In Two Minds: A Casebook of Psychiatric Ethics: D Dickenson, Bill (KWM) Fulford. Oxford University Press, 2000, £27.50, pp 382. ISBN 0–19–26–28–58–5

S Louw

doi:10.1136/jme.29.2.121

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In Two Minds: A Casebook of Psychiatric Ethics

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In two minds
Susanne McCabe (Stevens)
Published on: 3 September 2003

Published on: 3 September 2003
In two minds
- Susanne McCabe (Stevens), Retired
Dear Editor
Firstly, I have a great deal of admiration for this book, which provides much stimulating and thoughtful debate. As such, the book invites a certain amount of friendly criticism from a non-academic perspective.
What is significantly missing is any inclusion of the 'service users' authentic voice or information for students on the...
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Dear Editor
Firstly, I have a great deal of admiration for this book, which provides much stimulating and thoughtful debate. As such, the book invites a certain amount of friendly criticism from a non-academic perspective.
What is significantly missing is any inclusion of the 'service users' authentic voice or information for students on the 'user/survivor' movement across UK and Europe at least. The history of the movement should by now be part of any mental health course but this is still rare. There is concern about using the 'case histories' without consent even where they are anonymised - this just pays lip service to rights which can so easily be sacrificed to expediency, including for publications. It is important though the practice reveals an unacceptable imbalance of power in the relationship between health service users and researchers etc. which is not addressed or highlighted for students. With only intellectual debate about such issues the reality for those on the receiving end can be missed. Another significant absence is input from any non-white European contributors - in a modern Uk this is a serious omission. It would also have been good to see some of the abuses in psychiatry identified as having taken place in UK as well as in other countries such as Russia. The area of research invites debate as the author claims too much intrusion or hold ups by perhaps unqualified LRECs is limiting devlopment - whereas lack of knowledge is a problem sometimes proper checks are worth the wait unless more situations Alderheys are to happen. Once involved in an area it can come to seem all important - which is why an inclusive debate about any aspect of healthcare is vital. This book stimulates that in many ways but does not include a wide enough inclusion of views in my mind,to be wholly in agreement of it's success - A follow up would be good. It is one I would want students to read though.
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