임상에서 정신건강의학과 의료윤리의 실제
Practice of Psychiatry Ethics in the Clinical Applications
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의료윤리의 한 분야인 정신의학윤리는 강제치료와 같은 정신의학의 특성 때문에 복잡한 윤리적 갈등을 나타낼 수 있다. 저자는 정신의학윤리를 포함하고 있는 의료윤리의 기본적인 4원칙에 대해서 기술하고, 정신건강의학과 임상에서 흔히 접하게 되는 여러 가지 윤리적 상황에 대해서 임상사례와 함께 그에 대한 이론을 정리하였다. 의료윤리의 4원칙은 자율성 존중의 원칙, 악행금지의 원칙, 온정적 간섭주의를 포함한 선행의 원칙, 그리고 정의의 원칙이다. 정신건강의학과의 임상상황으로는 억제와 격리시행에 따른 윤리적 문제, 강제입원에 대한 윤리적 문제, 비밀보장의 문제, 자율성과 타인의 이익 문제, 대리결정의 문제, 정신과 환자의 진단문제, 정신과 환자 간의 이성문제, 동의의 문제 등을 기술하였다.
Abstract
Psychiatric ethics, which is a field of medical ethics, could show complicated ethical conflicts due to the characteristics of psychiatry such as involuntary treatment. The author described the four basic principles of medical ethics including psychiatric ethics, and organized the clinical cases and theories of various ethical situations that are common in the clinical applications of psychiatry. The four principles of medical ethics are the principle of respect for autonomy, the principle of non-maleficence, the principle of beneficence including paternalism, and the principle of justice. The clinical situations of psychiatry described in this study include ethical problems relevant to restraint and isolation, ethical problems relevant to involuntary hospitalization, confidentiality problem, problems relevant to autonomy and others' benefit, surrogate decision making problem, problems relevant to the diagnosis of psychiatric patients, problems relevant to the relationships with the opposite sex between psychiatric patients, and agreement problem.
참고문헌 (33)
- 민성길, "최신정신의학" (2006), 일조각
- Fulford K, "Principles of Health Care Ethics", pp.681~695 (1994), John Wiley and Sons
- Dyer A, "Ethics and Psychiatry: Toward a Professional Definition" (1988), American Psychiatric Press
- Ross W, "The Foundation of Ethics" (1939), Clarendon Press
- Beauchamp TL, "Principle of Biomedical Ethics" (1994), Oxford University Press
- 손명세, "전공의를 위한 의료윤리: 사례와 해설" (2011), 군자출판사
- 7)Radden J, "Psychiatric ethics", Bioethics, 16(5), pp.397~411 (2002)
- 한국의료윤리학회, "의과대학 학습목표에 기초한 의료윤리학" (2001), 계축문화사
- Chodoff P, "Involuntary hospitalization of the mentally ill as a moral issue", Am J Psychiatry, 141(3), pp.384~389 (1984)
- Munetz M, "The ethics of mandatory community treatment", J Am Acad Psychiatr Law, 31(2), pp.173~183 (2003)
- 박석건, "의료문제의 윤리적 성찰" (2001), 단국대학교 출판부
- Mill J, "Utilitarianism, Liberty, Representative Government" (1968), JM Dent and Sons
- Waithe M, "Why Mill was for paternalism", Int J Law Psychiatry, 6(1), pp.101~111 (1983)
- Busch AB, "Seclusion and restraint : a review of recent literature", Harv Rev Psychiatry, 8(5), pp.261~270 (2000)
- Fisher WA, "Restraint and seclusion: a review of the literature", Am J Psychiatry, 151(11), pp.1584~1591 (1994)
- Taxis JC, "Ethics and praxis: alternative strategies to physical restraint and seclusion in a psychiatric setting", Issues Ment Health Nurs, 23(2), pp.157~170 (2002)
- Greenberg D, "Psychiatry and Ethics", pp.283~298 (1982), Prometheus
- Moss RJ, "The ethics of mechanical restraints", Hastings Cent Rep, 21(1), pp.22~25 (1991)
- Reich WT, "Encyclopedia Bioethic" (2004), Macmillan
- 조민정, "정신과 병동 간호사가 인식하는 윤리 문제에 대한 사례 분석 : 원칙주의를 중심으로", 박사, 간호과학, pp.2005
- Kozub ML, "Least to most restrictive interventions. A continuum for mental health care facilities", J Psychosoc Nurs Ment Health Serv, 39(3), pp.32~38 (2001)
- 전우택, "정신의학과 윤리", 신경정신의학, 32(1), pp.14~27 (1993)
- Kant I, "Grounding for the Metaphysics of Morals" (1983), Hackett
- Monahan J, "Violence and Mental Disorder: Developments in Risk Assessment" (1994), University of Chicago Press
- Gabbard G, "Disguise or consent", Int J Psychoanal, 81(6), pp.1071~1086 (2000)
- Appelbaum PS, "Privacy in psychiatric treatment : threats and responses", Am J Psychiatry, 159(11), pp.1809~1818 (2002)
- American Psychiatric Association, "Principles of Medical Ethics: With Annotations Especially Applicable to Psychiatry" (2001), American Psychiatric Association
- Wexler D, "Patients, therapist, and third parties: the victimological virtues of Tarasoff", Int J Law Psychiatry, 2(1), pp.1~28 (1979)
- Radden J, "Notes towards a professional ethics for psychiatry", Aust N Z J Psychiatry, 36, pp.52~59 (2002)
- American Psychiatric Association, "Diagnostic and Statistical Manual of Mental Disorders" (2013), American Psychiatric Association
- Chadwick R, "The Philosophy of Psychiatry", pp.282~295 (2004), Oxford University Press
- 문승연, "정신장애인의 결혼생활에 관한 탐색적 연구", 석사, 사회복지학, pp.2002
- 서일석, "정신분열증 환자의 결혼생활에 대한 고찰", 신경정신의학, 20(4), pp.451~458 (1981)