Treatment FAQ

what legal or ethical dilemmas in the care and treatment of john nash?

by Chauncey Gorczany Published 2 years ago Updated 2 years ago

What is an ethical dilemma in ethics?

Ethical dilemmas. When you determine that a situation involves ethics and you don’t think it is a responsibility, it is likely to be an ethical dilemma. A dilemma is a situation for which there are two possible resolutions, each of which can be justified in moral terms.

What are the ethical and legal responsibilities of a psychiatrist?

Thus, the ethical and legal responsibilities of a psychiatrist are intertwined. Confidentiality and disclosure The patient–physician relationship is bound by the moral and ethical sanctity of confidentiality, more so in mental health.

Is medical ethics a legal requirement?

However, when it comes to medical ethics, these are essential (not desirable) requirements based on which a physician is mandated to act. The legal aspects of patient care are determined by country-specific regulations, which in turn are governed by medical ethics.

What medication did Dr Nash take to cure his schizophrenia?

What sets Dr. Nash apart from most schizophrenic patients is since 1970; Nash has taken no medication related to treating his disorder. He claims that he chose to ignore the hallucinations and voices which ultimately resulted in his cure citing his own recognition of their falseness.

What were the treatments being administered to treat John Nash affliction?

While in a mental institution, Nash is treated with insulin coma therapy, in which patients are given insulin to induce a comatose state that lasts about 15 to 60 minutes. The results, as shown in the movie, are horrific.

What was John Nash's problem?

At 30, John Nash suffered his first bout of full-blown schizophrenia, a disease sometimes called the "cancer of the mind." Aolicai Nash, his wife, was 26 at the time. "I wanted to help him," she remembered.

How did they treat John Nash schizophrenia?

John is ordered to under insulin shock therapy and take medication on the side to help cure his debilitating schizophrenia. These shock therapy sessions are very violent and required restraints to hold him down while watched by a team of nurses and doctors.

How did John Nash overcome his mental illness?

He claimed that he was able to overcome his delusional thinking by force of mind through a process of intellectual testing and rejection of false reality. This is part of the “beautiful mind” that Sylvia Nasar captured in her excellent biography and which the movie version missed.

Why did John stop taking his pills?

His colleague was upset at this behavior, and asked “Why, when they were making you well, did you stop taking drugs?” He answered “If I take drugs I stop hearing the voices.” (p. 321) To Nash, taking away his delusions and hallucinations would be taking away his genius, his most treasured gift.

How does Nash's mind work How does he see patterns How do the filmmakers show this?

John Nash sees patterns where no patterns exist. In the beginning of the movie, John sees patterns on the man's tie, and relates it to reflections of light and shapes. This shows his analytical mind, and his ability to relate two arbitrary things to geometry and math.

What are the legal aspects of patient care?

The legal aspects of patient care are determined by country-specific regulations, which in turn are governed by medical ethics. For instance, when an Indian psychiatrist is alleged of “wrongdoing,” it is determined whether he acted contrary to “medical ethics,”[6] or to the pertaining laws in the country.[1] .

What is ethical issue?

ETHICAL ISSUES. Ethic is defined as “a set of moral principles, especially ones relating to or affirming a specified group, field, or form of conduct.” [5] Technically, ethics talk about morality and desirable way of behaving but may not be binding on an individual.

What is absconding behavior in patients with mental illness?

Absconding behavior in patients with mental illness. When PWMI abscond from psychiatric hospitals, especially closed wards, it places an enormous burden on the hospital staff in terms of the legal implications. The absconders may not take care of self and may be at risk of harm to self, others, and property.

How many patients have disappeared from IHBAS in 5 years?

17. The Indian Express. In 5 years, 420 patients have ‘disappeared’ from state-run IHBAS. [Last cited on 2019 Jan 27]. Available from: https://indianexpress.com/article/cities/delhi/in-5-years-420-patients-have-disappeared-from-state-run-ihbas/

Why is lack of history a major problem in forensic psychiatric setting?

Also, because of unawareness regarding mental disorders, the only history obtained from the medical officer is of the patient being irritable or displaying suicidal threats. This is not enough to arrive at a diagnosis. Thus, the lack of adequate history is a major problem in a forensic psychiatric setting.

How many cases were acquitted of mental illness?

The 18 (17.65%) cases out of a total of 102 cases were acquitted on the grounds of mental illness. The Honorable High Courts’ judgment was mostly in line with the judgment of the lower Court and heavily relied on the documentary evidence of mental illness.

Do faculty members have to be involved in legal aspects of patient care?

Third, the faculty members may not involve them in legal aspects of patient care, believing it is not their responsibility. In my place of work, which is a tertiary level teaching public hospital, the psychiatry residents are routinely involved in legal aspects of patient care.

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