Forensic psychiatry, one subspecialty with two ethics? A systematic review.

Détails

Ressource 1Télécharger: pmid29636102.pdf (459.51 [Ko])
Etat: Serval
Version: Final published version
ID Serval
serval:BIB_4112670FE460
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Forensic psychiatry, one subspecialty with two ethics? A systematic review.
Périodique
BMC medical ethics
Auteur(s)
Niveau G., Welle I.
ISSN
1472-6939 (Electronic)
ISSN-L
1472-6939
Statut éditorial
Publié
Date de publication
10/04/2018
Peer-reviewed
Oui
Volume
19
Numéro
1
Pages
25
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: epublish
Résumé
Forensic psychiatry is a particular subspecialty within psychiatry, dedicated in applying psychiatric knowledge and psychiatric training for particular legal purposes. Given that within the scope of forensic psychiatry, a third party usually intervenes in the patient-doctor relationship, an amendment of the traditional ethical principles seems justified.
Thus, 47 articles, two book chapters and the guidelines produced by the World Psychiatric Association, the American Association of Psychiatry and the Law, as well as by the Royal Australian and New Zealand College of psychiatrists, were analyzed. The review revealed that the ethics of correctional forensic psychiatry and those of legal forensic psychiatry do not markedly differ from each other, but they are incongruent in terms of implementation.
In an effort to better understand which ethical principles apply to forensic psychiatry, a chronological review of the literature published from 1950 to 2015 was carried out.
The ethics of correctional forensic psychiatry are primarily deontological. The principle of justice translates into the principle of health care equivalence, the principle of beneficence into providing the best possible care to patients, and the principle of respect of autonomy into ensuring confidentiality and informed consent. The ethics of legal forensic psychiatry are rather consequentialist. In this latter setting, the principle of justice is mainly characterized by professionalism, the principle of beneficence by objectivity and impartiality, and the principle of respect of autonomy by informed consent. However, these two distinct fields of forensic psychiatry share in common the principle of non maleficence, defined as the non collaboration of the psychiatrist in any activity leading to inhuman and degrading treatment or to the death penalty.

Mots-clé
Autonomy, Beneficence, Consequentialism, Correctional psychiatry, Ethics, Forensic psychiatry, Justice, Legal psychiatry, Non-maleficence, Principlism
Pubmed
Web of science
Open Access
Oui
Création de la notice
13/04/2018 8:51
Dernière modification de la notice
08/05/2019 17:39
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