title: Bioethics in a clinic for women with psychosis.
abstract: Clinical ethics takes on a special cast in a rehabilitation clinic for psychosis where many patients come from severely disadvantaged backgrounds and many suffer from fluctuating decisional capacity. This paper illustrates several ethical issues-truth telling and partiality, prescribing concealed medication, questionable billing practices, industry collaboration, limits of confidentiality, grounds for abandonment and the primacy of autonomy-in the hope that discussing such matters will lead to a clearer framework for work with this population.
authors: Departmentof Psychiatry, University of Toronto, Toronto, Canada. mary.seeman@utoronto.ca
authors: Mary V
authors: MV
authors: Seeman
authors: Bob
authors: B
authors: Seeman
mesh_terms: D001675:Bioethics; D003159:Community-Institutional Relations; D003219:Confidentiality / Q000941:ethics; D003299:Cooperative Behavior; D004345:Drug Industry / Q000639:trends; D004645:Empathy / Q000941:ethics; D026690:Ethics, Clinical; D004992:Ethics, Medical; D004995:Ethics, Professional; D005260:Female; D017048:Health Care Costs / Q000941:ethics; D006801:Humans; D028681:Moral Obligations; D028701:Patient Rights / Q000941:ethics; D017009:Professional Autonomy; D011618:Psychotic Disorders / Q000534:rehabilitation*; D016079:Refusal to Treat / Q000941:ethics; D014342:Truth Disclosure / Q000941:ethics*; D014930:Women