Under the principle of common law which of the following can be done without a patient’s consent?
A. Common law principle of necessity allows medical interventions only if they are life saving, emergency measures. Irreversible procedures such as transplantation cannot be carried out. It is not good practice to administer depot under ‘emergency’ situations. Psychiatric detention must follow Mental Health Act principles whenever required.
‘Run amok’ involves sudden dissociative reaction which can lead to multiple homicide or suicide.
It is best classified under which of the following categories?
C. Running amok (derived from Malay word amuk, meaning ‘mad with anger’) is a Malaysian culture bound syndrome. It usually affects a young male who will develop a sudden frenzy and acquire a weapon in an attempt to kill or injure anyone indiscriminately. Amok episodes can lead to serious violence or suicide.
Who first used the word ‘psychiatry’ (or ‘psychiatrie’) to describe the profession?
A. Johann Christian Reil coined the term psychiatry to describe the practice of psychological medicine. He was a German doctor and used the word ‘Psychiatrie’ in 1808.
One of the following is a major proponent of the antipsychiatry movement?
B. Thomas Szasz has expressed strong views against the current conceptual models of disease in psychiatry. Antipsychiatry refers to a heterogeneous school that challenges the fundamental theories and practices of psychiatry. Aubrey Lewis was an English psychiatrist associated with the Maudsley Hospital. Adolf Meyer proposed psychobiology.
Which of the following is NOT routinely considered as boundary violations in a therapeutic relationship?
D. Interpretation is an interview technique and not a boundary violation. It is increasingly realized that subtle violations of doctor–patient boundaries often occur in psychiatric setting. Boundary crossing is defined as intentional or unintentional incursions occurring during a therapeutic relationship. When such boundary crossings produce harm to the patient, then they are called boundary violations. This can be both sexual and non-sexual violation.
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