By Mirjam Faissner and Esther Braun. William is a Black student with chronic schizophrenia under voluntary treatment in a German psychiatric hospital. The night before his death, William experiences a mental health crisis: he is screaming loudly, shadow boxing, lashing out. The doctors on the ward judge him to be a danger to himself and […]
Category: Mental Health
The doctor can “see” you now – the ethical considerations of patient rights and safeguards in online mental health act assessments during Covid-19
By Lisa Schölin and Arun Chopra. It is fair to say that when the pandemic hit we were not entirely prepared to move our social lives, work, and healthcare to online platforms. Yet, we had to. But in which services, and more specifically in what situations, can remote contact sufficiently, legally, and safely be used […]
The return of psychedelics to psychiatry. Can the therapeutic effects of psychedelic experiences be justified?
By Riccardo Miceli McMillan. The use of psychedelic-assisted psychotherapy to treat mental illness is a paradigm which is reattracting significant attention both within medico-scientific communities as well as the public more broadly. After a long hiatus from their controversial debut during the 1960’s, psychedelics such as psilocybin (one of the active ingredients inside so-called ‘magic’ […]
Using Ulysses Contracts to prevent patients from spiralling into relapse
By Harriet Standing Many people have written about Ulysses contracts in relation to the treatment of patients with mental illnesses. However, previous discussions have not focused on the particular phenomenon known as ‘spiralling’. The inspiration for this paper came from a friend with bipolar disorder. Over the years, they had suffered the relapsing and remitting […]
To the Independent Review of the Mental Health Act 1983: Think again
By Harry Hudson The recent review of the Mental Health Act 1983, published in December 2018, focused on increasing choice and reducing compulsion. It highlighted dignity as the first casualty of compulsive powers; their use was identified as denying self-respect to patients. When discussing compulsion, it failed to properly challenge involuntary medication of patients with […]
Privacy: Don’t Get Over It
By Elias Aboujaoude Account hacks. Revenge porn. Identity theft. Cyberstalking. Psychographic targeting. Facial recognition. Government surveillance. It’s enough to give up and agree with the devastatingly prescient remark from 1999 by the founder of Sun Microsystems: “You have zero privacy anyway. Get over it.” In a post-privacy world, victims of technology-enabled privacy violations look to […]
Advance directives, personal identity, and the body: what follows if dementia produces a different individual?
By Govind Persad. I recently published “Authority Without Identity: Defending Advance Directives via Posthumous Rights Over One’s Body” in JME. In the paper, I argue that even if the psychological changes caused by dementia mean that the individual who existed before dementia is a different individual from the individual who exists afterward, a pre-dementia advance […]
Is there room for a palliative psychiatry?
By Anna Lindblad It first occurred to me during a house visit. Sitting next to a very old and very frail person shaking with anxiety, I realised that there was not much for me, the psychiatrist, to offer. Pharmacotherapies had not relieved the symptoms of depression. Electroconvulsive therapy was no option due to somatic comorbidity. […]
Advance decisions in dementia: when the past conflicts with the present
By George Gillett Last month, the Guardian columnist Polly Toynbee wrote an article in support of assisted dying. She wrote about Katherine Whitehorn, her former colleague at the Observer. Describing Whitehorn, Toynbee writes: She is not herself. Her old self would not recognise herself in this other being who sits in the care home. What […]
Guest Post: Philosophical Tradeoffs in Psychotherapy
Authors: Sahanika Ratnayake, David Merry. Paper: Forgetting ourselves: epistemic costs and ethical concerns in mindfulness exercises Unlike pharmaceuticals, psychotherapy is often presented as an effective treatment without any side effects. Mindfulness exercises, popularised by Jon Kabat-Zinn in the 1970s and ‘80s, are seen as particularly gentle. According to Kabat-Zinn, mindfulness is nothing more than ‘paying attention’. […]