RESUMEN
Involuntary treatment in psychiatry should be reflected under the German constitutional right of self-determination und the ethical principles of autonomy and beneficience. Forced treatment in psychiatry should be applied only as a last resort. A narrative perspective reconstructs the case of Gustl Mollath who was hospitalized in forensic-psychiatric institutions because of an alleged delusion. Psychiatric experts should be aware of the potential of misuse when defining what is real and what seems to be a delusion.
Asunto(s)
Internamiento Obligatorio del Enfermo Mental/legislación & jurisprudencia , Ética Médica , Trastornos Mentales/diagnóstico , Trastornos Mentales/terapia , Psiquiatría/ética , Psiquiatría/legislación & jurisprudencia , Deluciones/diagnóstico , Deluciones/psicología , Testimonio de Experto/ética , Testimonio de Experto/legislación & jurisprudencia , Femenino , Alemania , Humanos , Consentimiento Informado/ética , Consentimiento Informado/legislación & jurisprudencia , Consentimiento Informado/psicología , Masculino , Trastornos Mentales/psicología , Persona de Mediana Edad , Narración , Programas Nacionales de Salud/ética , Programas Nacionales de Salud/legislación & jurisprudencia , Autonomía Personal , Relaciones Médico-Paciente/ética , Psicotrópicos/uso terapéuticoRESUMEN
After beginning with a warm appreciation of Alan Stone's scholarship and character, this article argues that Stone's woeful characterization of forensic practice as a wasteland that has no genuine ethical guide to practice and little to contribute is vastly overstated. It claims that the basis for useful ethical practice is rooted in a proper understanding of the law's folk psychological model of behavior and criteria. Then it suggests the proper bounds of forensic practice, including an aspirational list of do's and don'ts. The view presented is deflationary and cautious compared to what the law permits and most practitioners do, but it still leaves forensic practitioners with a wide and important role in the legal system.