title: Clinical judgment, moral anxiety, and the limits of psychiatry.
abstract: It is common for clinicians working in psychiatry and related clinical disciplines to be called on to make diagnostic clinical judgments concerning moral anxiety, which is a kind of anxiety that is closely bound up with decisions individuals face as moral agents. To make such a judgment, it is necessary to make a moral judgment. Although it has been common to acknowledge that there are ways in which moral and clinical judgment interact, this type of interaction has remained unacknowledged. This raises questions as to the nature and limits of psychiatry-particularly concerning the extent to which psychiatric discourse ought to incorporate moral discourse, and the role of the clinician as an expert in identifying problematic anxiety.
authors.affiliation: The Psychotherapy Practice, 360 Dupont St., Toronto, ON, M5R 1V9, Canada. murray@thepsychotherapypractice.ca.
authors.forename: Bradley
authors.identifier: http://orcid.org/0000-0001-6836-9435
authors.initials: B
authors.lastname: Murray
mesh_terms: D001007:Anxiety / Q000175:diagnosis*; D000066491:Clinical Decision-Making / Q000941:ethics*; D006801:Humans; D009014:Morals; D010686:Philosophy, Medical; D011570:Psychiatry / Q000941:ethics*
keywords: Anxiety; Clinical judgment; DSM; Disorders; Moral anxiety; Moral autonomy; Psychiatric diagnosis