The Virtuous Psychiatrist: Character Ethics in Psychiatric PracticeThe context for this interdisciplinary work by a philosopher and a clinician is the psychiatric care provided to those with severe mental disorders. Such a setting makes distinctive moral demands on the very character of the practitioner, it is shown, calling for special virtues and greater virtue than many other practice settings. In a practice so attentive to the patient's self identity, the authors promote a heightened awareness of cultural and particularly gender issues. By elucidating the nature of the moral psychology and character of the good psychiatrist, this work provides a sustained application of virtue theory to clinical practice. With its roots in Aristotelian writing, The Virtuous Psychiatrist presents virtue traits as habits, able to be cultivated and enhanced through training. The book describes these traits, and how they can be habituated in clinical training. A turn towards virtue theory within philosophy during the last several decades has resulted in important research on professional ethics. By approaching the ethics of psychiatric professionals in these virtue terms, Radden and Sadler's work provides an original application of this theorizing to practice. Of interest to both theorists and practitioners, the book explores the tension between the model of enduring character implicit in virtue theory and the segmented personae of role-specific moral responses. Clinical examples are provided, based upon dramaturgical vignettes (caseplays) which illustrate both the interactions of the case participants as well as the inner monologue of the clinician protagonist. |
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Contents
3 | |
1 Psychiatric Ethics as Professional and Biomedical Ethics | 11 |
2 The Distinctiveness of the Psychiatric Setting | 33 |
3 Psychiatric Ethics as Virtue Ethics | 61 |
4 Elements of a GenderSensitive Ethics for Psychiatry | 85 |
5 Some Virtues for Psychiatrists | 105 |
6 Character and Social Role | 151 |
7 Case Studies in Psychiatric Virtues | 175 |
8 Conclusion | 199 |
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acknowledge appearance Aristotelian Aristotle Aristotle’s aspects associated attitudes autonomy Beauchamp behavior bioethics biomedical ethics called Chapter character citalopram clinical clinician conception context controversy cultivation cultural discussion distinctive doctor effective emotional emotional intelligence empathy emphasize ethical demands ethical practitioner everyday example explored feelings feigned focus gender identity gender-sensitive genuine goals habituation ideals identified identity politics implications important imposed inner introduced involuntary treatment involves kind MacIntyre managed care medicine mental disorder mental health moral psychology moral virtues nanobots Nichomachean Ethics norms one’s particular virtues patient’s personal warmth personhood phronesis possess prac practice setting practitioner in psychiatry practitioner’s presuppositions professional roles psychi psychiatric ethics psychiatric patients psychiatric practice psychological Radden realism reasons recognized respect responses role morality role-constituted virtues Sadler schizophrenia self-identity sensitivity social roles symptoms temptations therapeutic relationship tion today’s traits treatment trust trustworthiness understanding unruly unselfing values virtue ethics virtue theory virtue-based virtuous psychiatrist vulnerabilities