Philosophical and popular ethics tend to focus on the question "What ought I to do?" Is there, in addition to the ethics of action, an ethics of fantasy? Are there fantasies one ought not to have? Of course there are fantasies with horrific content. Does it follow that there is something wrong with a person who has such fantasies or that they ought to make efforts to suppress them or to otherwise change themselves? Do the problems (...) such fantasies raise depend on their links to desire and action? Masturbation fantasies are considered as well as fantasies that may emerge during sex with others, fantasies that include actual others, and fantasies that get embodied in pornography. Psychoanalytic and legal aspects of the issues are emphasized. 2012 APA, all rights reserved). (shrink)

Is it ever morally wrong to enjoy fantasizing about immoral things? Many video games allow players to commit numerous violent and immoral acts. But, should players worry about the morality of their virtual actions? A common argument is that games offer merely the virtual representation of violence. No one is actually harmed by committing a violent act in a game. So, it cannot be morally wrong to perform such acts. While this is an intuitive argument, it does not resolve the (...) issue. -/- Focusing on why individual players are motivated to entertain immoral and violent fantasies, Video Games, Violence, and the Ethics of Fantasy advances debates about the ethical criticism of art, not only by shining light on the interesting and under-examined case of virtual fantasies, but also by its novel application of a virtue ethical account. Video games are works of fiction that enable players to entertain a fantasy. So, a full understanding of the ethical criticism of video games must focus attention on why individual players are motivated to entertain immoral and violent fantasies. -/- Video Games, Violence, and the Ethics of Fantasy engages with debates and critical discussions of games in both the popular media and recent work in philosophy, psychology, media studies, and game studies. (shrink)

Act-utilitarianism is often criticized as an unreasonably demanding moral philosophy that commits agents to a life of ceaseless and depersonalizing do-gooding. In this essay I argue in Sidgwickian vein that the strenuousness of act-utilitarianism has been greatly exaggerated and that the practical demands of the doctrine in the contemporary world are closer to those of commonsense morality than such critics as Derek Parfit and Brad Hooker allow.

The "ethics of imagination" or the "ethics of fantasy" encompasses the various ways in which we can morally evaluate the imagination. This topic covers a range of different kinds of imagination: (1) fantasizing, (2) engaging with fictions, and (3) dreaming. The clearest, live ethical question concerns the moral value of taking pleasure in undeserved suffering, whether willfully imagined, represented, or dreamed. Much of this entry concerns general theoretical considerations and how they relate to the ethics of (...) fantasy. In the final sections I walk through the three types of imagination and point out some of the open questions concerning each type. (shrink)

I defend the thesis that a person’s sexual fantasies function autonomously from his desires, beliefs, and intentions, a fact I attributeto their different forms of intentionality: the contents of sexual fantasies, unlike those of the latter, lack a direction of fit and thus fail to express satisfaction conditions. I then show how the autonomy thesis helps to answer important questions about the ethics of sexual fantasy. I also argue that the autonomy thesis can claim empirical support from several (...) areas, including interesting recent work on meta-representation and simulation theory. (shrink)

Fantasy sports have become a major sector of our sport industry. With millions of participants worldwide and billions of dollars generated, fantasy sports have become a fixed part of our sport spectatorship. However, this prevalence has come without much intellectual investigation. Therefore, in this paper I discuss the metaphysics and ethics of fantasy sports. After providing arguments for the consistency of fantasy sports with prominent descriptions of play and games, I compare fantasy sports to (...) other genres of play and games ? sports, card games, ?cybersports?, and spectatorship. After this juxtaposition, I delineate how fantasy sports are different from their real sport correlates. Fantasy sports are second-order games that are parasites of their real-sport counterparts. The differences between fantasy and real sports change our collective cultural views of the correlating real sports. While much good comes from the popular participation in fantasy sports, there are also drawbacks. That is, while fantasy sports participants tend to be more engaged spectators of sports, they also tend to only focus on particular, sensationalized aspects of the sports to which their fantasy ownership correlates. (shrink)

In the only two articles on the topic of which I am aware, Chad Carlson and Scott Aikin have leveled three objections against fantasy sports—namely, that participation in fantasy sports elicits...

