Public bioethics and research involving persons with mental disorders

Article Abstract:

The National Bioethics Advisory Commission (NBAC) report on 'Research Involving Persons with Mental Disorders that May Affect Decisionmaking Capacity' is discussed in light of recently announced plans by the National Institutes of Mental Health to create a review panel on high risk psychiatric human subject research. A summary of NBAC's recommendations is included, under the categories of review bodies, research design, informed consent and capacity, categories of research, surrogate decisionmaking, education, research, and support.

Reports, Human experimentation in medicine, Human medical experimentation, Psychiatric research, Bioethics, United States. National Bioethics Advisory Commission

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The three r's: roles, relationships, and rules

Article Abstract:

No single code of ethics embodies all the issues that confront rural mental health professionals especially on practical decision-making. Establishing the demarcation line between professional and personal relationships is already a complex task in itself. Essentially, compliance with professional guidelines depends on the mental health provider's discrimination. One's moral and ethical values determine one's own code of practice.

Analysis, Psychiatric ethics

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Managed mental health care: conflicts of interest in the provider/client relationship

Article Abstract:

The level of service accorded by healthcare providers to mentally ill patients enrolled in managed care programs depends on several factors which have long been ignored. These include personal values, financial interests and societal interests. All these lead to a conflict of interests which, in turn, induce them to promote either their economic advancement, their clients' welfare or the general good of the community.

Physician and patient, Physician-patient relations, Psychiatric personnel, Mental health personnel

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