Chapter 2.Legal and Ethical Issues
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The practice of psychosomatic medicine is grounded in science, knowledge, and the standards of ethics of the profession, and occurs in the context of applicable laws and regulations. Colleagues often ask psychiatrists for consultation when issues of law, ethics, and mental health are involved generally, and more particularly when legal, ethical, and clinical values and practices come into tension with one another. These topics may be particularly anxiety-provoking because physicians want to do the right thing, ethically and clinically, while also following the law. The different foundations of law, ethics, medicine, and psychiatry, however, mean that conflicts often do emerge. The purpose of this chapter is to explore the ethical and legal underpinnings of psychosomatic medicine practice and to provide practical guidance for psychiatrists to identify, address, and (where possible) resolve legal and ethical challenges that arise.
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