This volume provides a framework for approaching and understanding mental normativity. It presents cutting-edge research on the ethics of belief as well as innovative research beyond the normativity of belief—and towards an ethics of mind. By moving beyond traditional issues of epistemology the contributors discuss the most current ideas revolving around rationality, responsibility, and normativity. -/- The book’s chapters are divided into two main parts. Part I discusses contemporary issues surrounding the normativity of belief. The essays here cover (...) topics such as control over belief and its implication for the ethics of belief, the role of the epistemic community for the possibility of epistemic normativity, responsibility for believing, doxastic partiality in friendship, the structure and content of epistemic norms, and the norms for suspension of judgment. In Part II the focus shifts from the practical dimensions of belief to the normativity and rationality of other mental states—especially blame, passing thoughts, fantasies, decisions, and emotions. These essays illustrate how we might approach an ethics of mind by focusing not only on belief, but also on debates about responsibility, rationality, These essays illustrate how we might approach an ethics of mind by focusing not only on belief, but also more generally on debates about responsibility and rationality, as well as on normative questions concerning other mental states or attitudes. -/- The Ethics of Belief and Beyond paves the way towards an ethics of mind by building on and contributing to recent philosophical discussions in the ethics of belief and the normativity of other mental phenomena. It will be of interest to upper-level students and researchers working in epistemology, ethics, philosophy of action, philosophy of mind, and moral psychology. (shrink)

Offers a refreshing take on the relevance of psychoanalytic theory for the analysis of films and cinema.

In contrast to film, theater, and literature, audiences typically sing along with popular songs. This can encourage a first-person mode of engagement with the narrative content. Unlike mere spectators, listeners sometimes imagine acting out the content when it is recited in the first-person. This is a common mode of engaging with popular music. And it can be uniquely morally problematic. It is problematic when it involves the enjoyment of imaginatively doing evil. I defend a Moorean view on the issue: It (...) is wrong to enjoy evil whether real or merely fiction. I develop my position through an examination of the controversially song "Mind of a Lunatic" (1990) by the Houston based rap group Geto Boys. (shrink)

"Fans largely regard sports as an escapist pursuit-something that provides distraction from the cares and concerns of "real life". This book pushes back against the fully escapist account of sports fandom and argues that we understand the value of fandom in terms of the ability of sports to prompt fans to reflect meaningfully on the notion of the good life. Even if we are not engaged in high-level athletics ourselves, it is possible to learn a great deal from those who (...) are: about what sacrifices are required to achieve our goals; about how to persevere through failure and disappointment; and about teamwork and the rewards of accomplishing things together. Moreover, partisan fandom, which has been criticized from various quarters, can teach us valuable lessons about love and what it means to be invested in things over which we have no control. If our reflection on the efforts of individual athletes helps us reflect on our own pursuit of the good life, our attachments to teams can help us to cultivate a certain kind of humility and openness to all that life has to offer. The Ethics of Sports Fandom is an accessible resource for researchers and students interested in the ethics and philosophy of sport that offers an analysis of several different aspects of contemporary fandom: fantasy sports, the ways that fans interact with athletes on social media, violent sports, women's sports, and the support for our countries' national teams. In all these areas, reflecting on what it means to respect athletes as individual human beings engaged in their own pursuit of the good life requires that fans consider their sports-related behavior in a new light"--. (shrink)

In The Ethical Fantasy of Rhetorical Theory, Ira Allen does much more than give us a theory of rhetoric. He gives us a map of reality, of how we make the world real to ourselves, how we convince one another of its realness, even as what we so deem is constantly changing. This book is a primer on how the fact of radical contingency is not in and of itself fatal to the project of human life and politics. On (...) the contrary, for Allen, it is the source of human life and politics. In his careful and elegant way of thinking Allen shows us how out of the chaos and swirl of all that is, we manage nonetheless to continuously produce a tension between what we claim the world... (shrink)

