LEADER 04464nam 22009975 450 001 9910786155803321 005 20230508161558.0 010 $a0-520-95452-1 024 7 $a10.1525/9780520954526 035 $a(CKB)2670000000330072 035 $a(EBL)1092957 035 $a(OCoLC)824701380 035 $a(SSID)ssj0000783235 035 $a(PQKBManifestationID)11474167 035 $a(PQKBTitleCode)TC0000783235 035 $a(PQKBWorkID)10752104 035 $a(PQKB)11158374 035 $a(DE-B1597)519095 035 $a(OCoLC)823388700 035 $a(DE-B1597)9780520954526 035 $a(MiAaPQ)EBC1092957 035 $a(EXLCZ)992670000000330072 100 $a20200424h20132013 fg 0 101 0 $aeng 135 $aurnn#---|u||u 181 $ctxt 182 $cc 183 $acr 200 10$aEveryday Ethics $eVoices from the Front Line of Community Psychiatry /$fPaul Brodwin 210 1$aBerkeley, CA :$cUniversity of California Press,$d[2013] 210 4$dİ2013 215 $a1 online resource (225 p.) 300 $aDescription based upon print version of record. 311 0 $a0-520-27478-4 327 $tFront matter --$tContents --$tAcknowledgments --$tIntroduction. The Terrain of Everyday Ethics --$t1. Genealogy of the Treatment Model --$t2. Expert knowledge and Encounters with Futility --$t3. Treatment Plans --$t4. Representative Payeeships --$t5. Commitment Orders --$t6. Coercion, Confidentiality, and the Moral Contours of Work --$tBibliography --$tIndex 330 $aThis book explores the moral lives of mental health clinicians serving the most marginalized individuals in the US healthcare system. Drawing on years of fieldwork in a community psychiatry outreach team, Brodwin traces the ethical dilemmas and everyday struggles of front line providers. On the street, in staff room debates, or in private confessions, these psychiatrists and social workers confront ongoing challenges to their self-image as competent and compassionate advocates. At times they openly question the coercion and forced-dependency built into the current system of care. At other times they justify their use of extreme power in the face of loud opposition from clients. This in-depth study exposes the fault lines in today's community psychiatry. It shows how people working deep inside the system struggle to maintain their ideals and manage a chronic sense of futility. Their commentaries about the obligatory and the forbidden also suggest ways to bridge formal bioethics and the realities of mental health practice. The experiences of these clinicians pose a single overarching question: how should we bear responsibility for the most vulnerable among us? 606 $aCommunity mental health services$xProfessional ethics 606 $aCommunity psychiatry 606 $aPsychiatrists 606 $aCommunity Mental Health Services 606 $aCommunity Psychiatry$xethics 610 $aautonomy. 610 $abioethics. 610 $abiopsychiatry. 610 $acareer. 610 $acoercion. 610 $acommunity psychiatry outreach team. 610 $acompassionate advocates. 610 $aengaging. 610 $aethical dilemmas. 610 $aeveryday struggles. 610 $afieldwork. 610 $aforced dependency. 610 $aformal bioethics. 610 $afront line providers. 610 $agovernment and governing. 610 $ahealth. 610 $ahuman condition. 610 $aintense. 610 $amarginalized individuals. 610 $amedical ethics. 610 $amedical. 610 $amental health clinicians. 610 $amental health. 610 $amoral lives. 610 $apolitical. 610 $apolitics. 610 $aprivate confessions. 610 $apsychology. 610 $arealistic. 610 $asocial science. 610 $asocial workers. 610 $aus healthcare system. 615 0$aCommunity mental health services$xProfessional ethics 615 0$aCommunity psychiatry 615 0$aPsychiatrists 615 12$aCommunity Mental Health Services. 615 22$aCommunity Psychiatry$xethics. 676 $a649.122 700 $aBrodwin$b Paul$4aut$4http://id.loc.gov/vocabulary/relators/aut$01167742 801 0$bDE-B1597 801 1$bDE-B1597 906 $aBOOK 912 $a9910786155803321 996 $aEveryday Ethics$93847517 997 $aUNINA