0
Get Alert
Please Wait... Processing your request... Please Wait.
You must sign in to sign-up for alerts.

Please confirm that your email address is correct, so you can successfully receive this alert.

CLINICAL SYNTHESIS   |    
Ethics Commentary: Ethical Issues in Psychosomatic Medicine (Consultation-Liaison Psychiatry)
Sermsak Lolak, M.D.; Yelizaveta Sher, M.D.
FOCUS 2013;11:511-515. doi:10.1176/appi.focus.11.4.511
View Author and Article Information

Author Information and CME Disclosure

Sermsak Lolak, M.D., Associate Professor, Director of GWU Hospital Consultation-Liaison Service, Department of Psychiatry and Behavioral Sciences, George Washington University School of Medicine and Health Sciences, Washington, DC

Yelizaveta Sher, M.D., Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA

The authors report no competing interests.

Address correspondence to Sermsak Lolak, M.D., George Washington University School of Medicine and Health Sciences, 2120 L St, NW, Washington, DC 20002; e-mail: slolak@mfa.gwu.edu

Abstract

Psychiatrists who practice in medical settings are often called on to provide their recommendations in medical situations with challenging ethical dilemmas. Although not necessarily trained ethicists, psychiatric consultants are often expected to be expertly versed in the field of medical ethics. It is thus imperative for psychiatrists working in medical hospitals to be familiar with important ethical concepts and questions and have a framework within which they can conceptualize their cases. In this paper, we review the “Four Topics Method,” which provides a framework to help with ethical decision-making strategies for patients in a medical setting. We then discuss three cases using this framework, outlining the ethical dilemmas in question and highlighting important themes.

Abstract Teaser
Figures in this Article

Your Session has timed out. Please sign back in to continue.
Sign In Your Session has timed out. Please sign back in to continue.
Sign In to Access Full Content
 
Username
Password
Sign in via Athens (What is this?)
Athens is a service for single sign-on which enables access to all of an institution's subscriptions on- or off-site.
Not a subscriber?

Subscribe Now/Learn More

PsychiatryOnline subscription options offer access to the DSM-5 library, books, journals, CME, and patient resources. This all-in-one virtual library provides psychiatrists and mental health professionals with key resources for diagnosis, treatment, research, and professional development.

Need more help? PsychiatryOnline Customer Service may be reached by emailing PsychiatryOnline@psych.org or by calling 800-368-5777 (in the U.S.) or 703-907-7322 (outside the U.S.).

Figure 1. A Model for Ethical Decision Making

From Roberts LW, Dyer AR: Concise Guide to Ethics in Mental Health Care. Washington, DC, American Psychiatric Publishing, 2004, p. 307. Reprinted with permission.

+

References

Rosenstein  DL;  Miller  FG:  Ethical issues, in  The American Psychiatric Publishing Textbook of Psychosomatic Medicine: Psychiatric Care of the Medically Ill , 2nd ed. Edited by Levenson  JL.  Arlington, VA,  American Psychiatric Publishing, 2011, pp 33–43
 
Geppert  CM;  Cohen  MA:  Consultation-liaison psychiatrists on bioethics committees: opportunities for academic leadership.  Acad Psychiatry 2006; 30:416–421
[CrossRef] | [PubMed]
 
Wright  MT;  Roberts  LW:  A basic decision-making approach to common ethical issues in consultation-liaison psychiatry.  Psychiatr Clin North Am 2009; 32:315–328
[CrossRef] | [PubMed]
 
Siegler  M:  Decision-making strategy for clinical-ethical problems in medicine.  Arch Intern Med 1982; 142:2178–2179
[CrossRef] | [PubMed]
 
Roberts  LW;  Hoop  JG;  Dunn  LB;  Geppert  CM:  “An Overview for Mental Health Clinicians, Researcher, and Learners,” in Professionalism and Ethics Q&A Self-Study Guide for Mental Health Professionals. Roberts LW, Hoop JG , 1st ed.  Arlington, VA,  American Psychiatric Publishing, 2008, pp 3–72
 
Kontos  N;  Freudenreich  O;  Querques  J:  Beyond capacity: identifying ethical dilemmas underlying capacity evaluation requests.  Psychosomatics 2013; 54:103–110
[CrossRef] | [PubMed]
 
Maldonado  JR;  Dubois  HC;  David  EE;  Sher  Y;  Lolak  S;  Dyal  J;  Witten  D:  The Stanford Integrated Psychosocial Assessment for Transplantation (SIPAT): a new tool for the psychosocial evaluation of pre-transplant candidates.  Psychosomatics 2012; 53:123–132
[CrossRef] | [PubMed]
 
References Container
+
+

CME Activity

There is currently no quiz available for this resource. Please click here to go to the CME page to find another.
Submit a Comments
Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
Comments are moderated and will appear on the site at the discertion of APA editorial staff.

* = Required Field
(if multiple authors, separate names by comma)
Example: John Doe



Related Content
Books
The American Psychiatric Publishing Textbook of Psychiatry, 5th Edition > Chapter 42.  >
The American Psychiatric Publishing Textbook of Geriatric Psychiatry, 4th Edition > Chapter 33.  >
Dulcan's Textbook of Child and Adolescent Psychiatry > Chapter 43.  >
Dulcan's Textbook of Child and Adolescent Psychiatry > Chapter 43.  >
Dulcan's Textbook of Child and Adolescent Psychiatry > Chapter 45.  >
Topic Collections
Psychiatric News
PubMed Articles