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Am J Psychiatry 1984; 141:395-399
Copyright © 1984 by American Psychiatric Association


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Forensic psychiatry and applied clinical ethics: theory and practice

JR Ciccone and C Clements

The authors briefly describe and then apply a new method--applied clinical ethics--for identifying and working with ethical problems. This method, starting from the clinical context, develops ethical constructs that may be tested in clinical practice and revised if required. The work was done in the context of a combined university- county forensic psychiatric service. The authors discuss three of the identified ethical issues: effects of deinstitutionalization, countertransference with forensic populations, and prediction of dangerousness. They discuss the basis for developing ethical norms from clinical experience and suggest ethical guidelines for medical practice.





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