The author, a consultant psychotherapist who works with dying patients in a National Health Service (NHS) hospital, argues that the moral issue is not simply whether or not to tell cancer patients the truth, but more importantly how to do so. Lies and the bald unprepared-for truth may both be damaging. Time and trouble is needed to understand patients and help them understand their situation. Dr Goldie warns that putting oneself into the patient's shoes, as doctors so often do, is (...) the best way of not knowing what another feels. Such misunderstanding may lead to medical decisions based on `nothing more than fantasies - uninspired guesses about what other people think and feel. It is the equivalent of prescribing for patients without examination'. (shrink)

Both Mahāyāna and mainstream Buddhism agree that a buddha's compassion is “great” when compared with ordinary compassion. The Western study of Buddhist ethics has focused on how selflessness, emptiness, interconnection, or a matrix of interrelativity serve as more compelling ontological perspectives for compassion. However, Mahāyāna and Abhidharma sources agree that higher philosophical perspectives contribute to compassion by revealing more subtle types of suffering, providing the wisdom necessary to relieve suffering, and enabling the ability to remain in samsāra. Concepts such (...) as the universal desire to avoid suffering, svaparārtha, and merit‐making, richly elaborated in narrative literature, are the primary bases of Buddhist ethics. The power of Western fantasies of Buddhist pacifism has obscured a far more nuanced ethics of violence than has yet been explicated. (shrink)

Is it ever morally wrong for a consumer to imagine something immoral in a work of fiction, or for an author to prompt such imagining? Brandon Cooke has recently argued that it cannot be. On Cooke’s account, fictive imagining is immune to moral criticism because such cases of imagining do not amount to the endorsement of the immoral content, nor do they imply that the authors of such fictions necessarily endorse their contents. We argue against Cooke that in fact fictively (...) imagining something immoral can be morally blameworthy, specifically in cases where fictive imagining is engaged in the service of immoral desires. Taking one potent case—namely, rape-fantasy pornography—we argue that the proper engagement with pornography requires the engagement of the consumer’s desires. Insofar as it is morally wrong to desire something immoral, or to encourage others to desire something immoral, then consumers can be held morally blameworthy for engaging in such fictive imaginings and works of fiction that are crafted to fit these purposes can be open to moral condemnation. (shrink)

How may we change ourselves and our society so that animals are treated more justly? To answer this question, I turn to the account of moral change developed by the philosopher Iris Murdoch. The chief obstacle to becoming better, she believed, is an attachment to fantasy, from which we are liberated only through a loving attention directed at the reality of other beings. Building on this account, I argue that human supremacy is one such fantasy—that it acts as (...) an impediment to interspecies justice. I end with a meditation on love as liberatory practice. (shrink)

The goal of this review is to consider how culture impacts the socialization of emotion development in infancy, and infants’ and young children’s subsequent outcomes. First, we argue that parents’ socialization decisions are embedded within cultural structures, beliefs, and practices. Second, we identify five broad cultural frames (collectivism/individualism; power distance; children’s place in family and culture; ways children learn; and value of emotional experience and expression) that help to organize current and future research. For each frame, we discuss the impact (...) on parents’ socialization practices and infants’ subsequent outcomes relating to emotion-related experience, expression, and understanding. We also generate testable hypotheses to further our understanding of the relationships between the five frames and emotion development in infancy. (shrink)

This article examines the relationship between organizational ethics, the uncanny, and the annual celebration of Halloween. We begin by exploring the traditional and contemporary organizational function of Halloween as ‘tension-management ritual’ :44–59, 2000) through which collective fears, anxieties, and fantasies are played out and given material expression. Combining the uncanny with the folkloric concept of ostension, we then examine an incident in which UK supermarket retailers made national news headlines for selling offensive Halloween costumes depicting ‘escaped mental patients’. Rather (...) than treating this incident as a problem of moral hygiene—in which products are removed, apologies made, and lessons learned—we consider the value of Halloween as a unique and disruptive ethical encounter with the uncanny Other. Looking beyond its commercial appeal and controversy, we reflect on the creative, generous, and disruptive potential of Halloween as both tension-management ritual and unique organizational space of hospitality through which to receive and embrace alterity and so discover the homely within the unheimlich. (shrink)

