By Norman Sartorius, Ahmed Okasha, Julio Arboleda-Florez
"Ethics, tradition, and Psychiatry: overseas Perspectives" is way greater than only a publication on ethics -- it's a significant contribution to figuring out the effect of tradition and heritage at the moral perform of medication all over the world.
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Additional resources for Ethics, Culture, and Psychiatry: International Perspectives
Example text
Studies in Italy, Greece, Spain, and Egypt showed that a patient’s learning of his or her diagnosis of cancer is not viewed as empowering. Rather, this knowledge is seen as isolating and burdensome to the patient, who is suffering too much and is too ignorant about his or her condition to be able to make meaningful choices. Knowledge of a diagnosis harms the patient by causing him or her to lose hope. The idea of patient autonomy is not universal, nor has the level of patient autonomy remained constant.
The fight to keep psychiatric hospitals going and protect the meager resources allocated to the treatment of patients with chronic mental illness has siphoned the energies of health care providers and patient advocates. When survival is the only concern, rights become a secondary issue or an unaffordable luxury. Yet keeping psychiatric hospitals running has also had a more pernicious effect on the development of alternative forms of treatment. The inertia and isolation brought about by working in psychiatric hospitals, away from the hustle and bustle of general hospital psychiatry, outpatient activities, and community involvement, have meant that few resources are diverted to the development of treatment alternatives in the community.
In the declaration, the parameters of services in the region were reviewed and guidelines for action were given. Up to the time of the Declaration of Caracas (and even up to the present), psychiatric services in Latin America were institutionally based. As in many other regions, large psychiatric hospitals that were built at the end of the last century or the beginning of this century have seen better days. In many cases their physical structures have deteriorated and financial support, often entirely governmental, has seriously eroded.
