South African Psychiatry Review - Volume 7, Issue 1, 2004
Volume 7, Issue 1, 2004
Author Christopher P. SzaboSource: South African Psychiatry Review 7 (2004)More Less
Extracted from text ... EDITORIAL S Afr Psychiatry Rev 2004;7:1 South African Psychiatry Review - February 2004 1 Social psychiatry in Africa The World Association of Social Psychiatry is due to hold its first regional conference in Africa, in Johannesburg, during the month of March, 2004. This is a momentous occasion worthy of local support. The conference is truly international. Abstracts were received from all over the world from a wide range of professionals reflecting the spectrum of the multi-disciplinary team, with a strong South African representation. A range of topics will be covered which should provide something for everyone. There has been ..
Author Jennifer RaddenSource: South African Psychiatry Review 7, pp 4 –26 (2004)More Less
Both the professional code of conduct required in the practice of psychiatry, and the broader set of moral and ethical problems distinctive to, or at least magnified by, the mental health care setting are reviewed here. Some perennial aspects of mental disorder and its cultural history are introduced, together with problems resultant from recent scientific advances and policy changes. Psychiatric patients' vulnerability to stigma and discrimination will likely persist, it is noted, even when science demystifies mental disorder, and nothing short of the elimination of mental disorder will obviate the need for a serious and sustained attention to ethical issues in psychiatry.
Author Graeme R. McLeanSource: South African Psychiatry Review 7, pp 10 –26 (2004)More Less
This paper discusses the ethics of euthanasia. Situations are described in which the normal duty to sustain life is overridden by other duties towards the patient; but these situations are contrasted with euthanasia properly so called. Arguments for euthanasia are considered, and a refutation of those arguments is offered. The case against euthanasia is reinforced by an appeal to the possible harmful consequences of a policy under which it is allowed. Particular implications for psychiatry are advocated.
Author Sean KaliskiSource: South African Psychiatry Review 7, pp 19 –26 (2004)More Less
A crucial element of any fiduciary relationship is the maintenance of confidentiality. While the obligation to keep detailed records remains, the South African Constitution and legislation have eroded the clinician's ability to absolutely safeguard their patients' privacy. Clinicians cannot guarantee absolute confidentiality and should always warn patients of the limits of privilege in their relationship (especially in forensic settings). A bewildering array of interested parties may now petition for access to clinical information, and it is not always clear under which circumstances legislation demands disclosure, and when ethical considerations prevent it. It is therefore encumbent on practitioners to understand when disclosure is sanctioned, and when the demands of legislation cannot be resisted.
Author Tuviah ZabowSource: South African Psychiatry Review 7, pp 23 –26 (2004)More Less
Extracted from text ... COMMENTARY S Afr Psychiatry Rev 2004;7:23-26 South African Psychiatry Review - February 2004 23 Modern psychiatry - a change in ethics? Professional codes Since ethics involves a set of principles guiding individuals in deciding what is right or wrong, good or bad, doctors are often seeking answers to the problems they encounter in professional codes of ethics. Such approaches do not necessarily solve problems. Mental health professionals are not required to take any further declaration or oath on qualifying or registering. The Madrid Declaration on Ethical Standards for Psychiatric Practice issued by the World Psychiatric Association (WPA) is a ..
Patterns of headache in panic disorder : a survey of members of the South African Panic Disorder Support GroupSource: South African Psychiatry Review 7, pp 28 –30 (2004)More Less
<I>Background:</I> Panic attacks and headaches often occur concurrently or are temporally related. <br><I>Aim:</I> The aim of this study was to report the prevalence of three types of headaches (tension headache and migraine with or without aura) and present the occurrence of various symptoms obtained from a questionnaire survey of a panic disorder support group. <br><I>Methods:</I> Two thousand questionnaires were distributed among members of the South African Panic Disorder Support Group. Diagnosis of the headache type was made according to the New International Headache Society's Headache Classification System. <br><I>Results:</I> The primary finding of this study was that the migraine headache versus tension headache ratio was 2:1, where in the normal population the ratio of migraine headache to tension headache is 1:3. <br><I>Conclusion:</I> The findings suggest a higher ratio of migraine vs. muscle tension headache among members of a panic disorder support group than the general population and a common link through the basic pathophysiology and neurochemistry of these two disorders is raised.
Source: South African Psychiatry Review 7 (2004)More Less
Extracted from text ... PLEASE TEAR OUT AND PHOTOCOPY FOR YOUR PATIENTS!! PLEASE TEAR OUT AND PHOTOCOPY FOR YOUR PATIENTS!! PATIENTS AS PARTNERS Brought to you by The South African Depression and Anxiety Group Tel: +27 11 783 1474 Fax: +27 11 884 7074 E-mail: email@example.com website: www.anxiety.org.za SELF HELP FOR DEPRESSION SELF HELP FOR DEPRESSION 1. Trying to deal with your pain on your own can only serve to add to your feelings of aloneness. Share your feelings with others rather than bottling them up. 2. Increase positive contact. Although you may want to be alone, you may feel better if you try ..