This article examines the relationship between organizational ethics, the uncanny, and the annual celebration of Halloween. We begin by exploring the traditional and contemporary organizational function of Halloween as ‘tension-management ritual’ :44–59, 2000) through which collective fears, anxieties, and fantasies are played out and given material expression. Combining the uncanny with the folkloric concept of ostension, we then examine an incident in which UK supermarket retailers made national news headlines for selling offensive Halloween costumes depicting ‘escaped mental patients’. Rather (...) than treating this incident as a problem of moral hygiene—in which products are removed, apologies made, and lessons learned—we consider the value of Halloween as a unique and disruptive ethical encounter with the uncanny Other. Looking beyond its commercial appeal and controversy, we reflect on the creative, generous, and disruptive potential of Halloween as both tension-management ritual and unique organizational space of hospitality through which to receive and embrace alterity and so discover the homely within the unheimlich. (shrink)

In this paper I want to discuss an issue which has generated a great deal of feminist discussion and some profound disagreement. The issue arises as follows. One of the most important targets of feminist action and critique has been male sexual violence and control of women, as expressed in rape and other forms of violent or aggressive sexual acts, and as represented in much pornography. Pornography itself has been the subject of major and sometimes bitter disagreements among feminists, especially (...) around the issue of censorship. But it is not that with which I am concerned here. The issue which I want to discuss involves the question of sexual desire and fantasy, and their apparent potential incompatibility with political and ethical principles. This is by no means, of course, an issue of exclusively feminist concern; but I shall focus on some recent feminist argument, since it is that with which I am most familiar. (shrink)

This book is a comprehensive and unique text and reference in medical ethics. By far the most inclusive set of primary documents and articles in the field ever published, it contains over 100 selections. Virtually all pieces appear in their entirety, and a significant number would be difficult to obtain elsewhere. The volume draws upon the literature of history, medicine, philosophical and religious ethics, economics, and sociology. A wide range of topics and issues are covered, such as law (...) and medicine, truth-telling by the physician, research, population policy, genetics, abortion, dying, and individual rights in medical care. The selections span the centuries, beginning with material from the works of Hippocrates, continuing through Thomas Percival, John Stuart Mill, and Claude Bernard, down to modern commentators like Henry K. Beecher, Walsh McDermott, David L. Bazelon, Paul Freund, H. L. A. Hart, John Rawls, Paul Ramsey, Richard McCormick, Rashi Fein, and Bernard Barber. The text has eight major divisions, beginning with sections on the ethical dimensions of the physician-patient relationship in history; the moral bases of medical ethics; and regulation, compulsion, and protection of the consumer in clinical medicine and public health. Each of these sections includes key essays that appear for the first time. All of the book's major divisions contain primary documents: codes such as the Hippocratic Oath, Medieval Law for the Regulation of Medicine, and the first as well as the most recent code of the American Medical Association; court decisions, including those on Karen Quinlan and on abortion in the United States and West Germany; government documents such as the statement of the National Commission on the Protection of Human Subjects, the Tuskegee Syphilis Report, the British Parliamentary debate on euthanasia, and the Council of Europe on rights of the sick and dying; and various published guidelines such as the Harvard Medical School brain death criteria, the American Hospital Association on patient's rights, and Pope Pius XII on the prolongation of life. Cases that illustrate moral dilemmas are provided for discussion purposes. Each section is preceded by a succinct editor's introduction. The documents and essays are of practical value for practitioners and students in medicine, law, ethics, and counselling, and for individual patients and groups concerned with medical care. Through encompassing divergent viewpoints, the essays and primary documents were selected to encourage humane practices and deepen understanding of the multiple traditions that shaped and do shape the development of medicine. (shrink)

Research question and aimClinical Ethics Committees (CECs) aim to support healthcare professionals (HPs) and healthcare organizations to deal with the ethical issues of clinical practice. In 2020,...

