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S. Simone, Solomon Fulero (2001)
Psychologists' perceptions of their duty to protect uninformed sex partners of HIV-positive clients.Behavioral sciences & the law, 19 3
K. Oberle, Dorothy Hughes (2001)
Doctors' and nurses' perceptions of ethical problems in end-of-life decisions.Journal of advanced nursing, 33 6
G. Garbutt, P. Davies (2011)
Should the practice of medicine be a deontological or utilitarian enterprise?Journal of Medical Ethics, 37
E. Prinsen, J. Delden, Zwolse Poort (2008)
Can we justify eliminating coercive measures in psychiatry?Journal of Medical Ethics, 35
Manne Sjostrand, G. Helgesson (2008)
Coercive Treatment and Autonomy in PsychiatryHealth Care Law & Policy eJournal
A. Elliott (2001)
Health Care Ethics: Cultural Relativity of AutonomyJournal of Transcultural Nursing, 12
A. Mobeireek, F. Al-Kassimi, K. Al-Zahrani, A. Al-Shimemeri, S. Al-Damegh, O. Al-Amoudi, S. Al-Eithan, B. al-Ghamdi, M. Gamal-Eldin (2008)
Information disclosure and decision-making: the Middle East versus the Far East and the WestJournal of Medical Ethics, 34
M. Hamilton (1960)
A RATING SCALE FOR DEPRESSIONJournal of Neurology, Neurosurgery & Psychiatry, 23
D. Willison, D. Willison, C. Emerson, Karen Szala-Meneok, Elaine Gibson, L. Schwartz, Karen Weisbaum, F. Fournier, K. Brazil, M. Coughlin (2008)
Access to medical records for research purposes: varying perceptions across research ethics boardsJournal of Medical Ethics, 34
M. Pérez-Cárceles, J. Pereñiguez, Eduardo Osuna, Aurelio Luna (2005)
Balancing confidentiality and the information provided to families of patients in primary careJournal of Medical Ethics, 31
R. Raj (2010)
Preserve and strengthen family to promote mental healthIndian Journal of Psychiatry, 52
N. Rahman (1996)
Caregivers' Sensitivity to Conflict:Journal of Elder Abuse & Neglect, 8
R. Young, J. Biggs, V. Ziegler, D. Meyer (1978)
A Rating Scale for Mania: Reliability, Validity and SensitivityBritish Journal of Psychiatry, 133
M. Makoae, K. Jubber (2008)
Confidentiality or continuity? Family caregivers' experiences with care for HIV/AIDS patients in home-based care in LesothoSAHARA-J: Journal of Social Aspects of HIV/AIDS, 5
Ruth Elder, J. Price, Gail Williams (2003)
Differences in Ethical Attitudes Between Registered Nurses and Medical StudentsNursing Ethics, 10
R. Bayer, K. Toomey (1992)
HIV prevention and the two faces of partner notification.American journal of public health, 82 8
N Rahman (1996)
Caregivers’ sensitivity to conflict: The use of the vignette methodologyJournal of Elder Abuse & Neglect, 8
D. Carman, N. Britten (1995)
Confidentiality of medical records: the patient's perspective.The British journal of general practice : the journal of the Royal College of General Practitioners, 45 398
M. Butler, M. Rodríguez, S. Roper, Leslie Feinauer (2010)
Infidelity Secrets in Couple Therapy: Therapists’ Views on the Collision of Competing Ethics Around Relationship-Relevant SecretsSexual Addiction & Compulsivity, 17
G. Jenkins, Jon Merz, Pamela Sankar (2005)
A qualitative study of women’s views on medical confidentialityJournal of Medical Ethics, 31
J. Overall, D. Gorham (1962)
The Brief Psychiatric Rating ScalePsychological Reports, 10
M. Kramer, A. Feinstein (1981)
Clinical biostatistics: LIV. The biostatistics of concordanceClinical Pharmacology & Therapeutics, 29
Fan-Chi Kuo (2009)
Secrets or No Secrets: Confidentiality in Couple TherapyThe American Journal of Family Therapy, 37
G. Tanaka, Hiroyuki Inadomi, Yasuki Kikuchi, Y. Ohta (2005)
Evaluating community attitudes to people with schizophrenia and mental disorders using a case vignette methodPsychiatry and Clinical Neurosciences, 59
Ethical viewpoints about the correct course of action in a clinical situation can vary across individuals. The views of patients and their caregivers are also important considerations while exploring solutions to ethical dilemmas. This study aimed to ascertain the perspectives of patients and caregivers on ethical issues in mental health care. This vignette-based study included patients with psychiatric disorders and their caregivers. Patients were included if they were in clinical remission determined by psychiatric rating scales. Caregivers were included if they resided with the patient for the last 1 year. Both patients and caregivers were in the adult age group. The vignettes pertained to confidentiality and coercive care and elicited a yes or no type of responses. Ten short vignettes were presented to the patient caregiver dyad. The types of responses and agreement between the patients and their caregivers were assessed. Responses were available from 160 dyads of patients and their caregivers. The mean age of the patients was 35.6 years while that of the caregivers was 40.5 years. A slight majority of the patients and caregivers were males and were educated above high school. There was considerable variation in the views about correct course in a particular clinical situation. The responses from patients and caregivers endorsing disclosure of confidential information or coercive treatment varied from about 50% to more than 90% depending upon the clinical situation. The responses of patients generally had a fair agreement with responses of the caregivers (kappa values largely between 0.21 and 0.40). Viewpoints of patients and their caregivers provide an important stakeholder insight in approach to resolving ethical dilemmas. In the present cultural context, patients and caregivers were amenable to disclosure of confidential information in for a variety of clinical situations.
International Journal of Mental Health and Addiction – Springer Journals
Published: Nov 28, 2017
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