Principles and ethical decision models in liaison and consulting psychiatry
DOI:
https://doi.org/10.25118/2763-9037.2023.v13.423Keywords:
liasion psychiatry, psychosomatic medicine, ethicsAbstract
In everyday clinical practice, Liaison and Consultancy Psychiatry (PLC) is often called upon to participate in the clarification and resolution of situations with challenging clinical and ethical implications. However, the training of professionals dedicated to this subspecialty does not imply a differentiated training in Clinical Ethics compared to other physicians. This article intends to explore the various principles and models of ethical decision underlying the activity in PLC. A narrative review of the relevant literature available on the PubMed and Google Scholar platforms was conducted, using the keywords “ethics”, “consultation-liaison psychiatry'', “psychosomatic medicine” and “end of life care”, completed with the exploration of the references considered relevant. from other sources Five models of decision-making in the face of ethical dilemmas are presented, starting from a historical point of view. The ethical principles involved in clinical practice are often in conflict, which is why there is a need for models that systematize the analysis of ethical dilemmas and simplify their resolution. The structured approach to Ethics during the psychiatrist's formative period can provide knowledge and proficiency in the application of ethical principles and decision-making models, fundamental for an impartial and effective practice.
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