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Ethics and evidence in psychiatric practice.

¹Department of Psychiatry, Women's College Hospital, Toronto, ON, Canada. mona.gupta@utoronto.ca

Perspectives in Biology and Medicine

|April 28, 2009

Summary

Evidence-based medicine (EBM) principles applied to psychiatry aim to improve patient care with scientific data. However, EBM's utilitarian focus is too limited to ethically guide complex psychiatric decisions.

Area of Science:

Psychiatry
Medical Ethics
Evidence-Based Medicine

Background:

Evidence-based psychiatry seeks to enhance patient outcomes through scientific data.
Proponents aim to bolster psychiatry's ethical standing via evidence-based medicine (EBM).

Purpose of the Study:

To examine the ethical values and theories underpinning EBM.
To assess EBM's suitability for resolving ethical issues in psychiatric practice.

Main Methods:

Overview of key ethical issues in psychiatry.
Analysis of EBM's core ethical commitments and underlying theories.

Main Results:

EBM is committed to utilitarian values, prioritizing the "greatest good for the greatest number."

Related Experiment Videos

This utilitarian framework inadequately addresses critical psychiatric ethical dilemmas, including defining normality, selecting treatable suffering, and justifying involuntary interventions.

Conclusions:

The ethical principles inherent in EBM are insufficient to establish a robust ethical foundation for psychiatry.
A broader ethical framework is necessary to navigate the complexities of psychiatric practice.