Politicization of psychiatry and the improvement of ethical standards in the 1970s.

code of ethics ethics forensic psychiatry history of psychiatry politicization of psychiatry schizophrenia

Journal

Frontiers in psychiatry
ISSN: 1664-0640
Titre abrégé: Front Psychiatry
Pays: Switzerland
ID NLM: 101545006

Informations de publication

Date de publication:
2023
Historique:
received: 25 01 2023
accepted: 03 05 2023
medline: 23 6 2023
pubmed: 23 6 2023
entrez: 23 6 2023
Statut: epublish

Résumé

The Code of Ethics for Psychiatry adopted by the World Psychiatric Association in 1977, also known as the Declaration of Hawaii, was a milestone in the development of ethical standards in psychiatry. The impetus for the development of the code came primarily from the politicization of psychiatry, first discovered in the USSR, and later in other countries of the socialist camp, such as Romania, Yugoslavia, and the People's Republic of China. The purpose of this article is to trace reasons for the lack of consolidation among Western psychiatrists against the politicization of psychiatry and their efforts to improve the ethical standards in this medical field. We analyzed unpublished documents from the Archive of the German Association for Psychiatry, Psychotherapy and Psychosomatics, the private archives of the West German psychiatrists Gerd Huber and Walter von Baeyer as well as research works. To examine these sources, we implemented the historical-critical method. The World Psychiatric Association made efforts to collect, analyze and discuss materials concerning psychiatric ethics in order to create the Code of Ethics for Psychiatry and establish an Ethical Committee. In general, the reaction of Western psychiatrists to the information about the internment of dissidents in psychiatric hospitals was restrained and focused on attempts to solve the issue together with the Soviet colleagues. The international policy of détente of the time as well as collisions between different medical concepts and ethical dimensions did not allow Western psychiatrists to condemn cases of politicization of psychiatry without proir clarification of the situation. The efforts of the World Psychiatric Association in the ethical field improved the ethical standards for psychiatry.

Sections du résumé

Background UNASSIGNED
The Code of Ethics for Psychiatry adopted by the World Psychiatric Association in 1977, also known as the Declaration of Hawaii, was a milestone in the development of ethical standards in psychiatry. The impetus for the development of the code came primarily from the politicization of psychiatry, first discovered in the USSR, and later in other countries of the socialist camp, such as Romania, Yugoslavia, and the People's Republic of China. The purpose of this article is to trace reasons for the lack of consolidation among Western psychiatrists against the politicization of psychiatry and their efforts to improve the ethical standards in this medical field.
Methods UNASSIGNED
We analyzed unpublished documents from the Archive of the German Association for Psychiatry, Psychotherapy and Psychosomatics, the private archives of the West German psychiatrists Gerd Huber and Walter von Baeyer as well as research works. To examine these sources, we implemented the historical-critical method.
Results UNASSIGNED
The World Psychiatric Association made efforts to collect, analyze and discuss materials concerning psychiatric ethics in order to create the Code of Ethics for Psychiatry and establish an Ethical Committee. In general, the reaction of Western psychiatrists to the information about the internment of dissidents in psychiatric hospitals was restrained and focused on attempts to solve the issue together with the Soviet colleagues.
Conclusion UNASSIGNED
The international policy of détente of the time as well as collisions between different medical concepts and ethical dimensions did not allow Western psychiatrists to condemn cases of politicization of psychiatry without proir clarification of the situation. The efforts of the World Psychiatric Association in the ethical field improved the ethical standards for psychiatry.

Identifiants

pubmed: 37351001
doi: 10.3389/fpsyt.2023.1151048
pmc: PMC10282144
doi:

Types de publication

Journal Article

Langues

eng

Pagination

1151048

Informations de copyright

Copyright © 2023 Kosenko and Steger.

Déclaration de conflit d'intérêts

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Références

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J Med Ethics. 1978 Jun;4(2):71-3
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Schizophr Bull. 2010 Jan;36(1):33-5
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Br Med J. 1974 Jul 6;3(5922):40
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Br Med J. 1975 Aug 30;3(5982):539-40
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Br Med J. 1974 Nov 9;4(5940):341-2
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Br J Psychiatry. 2011 Mar;198(3):176-8
pubmed: 21357875
Fortschr Neurol Psychiatr. 2002 Aug;70(8):393-402
pubmed: 12149679
Int J Soc Psychiatry. 2017 Mar;63(2):169-174
pubmed: 28088867

Auteurs

Oxana Kosenko (O)

Ulm University, Institute of the History, Philosophy and Ethics of Medicine, Ulm, Germany.

Florian Steger (F)

Ulm University, Institute of the History, Philosophy and Ethics of Medicine, Ulm, Germany.

Classifications MeSH