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Case and Commentary
Apr 2025

¿Cómo deberían proteger los miembros del equipo de cirugía a los pacientes que están privados de libertad de la vigilancia o intrusión de los oficiales del centro penitenciario?

Anna Lin, MD and Mallory Williams, MD, MPH
Case and Commentary
Feb 2025

¿Cómo se debe describir y tratar el dolor causado por la colocación del DIU?

Veronica Hutchison, MD and Eve Espey, MD, MPH

Articles

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  • cscm5-2309
    Case and Commentary
    Sep 2023

    Is There a Case for Palliative Care Addiction Psychiatry?

    Cynthia Geppert, MD, PhD, DPS, MA, MPH, MSB, MSJ, HEC-C

    Palliative psychiatry can facilitate compassionate resolution of ethical conflicts in end-of-life care decision making with persons with substance use disorders.  

    AMA J Ethics. 2023;25(9):E678-683. doi: 10.1001/amajethics.2023.678.
  • cscm3-2309
    Case and Commentary
    Sep 2023

    How Palliation Can Improve Care of Patients With Severe and Enduring Anorexia Nervosa

    Reece Carter and Celia Mizelle

    This commentary on a case considers the ethical feasibility of palliative psychiatry in the care of patients with severe and enduring anorexia nervosa.

    AMA J Ethics. 2023;25(9):E668-673. doi: 10.1001/amajethics.2023.668.
  • vwpt1-2309
    Viewpoint
    Sep 2023

    What Should Clinicians Know About Palliative Psychopharmacology?

    Awais Aftab, MD

    This article examines conceptual limitations of extant accounts of palliative psychiatry, with a focus on obligations to distinguish among and clearly formulate goals of care. 

    AMA J Ethics. 2023;25(9):E710-717. doi: 10.1001/amajethics.2023.710.
  • cscm1-2309
    Case and Commentary
    Sep 2023

    Does It Matter Whether a Psychiatric Intervention Is “Palliative”?

    Brent M. Kious, MD, PhD and Ryan H. Nelson, PhD

    Uncertainty about which psychiatric interventions are palliative stems from psychiatry’s prioritization of symptom management regardless of diagnosis. 

    AMA J Ethics. 2023;25(9):E655-660. doi: 10.1001/amajethics.2023.655.
  • medu1-2309
    Medical Education
    Sep 2023

    Moral Intuitions About Futility as Prompts for Evaluating Goals in Mental Health Care

    Anna L. Westermair, MD and Manuel Trachsel, MD, PhD

    Futility can function as a moral counterweight to a duty to treat, helping clinicians  find balance between over- and undertreatment. 

    AMA J Ethics. 2023;25(9):E690-702. doi: 10.1001/amajethics.2023.690.
  • fred1-2309
    From the Editor
    Sep 2023

    Palliative Approaches to Psychiatry

    Michelle Raji, MD

    This issue of the AMA Journal of Ethics explores palliative psychiatry as one response to pharmacological futility that reinvigorates core philosophy of medicine investigations into what health care is for.

    AMA J Ethics. 2023;25(9):E653-654. doi: 10.1001/amajethics.2023.653.
  • cscm4-2309
    Case and Commentary
    Sep 2023

    What Makes Palliative Mental Health Care Ethical Health Care?

    Virginia A. Brown, PhD, MA and Ashley Trust, MD

    Treatment-resistant schizophrenia can create a high disease burden for some patients, making it hard to get good outcomes.

    AMA J Ethics. 2023;25(9):E674-677. doi: 10.1001/amajethics.2023.674.
  • cscm2-2309
    Case and Commentary
    Sep 2023

    How Should Long-Term Psychotherapy Address Ethical Questions During the Palliative Care of a Patient With Serious and Persistent Mental Illness?

    Constance E. George, MD, MA

    This commentary on a case considers the course of a palliative approach to care of a patient with a serious and persistent mental illness.

    AMA J Ethics. 2023;25(9):E661-667. doi: 10.1001/amajethics.2023.661.
  • stas1-2309
    State of the Art and Science
    Sep 2023

    A Life-Affirming Palliative Care Model for Severe and Enduring Anorexia Nervosa

    Jonathan Treem, MD, Joel Yager, MD, and Jennifer L. Gaudiani, MD, CEDS-S

    Some individuals with severe and enduring anorexia nervosa experience dramatically degraded quality of life in the face of refractory illness and compulsory treatment. 

    AMA J Ethics. 2023;25(9):E703-709. doi: 10.1001/amajethics.2023.703.
  • cscm1-2308
    Case and Commentary
    Aug 2023

    Should Organizational Investment in Robotic Surgical Technology Ever Influence Surgeons’ Decisions About Surgical Approach to Patients’ Surgical Care?

    Ryan D. Rosen, DO and David A. Edelman, MD, MSHPEd

    Costs partly determine organizational robotics, but questions remain about whether and to what extent they should influence care decisions. 

    AMA J Ethics. 2023;25(8):E575-582. doi: 10.1001/amajethics.2023.575.

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