Academic Psychiatry

, Volume 20, Issue 3, pp 144–149 | Cite as

Teaching Ethics in Psychiatry

A Problem-Based Learning Approach
  • William B. Schnapp
  • Susan Stone
  • James Van Norman
  • Pedro Ruiz
Academic Psychiary


During the last two decades, the teaching of ethics in the field of medicine, particularly in psychiatry, has become the subject of increased attention. For this type of training to be effective, it should be practical (as opposed to theoretical), focused on the decision-making process (as opposed to the rote learning of concepts), and, eventually, self-directed. This article suggests that a problem-based learning approach is an ideal method for reaching these goals. A case illustration is presented to underscore the effectiveness of the method, as well as a rationale for its use. This article will assist psychiatric educators in becoming familiar with this approach and will encourage them to use this method in their training programs.


Ethical Decision Academic Psychiatry Teaching Ethic Psychiatric Resident Psychiatric Resi 
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  1. 1.
    Seedhouse D: Health care ethics teaching for medical students. Med Educ 1991; 25:230–237PubMedCrossRefGoogle Scholar
  2. 2.
    Lovett L, Seedhouse D: An innovation in teaching ethics to medical students. Med Educ 1990; 24:37–41PubMedCrossRefGoogle Scholar
  3. 3.
    Southgate L, Heard S, Toon P, et al: Teaching medical ethics symposium. A student-led approach to teaching. J Med Ethics 1987; 13:139–143PubMedCrossRefGoogle Scholar
  4. 4.
    Self D, Baldwin D, Wolinsky F: Evaluation of teaching medical ethics by an assessment of moral reasoning. Med Educ 1992; 26:178–184PubMedCrossRefGoogle Scholar
  5. 5.
    Barnard D: Residency ethics teaching: a critique of current trends. Arch Intern Med 1988; 148:1836–1838PubMedCrossRefGoogle Scholar
  6. 6.
    Sondheimer A, Martucci LC: An approach to teaching ethics in child and adolescent psychiatry. J Am Acad Child Adolesc Psychiatry 1992; 31:415–422PubMedCrossRefGoogle Scholar
  7. 7.
    Wright RA: Clinical judgment and bioethics: the decision-making link. J Med Philos 1991; 16:71–91PubMedCrossRefGoogle Scholar
  8. 8.
    Lovett L, Seedhouse D: An innovation in teaching ethics to medical students. Med Educ 1990; 24:37–41PubMedCrossRefGoogle Scholar
  9. 9.
    Michels R: Training in psychiatric ethics, in Psychiatric Ethics, edited by Bloch S, Chodoff P. Oxford, England, Oxford University Press, 1991, pp. 436–437Google Scholar
  10. 10.
    Siegler M: A legacy of Osier: teaching clinical ethics at the bedside. JAMA 1978; 239:951–956PubMedCrossRefGoogle Scholar
  11. 11.
    Albanese M, Mitchell S: Problem-based learning: a review of literature on its outcomes and implementation issues. Acad Med 1993; 68:52–81PubMedCrossRefGoogle Scholar
  12. 12.
    Fowler MD: Ethical decision making in clinical practice. NUTS din North Am 1989; 24:955–965Google Scholar
  13. 13.
    Perkins HS: Teaching medical ethics during residency. Acad Med 1989; 64:262–266PubMedCrossRefGoogle Scholar
  14. 14.
    Neufeld VR, Barrows HS: The McMaster philosophy: an approach to medical education. Journal of Medical Education 1974; 49:1040–1050PubMedGoogle Scholar
  15. 15.
    White NE, Beardslee NQ, Peters D, et al: Promoting critical thinking skills. Nurse Educator 1990; 15:16–19PubMedCrossRefGoogle Scholar
  16. 16.
    Bloch S: Teaching psychiatric ethics. Med Educ 1988; 22:550–553PubMedCrossRefGoogle Scholar
  17. 17.
    Jonsen AR: Medical ethics teaching programs at The University of California, San Francisco, and The University of Washington. Acad Med 1989; 64:718–722PubMedCrossRefGoogle Scholar

Copyright information

© Academic Psychiatry 1996

Authors and Affiliations

  • William B. Schnapp
    • 1
  • Susan Stone
    • 2
  • James Van Norman
    • 3
  • Pedro Ruiz
    • 1
  1. 1.Department of Psychiatry and Behavioral SciencesThe University of Texas/Houston Health Science CenterHoustonUSA
  2. 2.Texas Department of Mental Health and Mental RetardationAustinUSA
  3. 3.Austin-Travis County Mental Health and Mental Retardation CenterAustinUSA

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