title: Should AAPL enforce its ethics? Challenges and solutions.
abstract: Ethics enforcement in psychiatry occurs at the district branch and American Psychiatric Association (APA) levels under the guidance of American Medical Association (AMA) and APA ethics documents. Subspecialty ethics consequently have no formal role in the enforcement process. This reality challenges practitioners to work according to guidelines that may not be sufficiently relevant and challenges ethics reviewers to apply frameworks not intended for the subspecialties. This article offers the theoretical and practical support to amend APA Procedures to permit formal consideration of subspecialty ethics during ethics complaints and to include forensic practitioners on panels reviewing them. This is the first step toward an integration of two conflicting models of ethics enforcement, regulatory and aspirational, that bring together specialty and subspecialty ethics.
authors.affiliation: Dr. Candilis is Director, Forensic Psychiatry Fellowship, St. Elizabeths Hospital/Department of Behavioral Health, Washington, D.C. Dr. Dike is Assistant Professor, Department of Psychiatry, Yale University School of Medicine, New Haven, CT. Dr. Meyer is Assistant Clinical Professor of Psychiatry, Harvard Medical School, Boston, MA. Dr. Myers is Professor, Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Providence, RI. Dr. Weinstock is Health Sciences Clinical Professor of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine, University of California, Los Angeles, CA. philip.candilis@dc.gov.
authors.forename: Philip J
authors.initials: PJ
authors.lastname: Candilis
authors.affiliation: Dr. Candilis is Director, Forensic Psychiatry Fellowship, St. Elizabeths Hospital/Department of Behavioral Health, Washington, D.C. Dr. Dike is Assistant Professor, Department of Psychiatry, Yale University School of Medicine, New Haven, CT. Dr. Meyer is Assistant Clinical Professor of Psychiatry, Harvard Medical School, Boston, MA. Dr. Myers is Professor, Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Providence, RI. Dr. Weinstock is Health Sciences Clinical Professor of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine, University of California, Los Angeles, CA.
authors.forename: Charles C
authors.initials: CC
authors.lastname: Dike
authors.affiliation: Dr. Candilis is Director, Forensic Psychiatry Fellowship, St. Elizabeths Hospital/Department of Behavioral Health, Washington, D.C. Dr. Dike is Assistant Professor, Department of Psychiatry, Yale University School of Medicine, New Haven, CT. Dr. Meyer is Assistant Clinical Professor of Psychiatry, Harvard Medical School, Boston, MA. Dr. Myers is Professor, Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Providence, RI. Dr. Weinstock is Health Sciences Clinical Professor of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine, University of California, Los Angeles, CA.
authors.forename: Donald J
authors.initials: DJ
authors.lastname: Meyer
authors.affiliation: Dr. Candilis is Director, Forensic Psychiatry Fellowship, St. Elizabeths Hospital/Department of Behavioral Health, Washington, D.C. Dr. Dike is Assistant Professor, Department of Psychiatry, Yale University School of Medicine, New Haven, CT. Dr. Meyer is Assistant Clinical Professor of Psychiatry, Harvard Medical School, Boston, MA. Dr. Myers is Professor, Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Providence, RI. Dr. Weinstock is Health Sciences Clinical Professor of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine, University of California, Los Angeles, CA.
authors.forename: Wade C
authors.initials: WC
authors.lastname: Myers
authors.affiliation: Dr. Candilis is Director, Forensic Psychiatry Fellowship, St. Elizabeths Hospital/Department of Behavioral Health, Washington, D.C. Dr. Dike is Assistant Professor, Department of Psychiatry, Yale University School of Medicine, New Haven, CT. Dr. Meyer is Assistant Clinical Professor of Psychiatry, Harvard Medical School, Boston, MA. Dr. Myers is Professor, Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Providence, RI. Dr. Weinstock is Health Sciences Clinical Professor of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine, University of California, Los Angeles, CA.
authors.forename: Robert
authors.initials: R
authors.lastname: Weinstock
mesh_terms: D000574:American Medical Association; D002983:Clinical Competence; D004992:Ethics, Medical; D005104:Expert Testimony / Q000941:ethics; D005555:Forensic Psychiatry / Q000941:ethics*; D017408:Guidelines as Topic; D006801:Humans; D012955:Societies, Medical / Q000941:ethics*; D014481:United States