Hostname: page-component-586b7cd67f-rcrh6 Total loading time: 0 Render date: 2024-11-28T02:41:52.306Z Has data issue: false hasContentIssue false
  • English
  • Français

Ethical issues in European psychiatry

Published online by Cambridge University Press:  16 April 2020

J Neeleman  and
J van Os
J Neeleman
Affiliation:
Department of Psychological Medicine, The Institute of Psychiatry, 103 Denmark Hill, London SE5 9RS, UK
J van Os
Affiliation:
Department of Psychological Medicine, The Institute of Psychiatry, 103 Denmark Hill, London SE5 9RS, UK
Get access

Summary

European psychiatrists and psychiatric service planners are confronting new ethical dilemmas as a direct or indirect result of European integration. These dilemmas present themselves at a variety of levels, ranging from the individual doctor-patient relationship to national and international legislations. We review some of the areas in which ethical questions may arise as a result of increasing European unity. Some of the issues may seem minor but are likely to have some impact on any psychiatrist exposed to transcultural practice in the European Union. Other examples have been selected not because they are common but because of their massive ethical ramifications. Attempts, by psychiatrists, to address these issues pro-actively are few and far apart.

Keywords

Europepsychiatrymedical ethics
Type
Original article
Information
European Psychiatry , Volume 11 , Issue 1 , 1996 , pp. 1 - 6
Copyright
Copyright © 1996 Elsevier, Paris

