Early detection and intervention in psychosis: an ethical paradigm shift.
نویسنده
چکیده
This paper will first posit the rationale for intervention before onset, then outline the current usual practice of treating schizophrenia and the determinants of that practice. Recent developments that permit or demand a change in this practice will then be elaborated. The article concludes with an elaboration of the currently known risks and benefits of early intervention research. The ethics of early intervention are undergoing a paradigm shift, a shift that supports early intervention research as being necessary to bring empirical balance to territory that is currently overpopulated with zealous opinions.
منابع مشابه
Ethical Issues Related to Early Intervention in Children and Adolescents with Ultra High Risk for Psychosis: Clinical Implications and Future Perspectives
The ethical considerations in child and adolescent psychiatry are highly complex and of great interest nowadays. Early intervention involving persons at risk for psychosis puts some ethical debates to the forefront. When applying early intervention in children and adolescents with psychosis UHR-ultra high risk, we must be careful to respect the ethics principles. The procedural ethics implies t...
متن کاملPsychosis risk syndrome: is it worth the risk?
The American Psychiatric Association is considering listing the 'Psychosis Risk Syndrome' as a diagnosis in its own right in the DSM-5. This decision recognises the paradigm shift in clinical psychiatry to a model of early intervention. However, this decision has aroused much discussion. The controversy which has arisen around this proposal reflects the difficulties in implementing the early in...
متن کاملInformed consent in the psychosis prodrome: ethical, procedural and cultural considerations
Research focused on the prodromal period prior to the onset of psychosis is essential for the further development of strategies for early detection, early intervention, and disease pre-emption. Such efforts necessarily require the enrollment of individuals who are at risk of psychosis but have not yet developed a psychotic illness into research and treatment protocols. This work is becoming inc...
متن کاملPsychosis as an Early Presentation of Neuro-Brucellosis
Brucellosis is an endemic zoonotic infectious disease in Middle East countries including Iran. This infection may involve central nervous system. Psychosis has been reported in rare cases with chronic brucellosis.A 26-year-old male shepherd patient who developed neuro-brucellosis and psychosis is presented. He had hallucinations (visual and auditory) and delusions. He was also impulsive and had...
متن کاملEmerging Psychosis and the Family
Schizophrenias hold a special position among psychotic disorders. Schizophrenias often start in early adulthood and bear considerable psychosocial risks and consequences. Several years of nonpsychotic clinical signs and symptoms and growing distress for patient and significant others may pass by before definite diagnosis. Young males in particular often experience their first episode while stil...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- The British journal of psychiatry. Supplement
دوره 48 شماره
صفحات -
تاریخ انتشار 2005