Medicine and Health Sciences Commons^™

Balancing The Medical, Psychiatric, And Ethical Considerations In The Inpatient Treatment Of Extreme Anorexia Nervosa: A Case Report, Carter A. Schulz, Carolyn A. Kennedy

Aesculapius Journal (Health Sciences & Medicine)

Introduction: Anorexia nervosa (AN) is a psychiatric illness characterized by restricted energy intake, intense fear of gaining weight, and a disturbance in body image. A 2011 meta-analysis estimated the mortality rate for anorexia nervosa to be over 5 times that of the general population, with one-fifth of deaths in AN patients being due to suicide. Treating this disease is notoriously difficult, and treatment is complicated by these patients’ characteristically poor insight.

Case summary: Here we present the case of a 37 year old woman who visited the ED with complaints of nausea and weakness; she was admitted due to hypoglycemia, …

Comparing Levels Of Situational Empathy Based On Medium Of Exposure To Covid-19 Mortality Information And Proximity To Others, Beth Durkin

Honors Projects

In response to the COVID-19 pandemic, many people expressed a lax attitude to the policies put in place to keep the public safe despite the high risk of infection and its devastating effects on health across the United States. It is possible that this response may be partially due to a “numbness to numbers,” a phenomenon that describes diminished empathy for a large group of people experiencing a negative event (eg. COVID-19). The present study explored the relationship between levels of situational empathy and the medium of exposure to COVID-19 mortality information (eg. personal story or fact sheet) in an …

Ethics Of Interaction: Levinas And Enactivism On Affectivity, Responsibility, And Signification, Edward A. Lenzo

Middle Voices

In recent years, there have been a number of attempts to connect enactivism with the work of Emmanuel Levinas. This essay is such an attempt. Its major theme is the relationship between affectivity and ethics. My touchstones in enactivist thought are Giovanna Colombetti and Steve Torrances’ “Emotion and Ethics: an (inter-)enactive account” (2009) and the influential concept of participatory sense-making developed by Hanne De Jaegher and Ezequiel Di Paolo (2007). With respect to Levinas, I deploy major insights from Totality and Infinity and Otherwise than Being. I first show that enactivist thought (thus represented) and Levinas roughly agree on …

Healthcare Altruism And Dysconscious Healthism In The Delivery Of Integrated Healthcare Services To Individuals Who Are Deaf, Hard Of Hearing, And Deafblind, Jaime A.B. Wilson, Michael John Gournaris

JADARA

Healthcare altruism and dysconscious healthism are terms proposed to recognize the barriers to healthcare access faced by not only individuals with hearing loss but also all minority populations. The implications of an integrated healthcare model to provide services to individuals who are d/Deaf, hard of hearing, or DeafBlind (D/HH/DB) are explored. Unique insights are then offered regarding existing barriers to healthcare access and the next steps.

The History Of Lobotomies: Examining Its Impacts On Marginalized Groups And The Development Of Psychosurgery, Simon Godin, Brett Leblanc

Psychology from the Margins

Frontal lobotomies, which are defined as the lesioning of the frontal lobe from the rest of the brain, were performed extensively from the 1930s to the 1960s in Europe and the United States, significantly impacting psychology and psychosurgery. The history of frontal lobotomies features many different practitioners with diverse methods; however, the overwhelming majority of popular lobotomists committed unethical actions by today’s standards that led to the direct marginalization of specific demographics. Using a framework guided by an exploration of those historically disempowered by the performance of lobotomies, this review article traces the lobotomy’s historical progression, focusing on the unethical …

An Animal-Assisted Intervention Study In The Nursing Home: Lessons Learned, Lonneke G. J. A. Schuurmans, Inge Noback, Jos M. G. A. Schols, Marie-Jose Enders-Slegers

People and Animals: The International Journal of Research and Practice

AAI studies in the nursing home pose a specific set of challenges. In this article the practical and ethical issues encountered during a Dutch psychogeriatric nursing home AAI study are addressed with the aim of sharing our experiences for future researchers as well as AAI practitioners in general.

