Author:
Silva Edward,Till Alex,Adshead Gwen
Abstract
SummaryMany ethical dilemmas in medicine are associated with highly unusual clinical situations and are an almost daily challenge for mental health teams. We describe the ethical issues that arose in relation to a significant difference of opinion between team members about using nasogastric clozapine in the treatment of a severely ill patient. We discuss how conflicting emotions and perspectives within teams acquire ethical significance and how negotiation and reflection are essential for good-quality ethical reasoning to take place.Learning Objectives• Understand the different effects and importance of reasoning and emotions in moral decision-making• Use a clinical scenario involving a difficult and controversial procedure to explore the impact of social persuasion in moral decision-making• Consider the effects of heuristics against rational thinking
Publisher
Royal College of Psychiatrists
Subject
Psychiatry and Mental health
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