In Two Minds is a practical casebook of problem solving in
psychiatric ethics. Written in a lively and accessible style, it
builds on a series of detailed case histories to illustrate the
central place of ethical reasoning as a key competency for clinical
work and research in psychiatry. Topics include risk, dangerousness
and confidentiality; judgements of responsibility; involuntary
treatment and mental health legislation; consent to genetic
screening; dual role issues in child and adolescent psychiatry;
needs assessment; cross-cultural and gender issues; rational and
irrational suicide; shared decision making in multi-agency teams,
and the growing role of the user's voice in psychiatry. Key ethical
concepts are carefully introduced and explained. The text is richly
supported by detailed guides for further reading. There are
separate chapters on teaching psychiatric ethics, including a
sample seminar, and on writing a research ethics application. Each
case history and discussion is followed by a critical commentary
from a practitioner with relevant experience. Jim Birley adds a
comparative international perspective on psychiatric ethics.
Cartoons by Johnny Cowee provide punchy counterpoint! In Two Minds
is the sister volume to the third edition of Sidney, Paul Chodoff
and Steven Green's highly successful Psychiatric Ethics. In
providing a bridge between theory and practice, it will be
essential reading for everyone concerned with improving standards
in mental health care.
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