Ethics and psychiatry. Madrid Declaration
On Ethical Standards For Psychiatric Practice.
practices implies ethical considerations. Psychiatrists have the duty to
be aware of the specific ethical needs of psychiatry.
The Declaration of Madrid
includes seven guidelines that focus on the aims of psychiatry to treat
mentally ill patients, prevent mental illness, promote mental health and
provide care and reinsertion for patients
The World Psychiatric Association
(WPA) approved the following ethical standards that should govern the conduct
of psychiatrists worldwide.
Each patient has the right
to know it and check if his/her physician respects this code
Declaration On Ethical Standards For Psychiatric Practice (august 2OO2)
Psychiatry is a medical discipline
concerned with the provision of the best treatment for mental disorders,
with the rehabilitation of individuals suffering from mental illness and
with the promotion of mental health. Psychiatrists serve patients by providing
the best therapy available consistent with accepted scientific knowledge
and ethical principles. Psychiatrists should devise therapeutic interventions
that are least restrictive to the freedom of the patient and seek advice
in areas of their work about which they do not have primary expertise.
While doing so, psychiatrists should be aware of and concerned with the
equitable allocation of health resources.
It is the duty of psychiatrists
to keep abreast scientific developments of the specialty and to convey
updated knowledge to others. Psychiatrists trained in research should seek
to advance the scientific frontiers of psychiatry.
The patient should be accepted
as a partner by right in the therapeutic process. The psychiatrist-patient
relationship must be based on mutual trust and respect to allow the patient
to make free and informed decisions. It is the duty of psychiatrists to
provide the patient with relevant information so as to empower the patient
to come to a rational decision according to personal values and preferences.
When the patient is incapacitated
and/or unable to exercise proper judgment because of a mental disorder,
or gravely disabled or incompetent, the psychiatrists should consult with
the family and, if appropriate, seek legal counsel, to safeguard the human
dignity and the legal rights of the patient. No treatment should be provided
against the patientís will, unless withholding treatment would endanger
the life of the patient and/or those who surround him or her. Treatment
must always be in the best interest of the patient.
When psychiatrists are requested
to assess a person, it is their duty first to inform and advise the person
being assessed about the purpose of the intervention, the use of the findings,
and the possible repercussions of the assessment. This is particularly
important when the psychiatrists are involved in third party situations.
Information obtained in the
therapeutic relationship should be kept in confidence and used, only and
exclusively, for the purpose of improving the mental health of the patient.
Psychiatrists are prohibited from making use of such information for personal
reasons, or financial or academic benefits. Breach of confidentiality may
only be appropriate when serious physical or mental harm to the patient
or to a third person would ensue if confidentiality were maintained; as
in case of child abuse in these circumstances, psychiatrists, should whenever
possible, first advise the patient about the action to be taken.
Research that is not conducted
in accordance with the canons of science is unethical. Research activities
should be approved by an appropriately constituted ethical committee. Psychiatrists
should follow national and international rules for the conduct of research.
Only individuals properly trained for research should undertake or direct
it. Because psychiatric patients are particularly vulnerable research subjects,
extra caution should be taken to safeguard their autonomy as well as their
mental and physical integrity. Ethical standards should also be applied
in the selection of population groups, in all types of research including
epidemiological and sociological studies and in collaborative research
involving other disciplines or several investigating centers
(All rights reserved
- World Psychiatric Association approved at the General Assembly on August
25th, 1996 - http://www.wpanet.org )
Warning: All the information
in this site is aimed at helping people understand a "rather particular"
and puzzling kind of disease But more especially,
to support everyone affected by it, sick or not. In any case, it
to see a therapist who specialises in this
field they can confirm or give an alternative diagnosis The name of what
youíve got doesnít matter so much, getting the right treatment for the
right patient does .
last update 2008 Copyright
AAPELTM - All rights
Alain Tortosa, psychotherapist, founder president of the Aapel