Abstract
Dr. Appelbaum is the Arnold Frank Zeleznik Distinguished Professor and Chair, Department of Psychiatry, University of Massachusetts Medical School. Address correspondence to Department of Psychiatry, University of Massachusetts Medical School, Worcester, MA 01655; appelbap{at}ummhc.org (E-mail). Even in this era of evidence-based medicine, sometimes there is nothing like seeing something with your own eyes to drive home a point. I have been teaching ethics to residents, faculty members, and practicing psychiatrists for roughly 25 years. But never have I focused so clearly on the pitfalls of the task as I did at the most recent annual meeting of the American Psychiatric Association (APA). Let me share the experience with you. I had been asked to lead a discussion group of 25 psychiatrists on "Ethics in Psychiatric Practice." My plan was to solicit ethical dilemmas from the practices of the participants themselves and to engage the group in discussion of the principles involved and the options for resolving the situations. As the room filled, I experienced the usual anxieties of the leader of such a session: What if I ended up with 20 social phobics and five schizoid personalities, all waiting for someone else to speak? But, as it turnedIf you're having problem loading pages
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