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52 Contagion, Identity, Misinformation: Challenges for Psychiatric Ethics in the Age of the Internet
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Introduction Introduction
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The “Social Contract” in Psychiatric Care The “Social Contract” in Psychiatric Care
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The “Social Contract” as a Conceptual Framework The “Social Contract” as a Conceptual Framework
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The “Social Contract” between the Medical Profession and Society The “Social Contract” between the Medical Profession and Society
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A Critical View of the “Social Contract” Framework A Critical View of the “Social Contract” Framework
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A Reframing of the “Social Contract:” the “Alliance” A Reframing of the “Social Contract:” the “Alliance”
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Challenges to the Psychiatrist–Community Alliance Challenges to the Psychiatrist–Community Alliance
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Disagreements with Allies about Policy Disagreements with Allies about Policy
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Separating Professional Expertise and Personal Values Separating Professional Expertise and Personal Values
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Boundary Tensions that May Arise in Community Involvement Boundary Tensions that May Arise in Community Involvement
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Tensions Regarding Shared Cultural Authority Tensions Regarding Shared Cultural Authority
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Conclusion Conclusion
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References References
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70 Animal Welfare Considerations and Ethical Oversight of the Use of Animals in Psychiatric Research
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57 The Psychiatrist as Community Member
Get accessRebecca Wehrly, Department of Psychiatry, University of Texas Southwestern Medical Center
Adam Brenner, The University of Texas Southwestern Medical Center, Dallas, Texas, USA
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Published:06 January 2015
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Abstract
We consider the ethical aspects of the relationship of the psychiatrist to the community. We initially use the framework of a “social contract” to explore psychiatrists’ and communities’ reciprocal expectations for one another. We then argue that the concept of an “alliance” between the psychiatrist and community provides a more accurate, productive lens for psychiatrists to advocate and change in their communities. We apply this framework to the following ethical challenges that may arise when psychiatrists become active in their communities: (1) disagreements with allies about public policy; (2) difficulties separating professional expertise and personal values; (3) boundary tensions arising from patient contact outside the usual framework of treatment; and (4) the loss of the psychiatrist’s monopoly on cultural authority.
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