Brandon Kohrt, MD, PhD
Charles and Sonia Akman Professor of Global Psychiatry
Associate Professor of Psychiatry and Behavioral Sciences and Global Health
Director, Division of Global Mental Health
The George Washington University
2120 L St NW, Suite 600
Washington DC 20037

Philip J. Candilis, MD, DFAPA
Professor of Psychiatry, George Washington University School of Medicine
Director of Medical Affairs
Co-Director, Forensic Psychiatry Fellowship
Saint Elizabeths Hospital
DC Department of Behavioral Health
1100 Alabama Avenue SE
Washington DC 20032

Serves as a trustworthy reference for emerging challenges in global mental health

Includes learning tools for study and quick review, such as review questions, chapter summaries, and appendices

The first book consider the ethical challenges of global mental health alongside the medical implications

Written by expert educators in global mental health and ethics

Preface - Mental Health as a Human Right - Sorel

Introduction

1. Ethical Concepts and First Principles "Overview - The Lens of Ethics" - Allen

2. History of Global Mental Health and Ethical Debates (medical anthropology perspectives on World Systems Theory; Singer, economic framing) - Brandon

Diagnosis, Culture, and Identity

3. Diagnosis, Cultural Imperialism, and Stigma - what are the implications of cross-cultural use of diagnostic labels, local labels, (ethnicity and labels)

4. Economics and Disability - a critique of the capitalist economic model of health and debates related to how QALYs and DALYs are developed and calculated

5. Whose treatment gap? - the need to identify and label suffering to justify intervention, action, 'interference', gap by what standards,

6. Religion, Spirituality, and Healing - Griffith

Global Mental Health Services

8 Safety of non-specialist care & 'Free' Labor:- harm to beneficiaries, harm to providers, the female workforces in global mental health - ethics of uncompensated care

9 Involvement of Service Users and Family Members in the framing, design, delivery, and language of mental health and mental health care

10. Ethics of traditional healing, religious healing, spiritual approaches - Griff

Pathologizing Adversity: Torture, Trauma, and Social Determinants

11. Social Determinants and Suffering - framing social problems and psychiatric problems, e.g., gender-based violence, poverty, etc.

12. Humanitarian Settings and Crises - the ethics of mental health in emergency settings (Morse and al Uzri)

13. Ethical issues of mental health and terrorism/radicalization

Mental Health and the Law

15. Human Rights and Mental Health Care - Issues raised by Cratsley regarding the ethical assumptions, individualism, autonomy, etc.

16. Psychiatric illness as proxy for human rights violations on individual and population levels - e.g., Physicians for Human Rights work with psychiatric diagnoses, asylum system and psychiatric diagnoses; using pain and psychiatric illness as proxy for human rights violations - Polatin and Zemenides

Research and Rights

18. Clinical Trials and ethical issues/DSMBs, etc.

20. Data ownership, technological and biological data collection - access, observation, and autonomy

Training, Capacity Building and Ethics

21. Power differentials in agendas and expectations for LMIC capacity building - Crick Lund

22. Addressing power and ethics for trainees from HIC institutions

Epilogue: Global Health and the Health of the Planet