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Ethics in Psychiatry

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164 papers 100 to 500 followers Articles highlighting ethical issues (and other interesting stuff). Worth reflecting on, discussing...
https://www.readbyqxmd.com/read/28402707/physicians-firearms-and-free-speech-overturning-florida-s-firearm-safety-gag-rule
#1
Wendy E Parmet, Jason A Smith, Matthew Miller
In February, the full U.S. Court of Appeals for the Eleventh Circuit issued its long-awaited ruling in Wollschlaeger v. Governor, State of Florida, invalidating parts of Florida’s Firearm Owners’ Privacy Act (FOPA) and affirming that the First Amendment applies to the speech between physicians and..
April 12, 2017: New England Journal of Medicine
https://www.readbyqxmd.com/read/28419659/making-visible-the-politics-and-ethics-of-alcohol-policy-research
#2
David Moore
Although research on alcohol policy has produced a huge international literature, alcohol research and policy itself-its cultural assumptions, methods, politics and ethics-has rarely been subject to critical analysis. In this article, I provide an appreciative review of an exception to this trend: Joseph Gusfield's 1981 classic, The Culture of Public Problems: Drinking-Driving and the Symbolic Order. I first outline Gusfield's argument that the 'problem of drinking-driving' is constructed as a 'drama of individualism' centring on the 'killer drunk'...
April 16, 2017: Addiction
https://www.readbyqxmd.com/read/28249131/conflicts-of-interest-for-patient-advocacy-organizations
#3
Matthew S McCoy, Michael Carniol, Katherine Chockley, John W Urwin, Ezekiel J Emanuel, Harald Schmidt
No abstract text is available yet for this article.
March 2, 2017: New England Journal of Medicine
https://www.readbyqxmd.com/read/28249147/informed-consent
#4
REVIEW
Christine Grady, Steven R Cummings, Michael C Rowbotham, Michael V McConnell, Euan A Ashley, Gagandeep Kang
This multipart review provides an overview of innovative approaches to improving and expanding the informed consent process for researchers and participants, along with short essays covering specific areas of innovation. The Changing Face of Informed Consent. Christine Grady, R.N. Ph.D. In the..
March 2, 2017: New England Journal of Medicine
https://www.readbyqxmd.com/read/28292224/universal-depression-screening-to-improve-depression-outcomes-in-primary-care-sounds-good-but-where-is-the-evidence
#5
Ramin Mojtabai
The 2016 recommendation statement by the U.S. Preventive Services Task Force (USPSTF) endorsed screening for depression in the general adult population. The recommendation was mainly based on studies that compared enhanced depression care that included depression screening with usual care. In contrast to the USPSTF recommendation, the 2013 guidelines from the Canadian Task Force on Preventive Health Care (CTFPHC) recommended against routine depression screening. The CTFPHC could not identify any studies comparing depression outcomes of usual care with and without the addition of routine depression screening...
March 15, 2017: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/28330588/why-serious-mental-illness-should-be-designated-a-health-disparity-and-the-paradox-of-ethnicity
#6
Stephen J Bartels, Peter DiMilia
No abstract text is available yet for this article.
March 16, 2017: Lancet Psychiatry
https://www.readbyqxmd.com/read/28246262/workplace-violence-is-not-part-of-a-doctor-s-job
#7
EDITORIAL
Barbara Sibbald
No abstract text is available yet for this article.
February 6, 2017: CMAJ: Canadian Medical Association Journal, Journal de L'Association Medicale Canadienne
https://www.readbyqxmd.com/read/28225459/it-is-time-to-cancel-medicine-s-social-contract-metaphor
#8
John M Harris
There is agreement that the complex relationship between medicine and society is best described as a metaphorical social contract and that professionalism is the medical profession's contribution to this contract. Metaphors can help clarify abstract concepts, but they can also be abused if the counterfactual attributes of a metaphor become attributed to its subject. This seems to be happening with medical professionalism, which has sometimes been reduced to a contracted deliverable and a bargaining chip. The undesirable attributes of the social contract metaphor may be hindering efforts to understand and teach medical professionalism...
February 21, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28196462/should-mental-disorders-be-a-basis-for-physician-assisted-death
#9
Paul S Appelbaum
Laws permitting physician-assisted death in the United States currently are limited to terminal conditions. Canada is considering whether to extend the practice to encompass intractable suffering caused by mental disorders, and the question inevitably will arise in the United States. Among the problems seen in countries that have legalized assisted death for mental disorders are difficulties in assessing the disorder's intractability and the patient's decisional competence, and the disproportionate involvement of patients with social isolation and personality disorders...
April 1, 2017: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/28185900/evidence-based-science-policy-for-mental-health-in-a-post-truth-era
#10
Harold Alan Pincus, Stephanie A Rolin
No abstract text is available yet for this article.
February 6, 2017: Lancet Psychiatry
https://www.readbyqxmd.com/read/28142273/placebo-unsolved-problems-for-science-and-simple-conclusions-for-clinical-practice
#11
Michael Linden
No abstract text is available yet for this article.
