Ethical Issues in Epidemiologic Research

Bartholomew Clemente, MD
JAMA. 1987;257(17):2361-2362. doi:10.1001/jama.1987.03390170117041.
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In this work, ethics in psychiatric research is covered in eight chapters. The first has a review of research on informed consent, confidentiality, and the right to refuse treatment. There is an awareness that patients need the best information concerning their care so that they can become more equally responsible along with the physician in the extended treatment. Chapter 2 looks at the ethical needs for reliable and valid categories in psychiatry and how these categories may be used in avoiding "abuse," for instance misdiagnosis that depends on subjective criteria and bias. Chapter 3 investigates the many ethical issues that mental health policy raises, especially policy that emerges from the structure of the community mental health movement and the deinstitutionalization of the psychiatric patient. Chapter 4 addresses the need for appropriate investigation of the natural history of mental illness, longitudinal studies, and how to protect the privacy of the patient


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