Is Evidence-based Psychiatry Ethical?
Rated as one of the top 15 breakthroughs in medicine over the last 150 years, evidence-based medicine (EBM) has become highly influential in medicine. Put simply, EBM promotes a seemingly irrefutable, principle: that decision-making in medical practice should be based, as much as possible, on the most up-to-date research findings. EBM has been particularly popular within psychiatry, a field that is haunted by a legacy of controversial interventions. For advocates, anchoring psychiatric practice in research data makes psychiatry more scientific valid and ethically legitimate. Few, however, have questioned whether EBM, a concept pioneered by those working in other areas of medicine, can be applied to psychiatric disorders. In this groundbreaking book, the Canadian psychiatrist and ethicist Mona Gupta analyzes the basic assumptions of EBM, and critically examines their applicability to psychiatry. By highlighting the basic ethical tensions between psychiatry and EBM, the author addresses the fundamental and controversial question - should psychiatrists practice evidence-based medicine at all?
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1 What does evidence have to do with ethics?
2 What is evidencebased medicine?
4 Psychiatry and evidencebased psychiatry
5 The critique of evidencebased psychiatry
6 The ethics of evidencebased medicine
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achieve active ingredient American Psychiatric Association antidepressants apply approach argued best evidence Bioethics biopsychosocial model British Medical Journal Chapter claim clinical decision-making clinical decisions clinical expertise clinical research clinical trials clinicians concept criteria critical appraisal debate defined discussed disease drug EBM developers EBM’s authors effective epistemological ethical practice ethical values ethics of EBM Evaluation in Clinical evidence hierarchy evidence-based medicine evidence-based practice evidence-based psychiatry example experience guides Guyatt harm Haynes identify improved health outcomes integration internal validity interpretation interventions interview issues Journal of Evaluation knowledge major depression means mental disorders mental health offer one’s participants philosophical physicians placebo potential practise EBM practitioners preferences problem prognostic psychiatric disorders psychiatric practice psychotherapy publication bias qualitative research questions randomized randomized controlled trials research data research methods research studies social sources specific Straus symptoms theory therapeutic therapy tion treatment types Users