John R. Peteet

"While not traditionally named as a virtue, accountability plays a vital part in healthy relationships and in a morally integrated life. The idea that one is answerable to others besides oneself-to give others what they are due-places relational accountability within a frame of justice and serves to counterbalance the prevalent emphasis on autonomy in mental health and human flourishing. Welcoming responsibility to and caring about one's impact on others is basic to making personal relationships work over time. Without accountability, resentment and withdrawal from relationships would ensue. Accountability is also critical to the trust and cooperation needed for effective work with others. Moreover, accountability serves as a critical support to the integrity and wholeness of the morally virtuous person. Actively knowing to whom and for what one is accountable is clarifying in terms of connecting one's relational responsibilities with one's identity, direction and sense of purpose"--

The Virtues in Psychiatric Practice

Here is the first practical guide for dealing with the moral issues that regularly confront clinicians in their work. Written for all mental health professionals, Doing the Right Thing: An Approach to Moral Issues in Mental Health Treatment offers a framework both for making moral decisions concerning the treatment of patients and for helping patients deal with their own moral concerns. Drawing on current thinking in several disciplines, Doing the Right Thing introduces the concept of moral functioning as a basis for therapeutic influence. Numerous case examples illustrate how to Assess patients' ability to function morally -- Learn how six basic capacities needed for moral functioning develop, and how identifying problems in an individual's moral functioning can help guide the formulation of a treatment plan. Treat patients with problems functioning morally -- Appreciate when it is time to set aside neutrality as a therapeutic stance in favor of a more direct approach to helping patients make moral commitments, decisions and self-assessments and develop moral character. Deal with the moral aspects of clinical decision-making -- Develop a framework for making moral choices in planning the direction of treatment, confronting resistance and addressing problems in caring effectively. Help patients address moral challenges -- Learn how to take into account your own and the patient's values in reasoning through moral dilemmas. Understand more clearly how to help patients deal with unfair pain caused by others, as well as the guilt and shame caused by their own moral failures. Employ the therapeutic potential of moral growth, transformation, and integration -- Discover the role of a clinician in helping demoralized patients reformulate their ideals for better outcomes. Recognize where a moral paradigm is useful in improving the delivery of mental health care. Concise, clear, and clinically relevant, Doing the Right Thing is a valuable, thought-provoking guide for both new and seasoned mental health practitioners who live and work in a morally complex environment. It is also an excellent supplementary text for courses dealing with the practice of psychotherapy and the ethical aspects of mental health care.

An Approach to Moral Issues in Mental Health Treatment

Doing the Right Thing

In Depression and the Soul, John Peteet proves the old adage that the best physician is also a philosopher. He considers how to approach the problem of depression within a larger context, and reviews current concepts of successful living relative to the heart (emotion and volition), the mind (cognition and coping), and the soul (the self in relation to transcendent reality). Each chapter goes on to further explore the relationship between depression and the context of a patient’s entire life. This is done through consideration of how the existential struggles of depressed individuals engage their spiritual lives, by reviewing current empirical literature on depression and spirituality, comparing the perspectives of various spiritual traditions or world views, and summarizing ways that spirituality and depression interact.

A Guide to Spiritually Integrated Treatment

Depression and the Soul

Michael J. Balboni

"[This] Multi-disciplinary approach provides a comprehensive evaluation of the relationship between spirituality, religion, and medicine" -- Provided by the publisher.

From Evidence to Practice

Spirituality and Religion Within the Culture of Medicine

Harold G. Koenig

H. Steven Moffic

Ahmed Hankir

This book aims to help readers appreciate the many-faceted relationship between Christianity, one of the world’s major faith traditions, and the practice of psychiatry. Chapter authors in this book first consider challenges posed by historical antagonisms, church-based mental health stigma, and controversy over phenomena such as hearing voices. Next, others explore both how Christians often experience conditions such as mood and psychotic disorders, disorders in children and adolescents, moral injury and PTSD, and ways that their faith can serve as a resource in their healing. Twelve Step spirituality, originally informed by Christianity, is the subject of a chapter, as are issues raised for Christians by disability, death and dying. A set of chapters then focuses on the state of integration of Christian beliefs and practices into psychotherapy, treatment delivery, educational programming, clergy/clinician collaboration, and treatment by a non-Christian psychiatrist. Finally, there are chapters by a mental health professional who has been a patient, a Jewish psychiatrist, a Muslim psychiatrist knowledgeable about Christianity and psychiatry in the Muslim majority world, and a Christian psychiatrist. These chapters provide context, diversity and personal perspectives. Christianity and Psychiatry is a valuable resource for mental health professionals seeking to understand and address the particular challenges that arise when caring for Christian patients.

Christianity and Psychiatry

Mary V. Seeman

Following World War II and the exposure of the concentration camps, psychiatry turned its attention to a vast range of cultural concerns with results that seemed to indicate a decline of stigma over time. However, it is now clear that whatever drives prejudices, especially in the case of anti-Semitism, was just dormant and perhaps not fully understood. Hate crimes and anti-Semitism broad recently re-emerged in Europe, and the United States followed shortly thereafter. The US Federal Bureau of investigation reports that New York City, which is still considered the most Jewish-friendly region in the US, experienced a 22% spike in anti-Semitic hate crimes in 2018 alone, with more extremes in other regions of the country. Neo-Nazi groups have grown stronger in the United States and abroad, often resulting in organized acts of violence. The recent Tree of Life synagogue shooting in Pittsburgh, PA demonstrated that these acts are not limited to one-on-one interactions, but sometimes as prolific, large-scale act. The medical community is not immune from biases either. The Cleveland Clinic recently fired a young doctor after she publicly declared her wishes to inject Jewish patients with lethal substances, which is only one of many hateful comments she made on social media over the course of several years. Psychiatrists in particular grapple with this as they try to serve patients of both Jewish and non-Jewish descent who struggle to process these acts of hate. Despite all of this, there is no training and no resource to guide medical professionals through these challenges. The editors of the recent Springer book, Islamophobia and Psychiatry, recognize this gap in the literature and seek to develop another high-quality text to meet this need. Written by expert clinicians in global regions where these incidents are most prevalent, the book seeks to be neither political nor opinion-based; instead, the text takes an innovative cross-cultural psychiatric interaction, similar to what was done with Springer’s new Islamophobia book. Coverage will range from foci on the social psychiatric aspects of anti-Semitism to how it may in turn infuse clinical encounters between patients and clinicians. Written by experts in this area, the insight and expertise of psychiatrists from a variety of cultural and religious backgrounds will focus on what psychiatrists need to know to combat the negative mental health impact that increasingly rise out of this particular phenomenon. Such a multi-cultural psychiatric approach has never been taken before for this topic. This discourse is the foundation for the primary goal of this book: to develop the tools needed to improve clinical outcomes for patients. Hence, this book aims to present an updated, comprehensive bio-psychosocial perspective on anti-Semitism at the interface of clinical psychiatry.

Recognition, Prevention, and Interventions

Anti-Semitism and Psychiatry

Francis G. Lu

William E. Narrow

Religious and Spiritual Issues in Psychiatric Diagnosis: A Research Agenda for DSM-V gathers for the first time the collective contributions of the prominent clinicians and researchers who participated in the 2006 Corresponding Committee on Religion, Spirituality and Psychiatry of the American Psychiatric Association.

John R. Peteet

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