We currently have no simple test of any kind that tells us whether someone has pain, but there is reason to be optimistic that brain imaging that can contribute to evaluation of pain may be within our grasp.
When deciding whether a pregnant woman will take antidepressants that pose a slight risk to the fetus, the patient and doctor must each make value-based determinations about whether absolute protection of the fetus is more important than preventing the mother’s probable suffering.
Movements to deinstitutionalize people with mental illness and to make institutionalization more legally difficult have resulted in a lack of space and resources for the care of those with severe mental illness, and many have ended up in jails and prisons.
Laurel J. Lyckholm, MD and Arwa K. Aburizik, MD, MS
Decision-making capacity can be preserved in patients with mental illness and should be formally assessed in the context of their values and past decisions.
AMA J Ethics. 2017; 19(5):444-453. doi:
10.1001/journalofethics.2017.19.5.ecas4-1705.
Psychodynamic therapy is generally suited to treating issues arising in cancer treatment because it enables rapid development of the therapeutic alliance.
AMA J Ethics. 2017; 19(5):467-474. doi:
10.1001/journalofethics.2017.19.5.stas2-1705.
Thomas W. LeBlanc, MD, MA, MHS and Arif H. Kamal, MD, MBA, MHS
Clinical trials should assess patients’ distress and test interventions to address it, just as they assess adverse events and test novel therapeutic agents.
AMA J Ethics. 2017; 19(5):460-466. doi:
10.1001/journalofethics.2017.19.5.stas1-1705.
Research is needed to understand mental health effects of cancer at diagnosis, throughout treatment and the post-treatment phases, and in survivorship.
AMA J Ethics. 2017; 19(5):486-492. doi:
10.1001/journalofethics.2017.19.5.msoc2-1705.
Even if they are not sick, people in quarantine are still patients; the physician is responsible for their well-being and may find that it is necessary to advocate for them.