Abstract

European Integration confronts both Individual psychiatrists and psychiatric service planners with ethical dilemmas that should best be dealt with proactively by medical and psychiatric organisations. Selected examples are presented of ethical Issues arising out of differences In psychiatric practice across Europe. Some of the ethical implications may seem relatively minor, but still require a major adjustment effort on the part of psychiatrists who are 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.

Highlights

  • European integration confronts both individual psychiatrists and psychiatric service planners with ethical dilemmas that should best be dealt with proactively by medical and psychiatric organisations

  • Given the increasingly International arena of psychiatric practice within the European Union, perceptions of right and wrong associated with local convictions are coming more to the fore

  • Contrasting approaches to psychiatric care may lead to ethical dilemmas, in theory, and in reality that doctors In the European Union can practise in any country

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Summary

Jim van Os and Jan Neeleman

European integration confronts both individual psychiatrists and psychiatric service planners with ethical dilemmas that should best be dealt with proactively by medical and psychiatric organisations. Selected examples are presented of ethical issues arising out of differences In psychiatric practice across Europe. Some of the ethical Implications may seem relatively minor, but still require a major adjustment effort on the part of psychiatrists who are exposed to transcultural practice In the European Union. Where there are gaps In psychiatric knowledge, individual beliefs will Inevitably come to fill them. These beliefs may to a large extent be determined by soclocultural and historical factors. Given the increasingly International arena of psychiatric practice within the European Union, perceptions of right and wrong associated with local convictions are coming more to the fore. Some Issues of relevance to these regulations are discussed below

Health Act
Treatment issues
Findings
Psychiatrists and euthanasia

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