In our study we compared three groups of clients with dementia who participated in group sessions of either visiting dog teams, visiting FurReal Friend robot animals, or visiting students (control group) and monitored the effect on social interaction and neuropsychiatric symptoms through video analysis and questionnaires. We encountered the following four categories …

Prevalence Of Moral Injury In Canadian Forces Members Deployed To Afghanistan, Kevin T. Hansen

Electronic Thesis and Dissertation Repository

Moral injury is a relatively new area of study within military mental health care, as such, prevalence estimates for both moral injury and exposure to potentially morally injurious events (PMIE; a moral injury precursor) are unknown for many of the world’s militaries. PMIE is commonly defined as the perpetrating, failing to prevent, witnessing, or learning about acts or events that transgress an individual’s deeply held moral belief(s). The primary purpose of this study was to estimate the prevalence of PMIE in a population of Canadian Armed Forces (CF) members who served in support of the recent mission to Afghanistan. How …

The Effects Of Superordinate Identity Recategorization And Social Value Orientation On Ethical Decision-Making In A Business Dilemma, Thomas Steven Colville

Master's Theses

The purpose of the present study was to investigate potential solutions to the prevalence of unethical behavior in groups, specifically through the use of superordinate recategorization. Superordinate recategorization allows group members to feel an affinity with others not typically included in their in-group. This should promote ethical decision-making by enabling the inherent in-group favoring tendencies found in groups to be extended to a more inclusive category. In the context of the present study, the ethicality of participants' behavior in the Panalba scenario was determined by their choices on a 1 to 6 scale from least to most ethical. Additionally, participants’ …

On The Significance Of Psychodynamic Discourse For The Field Of Consciousness Studies, Robin S. Brown

CONSCIOUSNESS: Ideas and Research for the Twenty-First Century

Despite the obvious confluence of concerns between psychodynamic psychology and the emerging field of consciousness studies, the extent to which psychodynamic thinking has factored into the consciousness literature has been limited. With widespread interest in “the unconscious” having significantly diminished, the present paper asks what might be implied in the shift towards the notion of “consciousness”—what about this cross-disciplinary designation has come to attract attention not only within the academic world, but also in the popular press? That the term does indeed invite contributions from a variety of disciplines makes the field both a meeting space, and a battleground. It …

Psychology And Its Animal Subjects, Kenneth J. Shapiro

Kenneth J. Shapiro, PhD

By way of introducing Psychologists for the Ethical Treatment of Animals (PsyETA) to readers of the journal, I have been asked to make some comments about the organization and, from a personal point of view, to suggest some of my own positions and views.

Is It Ethical To Hold A Person Culpable For His Actions If He Cannot Recognize Right And Wrong, Tabitha E.H. Moses

Student Works

The field of neuroscience has opened up a proverbial can of worms when it comes to questions of free will and culpability. The more we know about the mind the more it appears that no one has any real choice in their actions. The ethical implications of this assumption are astronomical. Guilt and culpability come into question; it would seem unjust to punish a person for a crime if he had no choice but to commit it. While these are interesting questions for an ethicist they are impractical for society as they might affect how society functions. As such, the …

Forced Sterilization Of Individuals With Developmental Disabilities: Protection Or Dehumanization?, Kelly J. Schaffter

The Research and Scholarship Symposium (2013-2019)

The civil rights of individuals with development disabilities have been a great challenge to protect throughout the United States’ history. The United States has not held the protection of this population’s civil rights with proper priority. The country’s actions towards the population of individuals with development disabilities carried into the 20th century, when individuals with mental disabilities were involuntarily sterilized in the name of eugenics. Currently, the goal of the sterilization of this population is for their protection, yet forced sterilization continues to be a questionable practice in regards to ethics. In this paper, I will claim that the forced …

Drug Firms, The Codification Of Diagnostic Categories, And Bias In Clinical Guidelines, Lisa Cosgrove, Emily E. Wheeler

Counseling and School Psychology Faculty Publication Series

The profession of medicine is predicated upon an ethical mandate: first do no harm. However, critics charge that the medical profession’s culture and its public health mission are being undermined by the pharmaceutical industry’s wide-ranging influence. In this article, we analyze how drug firms influence psychiatric taxonomy and treatment guidelines such that these resources may serve commercial rather than public health interests. Moving beyond a conflict-of-interest model, we use the conceptual and normative framework of institutional corruption to examine how organized psychiatry’s dependence on drug firms has distorted science. We suggest that academic-industry relationships have led to the corruption of …

Exploring Parental Experiences And Decision-Making Processes Following A Fetal Anomaly Diagnosis, Ramona L. Fernandez

