The ethics of pre-onset early detection and interventions in psychiatry
In this dissertation, I assess the ethical debate surrounding the development of pre-emptive psychiatry, and propose to reframe it around models of vulnerability. This leads me to advocate for nonspecific staging models over the creation of attenuated syndromes. Chapter 1 delineates the âmid-levelâ approaches I selected for the ethical appraisal of various models of vulnerability: mainly, Beauchamp and Childressâ principlism and Nussbaumâs capabilities approach. It is followed in Chapter 2 by an outline of the current state of research in pre-emptive psychiatry. I argue in Chapter 3 that the debate surrounding these new developments has missed an opportunity to discuss the ethical issues they raise in a constructive manner. Various conceptualisations of psychiatric vulnerability ought to be more clearly at the heart of this conversation. I explore in Chapter 4 the wide-ranging relevance of the concept of vulnerability in ethical theory, so as to explain in Chapter 5 how it can serve as the foundation of a normative approach that favours resilience and relational autonomy over outright protective responses to vulnerability. Consequently, I highlight in Chapter 6 the advantages of integrating more traditional
Tinland, Julia Camille
The ethics of pre-onset early detection and interventions in psychiatry. In this dissertation, I assess the ethical debate surrounding the development of pre-emptive psychiatry, and propose to reframe it around models of vulnerability. This leads me to advocate for nonspecific staging models over the creation of attenuated syndromes. Chapter 1 delineates the âmid-levelâ approaches I selected for the ethical appraisal of various models of vulnerability: mainly, Beauchamp and Childressâ principlism and Nussbaumâs capabilities approach. It is followed in Chapter 2 by an outline of the current state of research in pre-emptive psychiatry. I argue in Chapter 3 that the debate surrounding these new developments has missed an opportunity to discuss the ethical issues they raise in a constructive manner. Various conceptualisations of psychiatric vulnerability ought to be more clearly at the heart of this conversation. I explore in Chapter 4 the wide-ranging relevance of the concept of vulnerability in ethical theory, so as to explain in Chapter 5 how it can serve as the foundation of a normative approach that favours resilience and relational autonomy over outright protective responses to vulnerability. Consequently, I highlight in Chapter 6 the advantages of integrating more traditional
ethic pre onset early detection intervention psychiatry assess ethical debate_surround development pre psychiatry propose around model vulnerability lead advocate staging model creation delineate mid level approach select ethical appraisal various model vulnerability mainly approach follow outline current_state pre psychiatry argue debate_surround new development miss opportunity discuss ethical_issue raise constructive manner various conceptualisation psychiatric vulnerability ought clearly heart conversation explore wide_ranging relevance concept vulnerability ethical_theory explain serve foundation normative favour resilience relational autonomy outright protective response vulnerability consequently highlight advantage integrate traditional