정신의학과 윤리

Ethics in Psychiatry

In this paper, the ethical issues in psychiatry are reviewed and some suggestions are made. Ethical issues discussed here are the degree of effects o f mental disorders to human behavior and subjecthood， which is known as the “brain-mind discussion” * the differing standpoints of teleological theory and deontological theory with respect to involuntary treatment * the problem of diagnosis o f mental disorder and the problem of confidentiality. Also discussed are, some issues behind the ethical topics, such as the idea that more disscussion makes for more problems than solutions. This author also consider who should deal with the medical ethics whether doctor or, say, ethicist * the relationship between medical ethics and public finance * current medical ethics codes. Some suggestions for answers to questions and problems are made. First, one must recognize that ethical issues are not abstract things which are remote from reality. Second, it is necessary to clarify psychiatry s own value system. Third, recognizing that there cannot be easy solutions to all ethical issues, we should not hastily abandon our effort to solve the difficult questions, because serious and sincere efforts made by those holding opposing viewpoints will balance and reduce defect on both sides and for a more developed solution