The trial I chose to explore for this discussion is the Risperidone Trials that occurred in India. For this trial, psychiatric patients were lied to by being told that their specific anti-psychotic drugs were no longer available, and then were given a drug called risperidone or just a placebo (SOMO Briefing Paper, 2008). This was unethical because the patients were lied to and informed consent was not obtained from the individuals who participated in this clinical trial. All of the participants receiving the placebo were unaware that they were not being provided legitimate anti-psychotic medications. Providing placebos instead of medications to these individuals was a dangerous decision, especially since these individuals depended on these drugs in order to maintain a semblance of sanity. An ethical principle that this violates is known as beneficence, which is the idea that if we can, we ought to do good (or what is right) in any given …show more content…
(2001). beneficence. In L. C. Becker, & C. B. Becker (Eds.), Encyclopedia of ethics (2nd ed.). London, UK: Routledge. Retrieved from http://vlib.excelsior.edu/login?url=http://search.credoreference.com/content/entry/routethics/beneficence/0?institutionId=1649
Kulkarni, K., Arasappa, R., Prasad M, K., Zutshi, A., Chand, P. K., Murthy, P., & ... Muralidharan, K. (2017). Risperidone versus olanzapine in the acute treatment of Persistent Delusional Disorder: A retrospective analysis. Psychiatry Research, 253270-273. doi:10.1016/j.psychres.2017.02.066. Retrieved from https://eds-a-ebscohost-com.vlib.excelsior.edu/eds/detail/detail?vid=2&sid=f4e47b1f-6304-4020-bda1-60c24013b8df%40sessionmgr4006&bdata=JnNpdGU9ZWRzLWxpdmUmc2NvcGU9c2l0ZQ%3d%3d#AN=S0165178116315979&db=edselp
SOMO Briefing Paper on Ethics in Clinical Trials. (2008). Retrieved from
In a case of Dissociative Catatonia treated with Risperidone a 22 year old man identified as W.N. had symptoms of immobility, mutism and waxy flexibility and stuporous five days after entering a psychiatric hospital. He was given Lorazepam in which he responded with a return of return of mobility to his body, but within a few hours he returned to his original state of stupor and Lorazepam was discontinued. After four weeks of hospitalization he was classified as having Catatonic Schizophrenia because of his actions in which he would be sitting in a chair and all of a sudden fall to
Discussion: Mrs. Lanchance reported that Dylan Risperdal was D/c'd and Cogentin was prescribed. Mrs.Lanchace said that she has noticed some changes in behavior since the change in meds. She stated the Dylan is "edgy, hyperactive and easily distracted." She also informed the team that the MRI test for an ocular headache came out normal and no further test was recommended.
Special attention should be giving to understanding informed consent and any challenges that may be presented and prescribing ethically medications to special populations such as children. According to the Gerald Tietz of the Washington law review (1986), indicates that it is well within a practitioner’s scope of duty to inform the patient of significant effects were injuries that may be related to the prescribing of any particular pharmacological treatment. This informed consent should be expanded to include the harms were dangerous presented also with non-use of additional treatment interventions such as therapy or CBT. Additional trends identified in ambulance pediatrics (Cooper, Arbogast & Ding, 2006), or the trends and the prescription of antipsychotic medications for children in the United States of America. The information taken from the national ambulatory medical care survey in regards to the US population indicated that between 1995 and 2002 there were nearly 6,000,000 visits to health providers by children in the US that had been subscribed or prescribed antipsychotic medications. Nearly 1/3 of the prescriptions for lease populations were provided by non-mental health service professionals. The study of the department of pediatrics at Vanderbilt University in Nashville also indicated that over half of the prescriptions for these children were given based on behavioral indications or affective disorders which find a way
Wow, thank you for sharing your personal experience and provoking questions. I do resonate with you that it is difficult to label the conduct of covert medication as ethical or unethical since it can be different from case to case. The goal for care providers is to provide care with patients’ best interest. When a patient is not in a good state of mind, necessary interventions like you have mention in the post are appropriate.
The study done by Nagaraj et al, showed that treatment with risperidone was associated with both improvements in social responsiveness and reduction in target symptoms(13). A key in this study is that other studies used flexible dosing of
Risperidone is atypical antipsychotics drug used in the treatment of mental and mood disorders. It is helping to restore the balance of certain natural substances in the brain. This medication may also be used in combination with other medication to treat depression.
Magnanimity, combining “the greatness and strength of a lofty and unconquered spirit” with “beneficence and liberality,” promotes justice, by definition,
Beneficence is the ethical principle of doing good unto others. Healthcare professionals display this principle by:
1. Brodaty, H., Ames, D., Snowdon, J., Woodward, M., Kirwan, J., Clarnette, R., & ... Greenspan, D. (2005). Risperidone for psychosis of Alzheimer's disease and mixed dementia: results of a double-blind, placebo-controlled trial. International Journal of Geriatric Psychiatry, 20(12), 1153-1157.
Sheehy, Paul. "Doing the Right Thing (Part II): Challenges to Utilitarianism." The Richmond Journal of Philosophy. Richmond Journal, Mar. 2008.
In my research, I’ve learned that subjects extending the truth about their therapeutic histories keeping in mind the end goal to get into profitable studies. That is by all accounts genuinely basic; not realizing what sort of effect it has on the outcomes; however it shouldn't be appallingly stunning. We have a wellbeing testing system where subjects don't have any stake in the aftereffects of the study, where they don't generally believe the examination supports, and where they don't trust they are going to become acquainted with the medications which are created by the studies. I believe if destitute individuals are being approached to test medications for the profit of rich individuals, then we shouldn't be amazed if the needy are not generally effortlessly
Classical utilitarianism is a normative ethical theory which holds that an action can only be considered as morally right where its consequences bring about the greatest amount of good to the greatest number (where 'good' is equal to pleasure minus pain). Likewise, an action is morally wrong where it fails to maximise good. Since it was first articulated in the late 19th Century by the likes of Jeremy Bentham and later John Stewart Mill, the classical approach to utilitarianism has since become the basis for many other consequentialist theories such as rule-utilitarianism and act-utilitarianism upon which this essay will focus (Driver, 2009). Though birthed from the same
The pharmaceutical industry confronts several dilemmas every year. Most of these dilemmas revolve around money or whether or not to sacrifice now for a bigger payoff in the end concerning money and/or lives. Pharmaceutical companies tend to use shortcuts that create ethical problems. Drug companies have spent millions/billions of dollars in research, and they obviously want to see
The ethical teachings and values of utilitarianism and Christian ethics are similar in some aspects, yet however are diverse in others. Utilitarianism is a generally teleological ethical system, where the outcome is said to justify the act. The act is considered ‘good’ if it brings about the greatest good for the greatest number. Christian Ethics, however, can be quite different. Many aspects of its ethics are deontological, for example, the Decalogue and Natural Law. There are other differences and indeed some similarities which will be considered throughout this essay.
Some diseases are self-limiting meaning that given time, they will resolve themselves naturally, so in this case it can be argued that it doesn’t really matter if the medication taken doesn’t actually have any proven benefits, however, there is of course the moral dilemma for a pharmacist as to whether they would want to sell a product to a customer knowing that it has no actual health benefits.