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

American Friends’ Service Committee. 1971 The Struggle for Justice New YorkHill and Wang 1971Google Scholar
Asvall, JEThe Implications for Health In: Normand, CVaughan, J eds Europe without Frontiers: the Implications for Health LondonWiley and Sons 1993Google Scholar
British Medical Association Improving the Network of Local Ethical Research Committees and the Establishment of a National Ethical Research Committee LondonAuthor(Council Statement 8/1/1986) 1986Google Scholar
British Medical Association Philosophy and Practice of Medical Ethics LondonAuthor 1988Google Scholar
British Medical Association Medical Ethics Today LondonAuthor 1993Google Scholar
Byk, CThe European Convention on Bio-ethics J Med Ethics 1993 19 13–6CrossRefGoogle Scholar
Cavadino, MDignan, JThe Penal System LondonSage 1992Google Scholar
Chabannes, JPFrench psychiatry and legislation. The so-called ‘Huriet’ Law of December 1988 on the protection of individuals taking part in biomedical research Eur Psychiatr 1994 9suppl 2 249s252sGoogle Scholar
Chabot, BEZelf Beschikt AmsterdamBalans 1993Google Scholar
Coid, JFailure in community care: psychiatry's dilemma Br Med J 1994 308 805806CrossRefGoogle ScholarPubMed
Commission of the European Communities Amended proposal for a council directive on the protection of individuals with regard to the processing of personal data and on the free movement of such data BrusselsCEC (Com (92) 422 final-syn 287) 1992Google Scholar
Diamond, IPopulation counts in small areasElliott, PCuzick, JEnglish, DSterns, RGeographical and Environmental Epidemiology OxfordOxford University Press 1992Google Scholar
Dollfus, SVan Os, JPetit, MHow psychiatrists prescribe antipsychotics in the UK and France Br J Psychiat 1995 166 263–264CrossRefGoogle Scholar
Dyer, CGMC tempers justice with mercy in Cox case Br Med J 1992 305 1311Google Scholar
Eastman, N Mental Health Law: civil liberties and the principle of reciprocity Br Med J 1994 308 43–45CrossRefGoogle ScholarPubMed
Farrell, MNeeleman, JGriffiths, P et al. L'Organisation et la mise en oeuvre du traitement par la méthadone dans l'Union Européenne. Bruxelles: CEE, in pressGoogle Scholar
Gelder, MGath, DMayou, ROxford Textbook of Psychiatry OxfordOxford University Press 1989Google Scholar
Geneeskundige Inspectie voor de Geestelijke Volksgezondheid De meldingsprocedure euthanasie/hulp bij zelfdoding en psychiatrische patienten RijswijkStaatstoezicht op de Volksgezondheid 1993Google Scholar
Gillon, RBiomedical ethics in Europe — a need for the POBS? J Med Ethics 1993 19 3–4CrossRefGoogle ScholarPubMed
Godfryd, MLe malade mental et le droit européen Psychiatrie 12 1994 27902792Google Scholar
Hotopf, MWessely, SAre ethical committees reliable? J Royal Soc Med 1995 88 3133Google ScholarPubMed
Herzog, TCreed, FHuyse, FJSensky, TKatona, CMontgomery, SPsychiatry in Europe: Directions and Developments LondonGaskell 1994Google Scholar
Hurtwitz, LThe Free Movement of Physicians within the European Community AldershotGower 1990Google Scholar
Kastelein, WRSpreeuwenberg, CWederom; de zaak Chabot Medisch Contact 1995 50 667668Google Scholar
Koerselman, FBalanssuicide als mythe Maandblad Geestelijke Volksgezondheid 1994 5 515527Google Scholar
Lempérière, TFèline, AGutmann, AAdès, JPilate, CPsychiatrie de l'Adulte; Abrégé de Médecine ParisMasson 1977Google Scholar
Lynge, EEuropean directive on confidential data: a threat to epidemiology Br Med J 1994 308 490CrossRefGoogle ScholarPubMed
McKee, MMarket for health care professionals; workshop discussion reportNormand, CVaughan, CEurope without Frontiers: the Implications for Health LondonWiley and Sons 1993Google Scholar
Mercuel, ACaroli, FSmagghe, POBaldacci-Epinette, CFrench psychiatry and legislation. The law of 27 June 1990 Eur Psychiatry 1994 9suppl 2241s247sGoogle Scholar
Neeleman, JDe Bouffée Délirante; haar plaats binnen de psychiatrie Tijdschrift voor Psychiatrie 1990 32 1321Google Scholar
Neeleman, JVan Os, JThe feasibility of a psychiatric common market; British and Continental approaches to postgraduate training Psychiat Bull 1994 18 193195CrossRefGoogle Scholar
Nijman, Hà Campo, JRavelli, DInbewaringstellingen; kort maar krachtig? Tijdschrift voor Psychiatrie 1993 35 5866Google Scholar
O'Brien, BPatterns of European Diagnoses and Prescribing LondonOffice of Health Economics 1984Google Scholar
Payer, LMedicine and culture: varieties of treatment in the United States, England, West Germany and France New YorkHenry Holt 1988Google Scholar
Pedrazzoli, PPostgraduate training in Italy Lancet 1990 336 56CrossRefGoogle ScholarPubMed
Pieters, GDwangtoepassingen in de psychiatie Kobelletje 1993 2 56Google Scholar
Poulton, KHealth Service Workshop Planning in EuropeNormand, CVaughan, JEurope without Frontiers: the Implications for Health LondonWiley and Sons 1993Google Scholar
Quinn, MJConfidentialityElliott, PCuzick, JEnglish, DSterns, RGeographical and Environmental Epidemiology OxfordOxford University Press 1992Google Scholar
Riecher-Rössler, ARössler, WCompulsory admission of psychiatric patients — an international comparison Acta Psychiatr Scand 1993 87 231236CrossRefGoogle ScholarPubMed
Riis, PMedical ethics in the European Community J Med Ethics 1993 19 712CrossRefGoogle ScholarPubMed
Schornagel, WHLAssmann, VCCAPleidooi voor een ruimer indicatiegebied van electroconvulsietherapie Tijdschrift voor Psychiatrie 1992 34 131135Google Scholar
Segal, SPCivil commitments standards and patient in England & Wales, Italy and United States Am J Psychiatry 146 1989 187193Google Scholar
Sheldon, TEurope backs new declaration on patients' rights Br Med J 308 1994 997CrossRefGoogle ScholarPubMed
Sheldon, TDutch argue that mental torment may justify euthanasia Br Med J 308 1994 431–432CrossRefGoogle Scholar
Sorgdrager, WBorst-Eilers, EEuthanasie: de stand van zaken Medisch Contact 1995 50 381384Google Scholar
Van der Maas, PJVan Delden, JJPijnenborg, LLooman, CWEuthanasia and other medical decisions concerning the end of life Lancet 1991 338 669674CrossRefGoogle ScholarPubMed
Van der Wal, GVan Eijk, JLeenen, HSpreeuwenberg, CEuthanasia and assisted suicide. I. How often is it practised by family doctors in the Netherlands? Family Practice 1992 9 130134CrossRefGoogle ScholarPubMed
Van der Wal, GDillman, REuthanasia in the Netherlands Br Med J 1994 308 13461349CrossRefGoogle ScholarPubMed
Van Os, JGaldos, PLewis, GMann, ABourgeois, MSchizophrenia sans frontières Br Med J 1993 307 489492CrossRefGoogle ScholarPubMed
Van Os, JNeeleman, JMental Illness in Europe Br Med J 1994 308 12181221Google Scholar
Watson, RWhich Europe should deal with ethical issues? Br Med J 1994 308 362CrossRefGoogle ScholarPubMed
Watson, RBarriers to health care in the single market Br Med J 310 1995 1288CrossRefGoogle ScholarPubMed
Ward, BJTate, PAAttitudes among NHS doctors to requests for euthanasia Br Med J 1994 308 13321335CrossRefGoogle ScholarPubMed
Whitney, LRuiz, PLangenbach, MDetaining psychiatric patientsSensky, TKatona, CMontgomery, SPsychiatry in Europe: Directions and Developments LondonGaskell 1994Google Scholar
Woods, JHKatz, JLWinger, GBenzodiazepines: use, abuse and consequences Pharm Rev 44 2 1992Google ScholarPubMed
Submit a response

Comments

No Comments have been published for this article.