Hostname: page-component-586b7cd67f-l7hp2 Total loading time: 0 Render date: 2024-11-23T08:52:17.193Z Has data issue: false hasContentIssue false

Cuestiones éticas en psiquiatría europea

Published online by Cambridge University Press:  12 May 2020

J. Neeleman
Affiliation:
Departamento de Medicina Psicológica, Instituto de Psiquiatría, London, Reino Unido
J. van Os
Affiliation:
Departamento de Medicina Psicológica, Instituto de Psiquiatría, London, Reino Unido
Get access

Resumen

Los psiquiatras europeos y los planificadores de servicios psiquiátricos se enfrentan a nuevos dilemas éticos como resultado directo o indirecto de la integración europea. Estos dilemas se presentan en diversos niveles, que van desde la relación individual médico-paciente hasta las legislaciones nacional e internacional. Revisamos algunas de las áreas en las que pueden surgir cuestiones éticas como resultado de la creciente unidad europea. Algunas de las cuestiones pueden parecer menores, pero es probable que tengan ciertas repercusiones sobre cualquier psiquiatra expuesto a la práctica transcultural en la Unión Europea. Se ha seleccionado otros ejemplos no porque sean frecuentes, sino debido a sus ramificaciones éticas masivas. Los intentos de psiquiatras de abordar estas cuestiones activamente son escasos y distantes.

Type
Artículo original
Copyright
Copyright © European Psychiatric Association 1996

