Jennifer T. McIntosh, PhD, RN, CNE, PMH-BC, NEA-BC and Mona Shattell, PhD, RN
This commentary examines prevention policies that overly rely on liberty restrictions imposed by designs of inpatient psychiatric units’ structures and spaces.
AMA J Ethics. 2024;26(3):E199-204. doi:
10.1001/amajethics.2024.199.
Therapeutic security in inpatient psychiatric settings requires careful planning and implementation if it is to support both patients’ safety and dignity.
AMA J Ethics. 2024;26(3):E205-211. doi:
10.1001/amajethics.2024.205.
Nubia Chong, MD, Maria Mirabela Bodic, MD, Peter Steen, MD, Ludwing Salamanca, MD, PhD, and Stephanie LeMelle, MD, MS
Paternalistic language in patients’ health records is of specific ethical concern because it emphasizes clinicians’ power and patients’ vulnerabilities and can be demeaning and traumatizing.
AMA J Ethics. 2024;26(3):E225-231. doi:
10.1001/amajethics.2024.225
Inpatient psychiatric units are designed around the twin aims of treatment and containment, but emotional norms and tone also contribute to care environments.
AMA J Ethics. 2024;26(3):E232-236. doi:
10.1001/amajethics.2024.232.
Dr Jennifer T. McIntosh joins Ethics Talk to discuss her article, coauthored with Dr Mona Shattell: “How Should Suicide Prevention and Healing Be Expressed as Goals of Inpatient Psychiatric Unit Design?”
Dr Brendan D. Kelly joins Ethics Talk to discuss his article, coauthored with Dr Róisín Plunkett: “Should Dignity Preservation Be a Precondition for Safety and a Design Priority for Healing in Inpatient Psychiatry Spaces?”
Dr Matthew L. Edwards joins Ethics Talk to discuss his article, coauthored with Dr Nathaniel P. Morris: “How Inpatient Psychiatric Units Can Be Both Safe and Therapeutic.”
This month, AMA Journal of Ethics theme editor Sarah Waliany, a fourth-year medical student at Stanford University School of Medicine, interviewed Louise Andrew, MD, JD, about mental health challenges for physicians and medical students and some strategies for colleagues to assist and intervene.