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Paul Crichton

    Self-realization and inner necessity
    When patient and doctor disagree
    The letter
    The Turning Tide
    Mind and Morals
    Dreams and Delusions
    • Dreams and Delusions

      Psychiatric Explorations

      Psychiatry, psychology and medicine cover very wide-reaching areas of human experience, and are the subject of ongoing controversy. This book will give its readers a vivid impression of how much is at stake, both for those who need hlep and those who try to provide it.

      Dreams and Delusions
    • This collection of poems refers to reality. Its themes include space, time, illness, loss, the North, Mozart, Thucydides, Homer and Kafka. This is poetry which moves lighter from the cosmos to the personal, from the sardonic to the compassionate, from the comic to the grief-laden, from the mock-pretentious to the brutally direct.

      The letter
    • When patient and doctor disagree

      Autonomous Patient versus Paternalistic Doctor

      Since the inception of Western Medicine around 2500 years ago with Hippocrates, the foundational principle of the patient-doctor relationship has been the patient's reliance on the doctor's knowledge and integrity. Historically, this relationship has favored the doctor, creating a significant power imbalance. However, recent advancements in medical knowledge and the rise of patient awareness—largely fueled by the internet and advocacy organizations—have transformed this dynamic. The traditional paternalistic approach is evolving into a model that emphasizes patient-centered care, where patient autonomy is increasingly prioritized. This shift has led to varying opinions between patients and doctors. The book presents philosophical arguments supporting patient autonomy and explores these disagreements, particularly in psychiatric practice. It addresses critical topics such as restrictions under the Mental Health Act, epistemic injustice, do-not-resuscitate orders, and assisted suicide, examining them from both philosophical and psychological viewpoints. This work is aimed at professionals and laypeople alike, shedding light on the ethical dilemmas frequently encountered in psychiatry.

      When patient and doctor disagree