Electronic Thesis and Dissertation Repository

Often the first indication that something may be wrong in a seemingly normal pregnancy occurs during the first detailed ultrasound appointment between 16 and 20 weeks gestation. Even the most tentative suspicions of fetal anomalies is jarring. Parent’s default reality of a normal pregnancy and a ‘perfect child’ changes to one of risk factors and the possibility of an ‘unhealthy child’. This study begins with the realization of this first loss in a series of losses that follow for parents as they grapple with diagnostic information to be able to make informed medical decisions regarding their fetus and pregnancy. The …

Industry’S Colonization Of Psychiatry: Ethical And Practical Implications Of Financial Conflicts Of Interest In The Dsm-5, Lisa Cosgrove, Emily E. Wheeler

Counseling and School Psychology Faculty Publication Series

The revision of the Diagnostic and Statistical Manual of Mental Disorders (DSM), scheduled for publication in May 2013 by the American Psychiatric Association (APA), has created a firestorm of controversy because of questions about undue industry influence. Specifically, concerns have been raised about financial conflicts of interest between DSM-5 panel members and the pharmaceutical industry. The authors argue that current approaches to the management of these relationships, particularly transparency of them, are insufficient solutions to the problem of industry’s capture of organized psychiatry. The conceptual framework of institutional corruption is used to understand psychiatry’s dependence on the pharmaceutical industry and …

To Google Or Not To Google: Graduate Students’ Use Of The Internet To Access Personal Information About Clients, David K. Dilillo, Emily B. Gale

Department of Psychology: Faculty Publications

The emergence of Internet search and social media sites now permits therapists to obtain a plethora of personal information about their clients online. These behaviors raise a number of ethical issues related to client privacy, self-determination, and informed consent. The purpose of this study is to examine student therapists’ opinions and behaviors in regard to the use these websites to search for information about their clients. A national sample of 854 psychology doctoral students was surveyed in regard to their online activities, attitudes, and frequency of searching for client information online. Results showed that Internet usage is pervasive in this …

Vite Svuotate. Per Una Critica Dell’Impatto Psicosociale Del Capitalismo Contemporaneo, In "Costruzioni Psicoanalitiche", X, N. 20 (2010), Pp. 71-81., Marco Solinas

Marco Solinas

Il saggio mira a individuare e delucidare alcuni nessi causali tra il concomitante incremento dei fenomeni depressivi, non solo in senso strettamente clinico, e l’affermazione del nuovo modello capitalistico avvenuto nei paesi occidentali dai primi anni settanta ad oggi. Oltre che sul meccanismo della flessibilità del mercato del lavoro, si insiste in particolare sulle dinamiche paradossali delle istanze etiche e morali della nuova configurazione ideologica. Ricorrendo anche alla categoria di egemonia, vengono da ultimo approntati degli strumenti teorici finalizzati a riattivare i potenziali emancipativi frustrati nella sofferenza sociale di natura depressiva e regressiva. The paper aims to single out and …

The Psychiatrist And Execution Competency: Fording Murky Ethical Waters, Douglas Mossman Md

Faculty Articles and Other Publications

The focus of this article is whether it is ethical for physicians to participate in the evaluation or treatment of condemned prisoners who are incompetent. According to Ward, this may be the "ultimate question, faced by psychiatrists who are asked to deal with execution competency. This article is not intended to offer an answer to this question. Rather, it seeks to (1) elucidate issues connected to the "ultimate question's" resolution, (2) articulate a set of premises within which psychiatrists should evaluate their relationship to institutions whose purposes include punishing criminals, and (3) suggest that, if the death penalty itself is …

Three Blind Mice, See How They Run: A Critique Of Behavioral Research With Animals, Michael A. Giannelli

Experimentation Collection

Animal research has been a traditionally accepted and respected part of modern psychology from its earliest days. The prevalent view of animals in contemporary psychology has origins far more basic than the scientific method. Its roots are deeply imbedded in Judaeo-Christian culture, a tradition which postulates a wide gulf between humankind and the animal world. The Darwinian revolution and the ethological outlook it fostered, while of immense biological significance, has for the most part been neglected by modern American comparative psychologists in favor of a positivistic-behaviorist orientation with a heavy reliance upon laboratory experimentation.

In recent years, opposition to animal …

Psychology And Its Animal Subjects, Kenneth J. Shapiro

Experimentation Collection

By way of introducing Psychologists for the Ethical Treatment of Animals (PsyETA) to readers of the journal, I have been asked to make some comments about the organization and, from a personal point of view, to suggest some of my own positions and views.