Ethics and Culture in Mental Health Care

White male psychiatrist trained in the urban environment accepted work for public health services in the southwest United States of America. He began to understand the culture of Native American by reading books quickly and discussing their values ​​and beliefs with the patient. After working for 6 months, a primary care colleague asked the psychiatrist to evaluate the young Navajo who reported a serious illusion. During psychiatric evaluation, R. Mr. said in the past six months that his deceased father appears before him in the "vision" that occurs several times a week. Mr. R. thought that these experiences were pleasant, but he felt that these experiences were inappropriate and that he could introduce his doctor.

The psychiatrist was moved by the story of the youngster. In this case the doctor's psychiatric training taught him to create a wide range of differential diagnosis, including psychotic features, schizophrenia, and major depression caused by substance use or general medical condition. He did not address these possibilities in detail, and did not mention it to Mr. R. He believes that by doing so, his native American research will be a culturally consistent representation of hope and connection with the deceased. He also realized that speaking publicly about negative things such as the possibility of diagnosing serious mental illness may be culturally inappropriate in Navajo culture. For these two reasons he asked Mr. R to feel very pleasant and to let him go on peace with the visions being harmless.

Six months later, the referral physician said he had hospitalized Mr. R after a series of seizures. MRI scans are most likely to cause "visual" seizures and now show parietal brain tumors threatening his life

Engaging in mental health care requires a typical ethical challenge associated with that particular trait. For example, in mental healthcare, the epistemological distinction between "disease" and "health" or what is considered to be "normal" and "abnormal" is often not as clear as physical care. Due to lack of decision by some patients, or due to uncertainty or disagreement, there may be ethical problems. In fact, some patients are in violation of their will and the law permits health care workers to use mandatory measures, which can lead to many different ethical issues. Finally, limited evidence that mandatory measures are "useful" or "effective" increases the need for ethical review.

Little is known about how medical professionals respond to ethical issues in mental healthcare, especially if formal ethical support services are not being used. It is important to understand this in order to support experts, improve the quality of care, and understand how future ethics support services can be useful. In the project on ethics, compulsion and psychiatry, we conducted focus group interviews with 65 healthcare experts and administrators in seven divisions. We conducted a systematic and open qualitative analysis focusing on the question "How do health care workers respond to ethical issues?" We deliberately did not propose definitions or theories of ethical issues.

First, I will study the health care ethics defined by Western culture. Most of the Western health ethics was developed by British doctor Thomas Percival, who published his "Medical Ethics Code" in 1803 (AMA, 2002). It is this medical ethics that dominates most health care in the United States. The purpose of this chapter is not to argue that the health society should address all the differences in power and conflict arising from these ethics, but the author's aim is to develop a challenging and political approach to the current flat social gradient It is not to solve unrealistic efforts to. These phases were created by foreign standards that are unaccustomed to traditional ethics inherent in most tribal commissions.