa
Chapter 7. The Indian experience
Chapter 8. Ethics and psychiatry in China
Chapter 9. Intersubjectivity and its influence on psychiatry in Japan
Section II: Overarching Issues
Chapter 10. Research involving incompetent patients: a current problem in light of German history
Chapter 11. Informed consent: a historical and medical perspective
Chapter 12. An international perspective on mental health law reform
Appendix: The Declaration of Madrid

Promotional Information

Every medical act is a moral act, and this affirms the relevance for all of us of this volume on ethics in a world that is increasingly multicultural. Professor Okasha and his collaborators at the World Psychiatric Association gave us the luminous Madrid Declaration Ethical Standards for Psychiatric Practice, and now they offer us a superb review of cultural contrasts on some of the most challenging ethical issues today. Juan E. Mezzich, M.D., Ph.D., Professor of Psychiatry and Director, Division of Psychiatric Epidemiology and International Center for Mental Health, Mount Sinai School of Medicine, New York, New York This is a most vitally important book for the psychiatric profession and the medical community. Ethics is not like one hand clapping. It incorporates community values, cultural norms, and guidelines to protect our patients and retain their trust. The delivery of ethical guidelines for every profession requires the negotiation of values designed to enhance the relationship, produce the most effective outcomes, and gain respect for the profession. For psychiatrists this is a critical area for developing responsive relationships in spite of myths, stigma and ignorance about our practices. The contributors of this book present and comment on the variants of ethical values and guidelines throughout the world. At the same time, they ably articulate the common basis of an international code of ethics for the psychiatric profession. Harold M. Visotsky M.D., Owen L. Coon Professor of Psychiatry, Northwestern University Medical School, Chicago, Illinois

About the Author

Ahmed Okasha is Chairman of the Ethics Committee of the World Psychiatric Association and President-Elect of the WPA. He is also Professor of Psychiatry and Director of the World Health Organization Collaborating Center for Training and Research in Mental Health in the Institute of Psychiatry at Ain Shams University in Cairo, Egypt. Julio Arboleda-Fl��rez is a Member of the Ethics Committee of the World Psychiatric Association and Professor and Head of the Department of Psychiatry at Queen's University in Kingston, Ontario, Canada. Norman Sartorius is Past President of the World Psychiatric Association and Professor of Psychiatry at the Hospitaux Universitaires de Geneve in Geneva, Switzerland.


[T]his is a book that will be food for thought as international ethics in psychiatric practice is debated in the future. Journal of Clinical Psychiatry 62:8 The editors have surely taken on a daunting task, and they have succeeded. The volume proffers a culturally panoramic view of ethics and psychiatry. It should satisfy readers aspiring to basic knowledge of the ethical practices of psychiatry, particularly from a transcultural perspective. And indeed, the volume is a boon to readers interested in the thorny question of whether, and if so to what degree, issues relating to ethics and psychiatry may transcend not-inconsiderable cultural chasms... I recommend the volume heartily to all readers genuinely interested in weaving ethical and cultural strands within psychiatric practice. Morton D. Sosland, M.D., Psychosomatics

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