February 1, 2017: American Journal of Psychiatry
https://www.readbyqxmd.com/read/28093059/insurance-coverage-and-treatment-use-under-the-affordable-care-act-among-adults-with-mental-and-substance-use-disorders
#12
Brendan Saloner, Sachini Bandara, Marcus Bachhuber, Colleen L Barry
OBJECTIVE: Many adults who have mental or substance use disorders or both experience insurance-related barriers to care, contributing to low treatment utilization. Expanded insurance under the Affordable Care Act (ACA) could improve coverage and access. The study identified changes in coverage and treatment use following 2014 ACA insurance expansions. METHODS: Data from the National Survey on Drug Use and Health were used to identify individuals ages 18-64 screening positive for any mental disorder (N=29,962) or substance use disorder (N=19,243) for two periods: 2011-2013 and 2014...
January 17, 2017: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/28097303/clinicians-expectations-of-the-benefits-and-harms-of-treatments-screening-and-tests-a-systematic-review
#13
Tammy C Hoffmann, Chris Del Mar
Importance: Inaccurate clinician expectations of the benefits and harms of interventions can profoundly influence decision making and may be contributing to increasing intervention overuse. Objective: To systematically review all studies that have quantitatively assessed clinicians' expectations of the benefits and/or harms of any treatment, test, or screening test. Evidence Review: A comprehensive search strategy of 4 databases (MEDLINE, EMBASE, Cumulative Index of Nursing and Allied Health Literature, and PsycINFO) from the start years to March 17-20, 2015, with no language or study type restriction, was performed...
March 1, 2017: JAMA Internal Medicine
https://www.readbyqxmd.com/read/27965314/how-voter-turnout-varies-between-different-chronic-conditions-a-population-based-register-study
#14
Reijo Sund, Hannu Lahtinen, Hanna Wass, Mikko Mattila, Pekka Martikainen
BACKGROUND: While poor self-rated health is known to decrease an individual's propensity to vote, disaggregation of the components of health on turnout has thus far received only little attention. This study deepens on the understanding of such relationships by examining the association between chronic diseases and voting. METHODS: The study uses an individual-level register-based data set that contains an 11% random sample of the entire electorate in the 1999 Finnish parliamentary elections...
December 13, 2016: Journal of Epidemiology and Community Health
https://www.readbyqxmd.com/read/27993918/conflicts-of-interest-and-expertise-of-independent-commenters-in-news-stories-about-medical-research
#15
Michael T M Wang, Andrew Grey, Mark J Bolland
BACKGROUND: Media coverage of medical research influences the views and behaviours of clinicians, scientists and members of the public. We examined how frequently commenters in news stories about medical research have relevant expertise and have academic and financial conflicts, how often such conflicts are reported and whether there are associations between the conflicts and the disposition of the comments toward the findings of the source research. METHODS: We analyzed 104 independent comments in news stories on original clinical research published in high-impact medical journals from Jan...
April 18, 2017: CMAJ: Canadian Medical Association Journal, Journal de L'Association Medicale Canadienne
https://www.readbyqxmd.com/read/27932600/delineating-the-fine-line-between-the-mad-and-the-bad-victorian-prisons-and-insane-asylums-1856-1914
#16
LETTER
Anthea Sutton
No abstract text is available yet for this article.
December 8, 2016: Australian and New Zealand Journal of Psychiatry
https://www.readbyqxmd.com/read/28040825/training-patients-with-schizophrenia-to-share-decisions-with-their-psychiatrists-a-randomized-controlled-trial
#17
Johannes Hamann, Anna Parchmann, Nina Sassenberg, Katharina Bronner, Margot Albus, Alwin Richter, Sandra Hoppstock, Werner Kissling
PURPOSE: Many patients with schizophrenia have a desire for shared decision-making (SDM). However, in clinical practice SDM often does not take place. One cause might be that many patients behave passively in the medical encounter, therefore not facilitating SDM. It was the aim of the study to evaluate the effects of a patient directed SDM-training on patients' communicative behavior in the consultation, their attitudes towards decision-making and their long-term adherence. METHODS: Randomized-controlled trial comparing a five-session SDM-training for inpatients with schizophrenia with five sessions of non-specific group training...
December 31, 2016: Social Psychiatry and Psychiatric Epidemiology
https://www.readbyqxmd.com/read/27932319/teaching-medical-ethics-useful-or-useless
#18
Daniel Sokol
No abstract text is available yet for this article.
December 8, 2016: BMJ: British Medical Journal
https://www.readbyqxmd.com/read/27956433/a-universal-basic-income-the-answer-to-poverty-insecurity-and-health-inequality
#19
EDITORIAL
Anthony Painter
No abstract text is available yet for this article.
December 12, 2016: BMJ: British Medical Journal
https://www.readbyqxmd.com/read/28011462/making-patient-relevant-clinical-research-a-reality
#20
EDITORIAL
Sally Crowe, Ceinwen Giles
No abstract text is available yet for this article.
December 23, 2016: BMJ: British Medical Journal
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