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  • Volume 1
  • Number 4
  • October 2003

EDITORIAL

CLINICAL SYNTHESIS

Publication date: 01 October 2003

Pages339–344

Caring for people living with mental illness is ethically complex, ethically committed work. The ethical complexity derives in part from the ways in which psychiatric disorders affect a person’s experiences and sense of self. Mental illness influences ...

https://doi.org/10.1176/foc.1.4.339

REVIEW

Publication date: 01 October 2003

Pages349–372

The body of law applied to the practice of psychiatry does not differ from that of medicine in general. Nevertheless, the diagnosis, treatment, and management of patients with psychiatric disorders present not only unique clinical and ethical concerns but ...

https://doi.org/10.1176/foc.1.4.349

INFLUENTIAL PUBLICATION

Publication date: 01 October 2003

Pages389–395

Objective: Community-based treatment of persons with serious mental illness requires providers to become involved in clients’ personal lives to a greater degree than does hospital-based treatment. The study examined attendant ethical dilemmas, especially ...

https://doi.org/10.1176/foc.1.4.389

Publication date: 01 October 2003

Pages396–406

Objective: The author provides an overview of the current status of privacy in psychiatric treatment, with particular attention to the effects of new federal regulations authorized by the Health Insurance Portability and Accountability Act (HIPAA). Method:...

https://doi.org/10.1176/foc.1.4.396

Publication date: 01 October 2003

Pages407–414

Objective: Informed consent is built upon the elements of information, decisional capacity, and voluntarism. Of these elements, voluntarism in clinical and research consent is the least well understood. This has interfered with the ability to resolve key ...

https://doi.org/10.1176/foc.1.4.407

Publication date: 01 October 2003

Pages415–421

Objective: This paper outlines a number of misapplications of boundary theory in both regulatory settings and clinical situations. Method: The authors review clinical vignettes that illustrate the difference between boundary crossings, which lead to ...

https://doi.org/10.1176/foc.1.4.415

Publication date: 01 October 2003

Pages422–426

Because psychiatrists cannot include everything they observe and everything the patient says in the medical chart, they must select and tailor what goes into the chart. They should tailor the chart to focus on what is significant for the diagnosis and ...

https://doi.org/10.1176/foc.1.4.422

Publication date: 01 October 2003

Pages427–435

Despite the dramatic increase over recent years in the research and teaching of medical ethics, there exists no theoretical framework within which to conceptualize ethical problems in medicine, to say nothing of solutions to these problems. The model ...

https://doi.org/10.1176/foc.1.4.427

Publication date: 01 October 2003

Pages436–444

Supervision of psychiatric residents provides a natural context for clinical ethics teaching. In this article, the authors discuss the need for ethics education in psychiatry residencies and describe how the special attributes of supervision allow for ...

https://doi.org/10.1176/foc.1.4.436

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