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Regarding the principle "do no harm" in psychiatry the issue of applying physicians and medical personnel for hostile purposes is specifically acute. This issue can have number of aspects. From the ethical point of view it is necessary to distinguish between two groups of wrong medical diagnoses. First of them includes wrong diagnoses by the doctors, implying "honest errors" and the second group involves those diagnoses, which not only wrongly describe condition of psychiatric health, but also they are conditioned by non-medical factors, for purposes of politics. This can be said not only about the well known protectors on the human rights - the dissidents, but also about those citizens, who had some "local conflicts" with the government, what lead to compulsory hospitalization without any clinical necessity. The rights of the patients are also infringed, when the medicines are prescribed for the purposes of punishment and not for treatment needs. The author considers also the issues of confidentiality in medical sphere. To her opinion it is inadmissible to make diagnosis of psychical illness on the basis of non-compliance of the views and beliefs of the person with those of the society.
Keywords:
compulsory hospitalization, non-voluntary hospitalization, ethical code, euthanasia, confidentiality
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