"The Ethics of Involuntary Psychiatric Hospitalization: A Comprehensive" by Mariah Chobany

Defense Date

11-21-2024

Graduation Date

Winter 12-20-2024

Availability

One-year Embargo

Submission Type

dissertation

Degree Name

PhD

Department

Health Care Ethics

School

McAnulty College and Graduate School of Liberal Arts

Committee Chair

Joris Gielen

Committee Member

Gerard Magill

Committee Member

Peter Osuji

Keywords

psychiatry, involuntary, ethics, clinical ethics

Abstract

As a specialized field of medicine, psychiatry presents unique ethical challenges and dilemmas distinct from other medical disciplines. A particularly complex aspect of psychiatric care involves the involuntary treatment of patients who may be unable to make informed decisions about their care or participation in research due to the debilitating effects of their psychiatric condition. This presents a significant challenge for providers and researchers, particularly concerning capacity issues and the informed consent process. Despite the intricacies and complexities of ethical dilemmas in psychiatric treatment and research, there is a notable lack of comprehensive guidance in policies and practices on addressing and resolving these challenges. The shortage of guidance creates a significant gap in the ethical framework of psychiatric care that must be addressed.

This text aims to provide a comprehensive ethical analysis of inpatient psychiatry, covering several complex topics, including policies and practices. It commences by exploring the philosophical foundations of psychiatric ethics. The discussion then examines patients' rights, such as refusing treatment and informed consent. Further, the text emphasizes the importance of clinical ethics consultations in psychiatric care and the significance of ethical decision-making in psychiatric practice. Finally, it addresses the ethics of conducting research with inpatient psychiatric populations. This analysis provides a detailed overview of the several facets of inpatient psychiatry and the ethical challenges specific to this population when consent is compromised.

Language

English

Available for download on Saturday, January 31, 2026

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