Psychiatry 2019
Journal Clinical Psychiatry and Cognitive Psychology | Volume 3
Page 14
May 20-21, 2019 | Rome, Italy
PSYCHIATRY AND
PSYCHOLOGICAL DISORDERS
2
nd
International Conference on
OF EXCELLENCE
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ETHICAL DILEMMA IN PSYCHIATRY-
FOCUS ON INFORMED CONSENT: AN
INDIAN PERSPECTIVE
P
sychiatric ethics, a very young discipline, needs periodic refinement
in order to co-exist with the legal system around. The core of psychi-
atric ethics revolves around confidentiality, honesty and trust, non-par-
ticipation in fraud, informed consent, involuntary psychiatric treatment
and therapeutic boundary keeping. Ethical dilemma exists in research in
genetics, research in children, placebo controlled trials, neurotechnolo-
gies and pharmacological treatment of prodromal symptoms. The major
issue is about how informed and valid is informed consent in psychiatry?
The vexing issues concerned are: How often the client expresses volun-
tariness? How often the client can employ autonomy? How often the
clients understand information? How competent is the client to decide
action? How often the‘family centered’opinions override clients autono-
my? How often shared decisions sabotage autonomy/competence? How
often assessments are done? In India greater value is given for health
than on the principle of personal autonomy. The western concept, disre-
gard for the social context, family roles and relationships, personality and
lifestyles, is a matter of concern.
E Mohandas, J Clin Psychiatry Cog Psychol 2019, Volume 3
E Mohandas is a Consultant Psychiatrist at Sun
Medical and Research Centre, India. He is the
Director and Professor of International Institute
of Organizational Psychological Medicine. He is
the Chair at UNESCO Bioethics (Asia Pacific). He is
the Member, WPA-Pharmacopsychiatry Section.
He is the Chair, International Affairs at Indian As-
sociation of Private Psychiatry. He is the Visiting
Professor of Bioethics at SRM University, Chennai
and at Fr. Muller Medical College, Mangalore, In-
dia.
emohandas53@gmail.comE Mohandas
Sun Medical and Research Centre, India
BIOGRAPHY