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Bibliografia

American Friends’ Service Committee. The Struggle for Justice. New York: Hill and Wang, 1971.Google Scholar
Asvall, JEThe Implications for Health. In: Normand, CVaughan, J eds. Europe without Frontiers: the Implications for Health. London: Wiley and Sons, 1993.Google Scholar
British Medical Association. Improving the NetWork of Local Ethical Research Committees and the Establishment of a National Ethical Research Committee. London: Author (Council Statement 8/1/1986), 1986.Google Scholar
British Medical Association. Philosophy and Practice of Medical Ethics. London: Author, 1988.Google Scholar
British Medical Association. Medical Ethics Today. London: Author, 1993.Google Scholar
Byk, CThe European Convention on Bio-ethics. J Med Ethics 1993; 19: 13–6.CrossRefGoogle Scholar
Cavadino, MDignan, JThe Penal System. London: Sage, 1992.Google Scholar
Chabannes, JPFrench psychiatry and legislation. The so-called ‘Huriet’ Law of December 1988 on the protection of individuais taking part in biomedical research. Eur Psychiatr 1994; 9 (suppl 2): 249s–52s.Google Scholar
Chabot, BEZelf Beschikt. Amsterdam: Balans, 1993.Google Scholar
Coid, JFailure in community care: psychiatry's dilemma. Br Med J 1994; 308: 805–6.CrossRefGoogle ScholarPubMed
Commission of the European Communities. Amended proposal for a council directive on the protection of individuais with regara to the processlng of personal data and on the free movement of such data. Brussels: CEC (Com (92) 422 final-syn 287), 1992.Google Scholar
Diamond, IPopulation counts in small areas. In: Elliott, PCuzick, JEnglish, DSterns, R eds. Geographical and Environmental Epidemiology. Oxford: Oxford University Press, 1992.Google Scholar
Dollfus, SVan Os, JPetit, MHow psychiatrists prescribe antipsychotics in the UK and France. Br J Psychiat 1995; 166: 263–4.CrossRefGoogle Scholar
Dyer, CGMC tempers justice with mercy in Cox case. Br Med J 1992; 305: 1311.Google Scholar
Eastman, NMental Health Law: civil liberties and the principie of reciprocity. Br Med J 1994; 308: 43–5.CrossRefGoogle Scholar
Farrell, MNeeleman, JGriffiths, P et al. L’Organisation et la mise en ceuvre du traitement par la methadone dans V Union Européenne. Bruxelles: CEE, in press.Google Scholar
Gelder, MGath, DMayou, ROxford Textbook of Psychiatry. Oxford: Oxford University Press, 1989.Google Scholar
Geneeskundige Inspectie voor de Geestelijke Volksgezondheid. De meldingsprocedure euthanasie / liulp bij zelfdoding en psychiatrische patienten. Rijswijk: Saatstoezicht op de Volksgezondheid, 1993.Google Scholar
Gillon, RBiomedical ethics in Europe – a need for the POBS? J Med Ethics 1993; 19: 34.CrossRefGoogle ScholarPubMed
Godfryd, MLe malade mental et le droit europeen. Psychiatrie 1994; 12: 2790–2.Google Scholar
Hotopf, MWessely, SAre thical committees reliable J Royal Soc Med 1995; 88: 31–3.Google Scholar
Herzog, TCreed, FHuyse, FJ et al. In: Sensky, TKatona, CMontgomery, S eds. Psychiatry in Europe: Directions and Developments. London: Gaskell, 1994.Google Scholar
Hurtwitz, LThe Free Movement of Physicians within the European Community. Aldershot: Gower, 1990.Google Scholar
Kastelein, WRSpreeuwenberg, CWederom; de zaak Chabot. Medisch Contad 1995; 50: 667–8.Google Scholar
Koerselman, FBalanssuicide ais mythe. Maandblad Geestelijke Volksgezondheid 1994; 5: 515–27.Google Scholar
Lemperiere, TFeline, AGutmann, AAdes, JPilate, CPsychiatrie de l ‘Adulte; Abrege de Medecine. Paris: Masson, 1977.Google Scholar
Lynge, EEuropean directive on confidential data: a threat to epidemiology. Br Med J 1994; 308: 490.CrossRefGoogle ScholarPubMed
McKee, M.Market for health care professionals; workshop discussion report. In: Normand, CVaughan, C eds. Europe without Frontiers: the Implications for Health. London: Wiley and Sons, 1993.Google Scholar
Mercuel, ACaroli, FSmagghe, POBaldacci-Epinette, CFrench psychiatry and legislation. The law of 27 June 1990. Eur Psychiatry 1994; 9 (suppl 2): 241s–7s.Google Scholar
Neeleman, JDe Fouffée Délirante; haar plaats binnen de psychiatrie. Tijdschrift voor Psychiatrie 1990; 32: 1321.Google Scholar
Neeleman, JVan Os, JThe feasibility of a psychiatrie common market; British and Continental approaches to postgraduate training. Psychiat Bull 1994; 18: 193–5.CrossRefGoogle Scholar
Nijman, Há Campo, JRavelli, DInbewaringstellingen; kort maar krachtigÇ Tijdschrift voor Psychiatrie 1993; 35:5866.Google Scholar
O’Brien, BPatterns of European Diagnoses and Prescribing. London: Office of Health Economics, 1984.Google Scholar
Payer, LMedicine and culture: varieties of treatment in the United States, England, West Germany and France. New York: Henry Holt, 1988.Google Scholar
Pedrazzoli, PPostgraduate training in Italy. Lancet 1990; 336: 56.CrossRefGoogle ScholarPubMed
Pieters, GDwangtoepassingen in de psychiatie. Kobelletje 1993; 2: 56.Google Scholar
Poulton, KHealth Service Workshop Planning in Europe. In: Normand, CVvaughan, J eds. Europe without Frontiers: the Implications for Health. London: Wiley and Sons, 1993.Google Scholar
Quinn, MJConfidentiality. In: Elliott, PCuzick, JEnglish, DStems, R eds. Geographical and Environmental Epidemiology. Oxford: Oxford University Press, 1992.Google Scholar
Riecher-Rossler, ARossler, WCompulsory admission of psychiatrie patients - an international comparison. Acta Psychiat 1993: 87: 231–6.CrossRefGoogle Scholar
Riis, PMedical ethics in the European Community. J Med Ethics 1993; 19: 712.CrossRefGoogle ScholarPubMed
Schornagel, WHLAssmann, VCCAPleidooi voor een ruimeer indicatiegebied van electroconvulsietherapie. Tijdschrift voor Psychiatrie 1992; 34: 131–5.Google Scholar
Segal, SPCivil commitments standards and patient in England & Wales, Italy and United States. Am J Psychiatry 1989; 146: 187–93.Google Scholar
Sheldon, TEurope backs new declaration on patients’ rights. Br Med J 1994a; 308: 997.CrossRefGoogle Scholar
Sheldon, TDutch argue that mental torment may justify euthanasia. Br Med J 1994b; 308: 431–2.CrossRefGoogle Scholar
Sorgdrager, WBorst-Eilers, EEuthanasie: de stand van zaken. Medisch Contad 1995; 50: 381–4.Google Scholar
Van der Maas, PJVan Delden, JJPijnenborg, LLooman, CWEuthanasia and other medical decisions concerning the end of life. Lancet 1991; 338: 669–74.CrossRefGoogle ScholarPubMed
Van der Wal, GVan Eijk, JLeenen, HSpreeuwenberg, CEuthanasia and assisted suicide. I. How often is it practised by family doctors in the Netherlands£ Family Practice 1992; 9: 130–4.Google Scholar
Van der Wal, GDillman, REuthanasia in the Netherlands. Br Med J 1994; 308: 1346–9.CrossRefGoogle ScholarPubMed
Van Os, JGaldos, PLewis, GMann, ABourgeois, MSchizophrenia sans frontieres. Br Med J 1993; 307: 489–92.CrossRefGoogle ScholarPubMed
Van Os, JNeeleman, JMental Illness in Europe. Br Med J 1994; 308: 1218–21.Google Scholar
Watson, RWhich Europe should deal with etical issuesÇ Br Med J 1994; 308: 362.CrossRefGoogle Scholar
Watson, RBarriers to health care in the single market. Br Med J 1995; 310: 1288.CrossRefGoogle ScholarPubMed
Ward, BJTate, PAAttitudes among NHS doctors to requests for euthanasia. Br Med J 1994; 308: 1332–5.CrossRefGoogle ScholarPubMed
Whitney, LRuiz, PLangenbach, MDetaining psychiatrie patients. In: Sensky, TKatona, CMontgomery, S eds. Psychiatry in Europe: Directions and Developments. London: Gaskell, 1994.Google Scholar
Woods, JHKatz, JLWinger, GBenzodiazepines: use, abuse and consequences. Pharm Rev 1992; 44(2).Google ScholarPubMed