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ETHICAL DILEMMA IN PSYCHIATRYFOCUS ON INFORMED CONSENT: AN INDIAN PERSPECTIVE
2nd International Conference on PSYCHIATRY AND PSYCHOLOGICAL DISORDERS
May 20-21, 2019 | Rome, Italy
E Mohandas
Sun Medical and Research Centre, India
Keynote : J Clin Psychiatry Cog Psychol
Abstract:
Psychiatric ethics, a very young discipline, needs periodic refinement in order to co-exist with the legal system around. The core of psychiatric ethics revolves around confidentiality, honesty and trust, non-participation in fraud, informed consent, involuntary psychiatric treatment and therapeutic boundary keeping. Ethical dilemma exists in research in genetics, research in children, placebo controlled trials, neurotechnologies 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 voluntariness? 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 autonomy? 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, disregard for the social context, family roles and relationships, personality and lifestyles, is a matter of concern.
Biography:
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 Association of Private Psychiatry. He is the Visiting Professor of Bioethics at SRM University, Chennai and at Fr. Muller Medical College, Mangalore, India.
E-mail: emohandas53@gmail.com
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