This article examines why and how workers adhere and contribute to the perpetuation of the freedom fantasy induced by neoliberal ideology. We turn to Hannah Arendt’s analysis of the human condition, which offers invaluable insights into the mechanisms that foster the erosion of human freedom in the workplace. Embracing an Arendtian lens, we demonstrate that individuals become entrapped in a libertarian fantasy—a condition enacted by the replacement of the freedom to act by the freedom to perform. The latter (...) embodies the survivalist modus operandi of animal laborans who renounces singularity, by focusing on the function of supervised labor, who renounces solidarity, by focusing on individualist and competitive labor, and who is deprived of spontaneity, by focusing on the measured productivity of labor. Therefore, we propose a new corporate governance perspective based on the rehabilitation of political action in organizations as the best way to preserve human capacity for singularity, solidarity, and spontaneity. (shrink)

There is much hype around the idea of bringing the Passenger Pigeon back from extinction. However, ‘de-extinction’ is a fantasy that is not grounded in science. The proposed plans for ‘de-extinction’ would create a new organism that is not likely to be viable in the wild. Thus, ‘de-extinction’ as proposed is unethical both because it could lead into the release in nature of a new genetically created organism and because it is not honest to claim that it would reverse (...) the extinction of the Passenger Pigeon. (shrink)

A set of basic static predicates, 'in itself, 'existing through itself, 'free', and others are taken to be (at least) extensionally equivalent, and some consequences are drawn in Parts A and? of the paper. Part C introduces adequate causation and adequate conceiving as extensionally equivalent. The dynamism or activism of Spinoza is reflected in the reconstruction by equating action with causing, passion (passive emotion) with being caused. The relation between conceiving (understanding) and causing is narrowed down by introducing grasping (λ (...) μβ?νω) as a basic epistemological term. Part D, 'The road to freedom through active emotion', introduces a system of grading with respect to the distinctions introduced in the foregoing, including 'being in itself, 'freedom', etc. Active emotions are seen to represent transitions to a higher degree of freedom, the stronger and more active ones being the more conducive to rapid increase in degree of freedom. Elementary parts of the calculus of predicates are used in order to facilitate the survey of conceptual relations and to prove some theorems. (shrink)

ABSTRACT In this paper I explore the role of imagination in ethical life. I do so by discussing the thought of Kierkegaard and Murdoch, both of whom stress the importance as well as the dangerousness of imagination for ethical life. Both distinguish between proper imagination and mere fantasy in dealing with the tension. Anti-Climacus’s views on imagination emphasize that the proper use of the imagination plays a vital role in realizing the fundamental ethical task of becoming ourselves, whereas (...) class='Hi'>fantasy only alienates us from ourselves. Murdoch’s account of imagination stresses that a proper use of the imagination contributes to the realization of a selfless attunement to the world, whereas fantasy only reinforces the (what she describes as) ‘fat, relentless ego’. In the final part of the paper I discuss some existing comparisons between both accounts. I conclude by drawing attention to the fundamental choice that comparing their views on the role of imagination in ethical life confronts us with: should we be existentialists or mystics in ethics? (shrink)

ABSTRACT To modern scholars, the naturalistic fallacy looks out of place in Greco-Roman antiquity owing to the robust associations between nature, especially human nature, and moral norms. Yet nature was understood by ancient authors not only as a norm but also as a form of necessity. The Greco-Roman philosophical schools grappled with how to reconcile the idea that human nature is given with the idea that it is a goal to be reached. This essay looks at the Stoic concept of (...) oikeiōsis as one strategy for effecting such a reconciliation. Drawing on natural history, these Stoic sources used examples of animal behavior to illustrate a process whereby nature “entrusts” all animals, including humans, with the care of their own survival. Nature is thus both what is given to the animal and what the animal achieves in a powerful but also problematic synthesis here called the “naturalistic fantasy.”. (shrink)

Slavoj Žižek proposed an ethic of respect for the fantasy space of another. Under "fantasy" Jacques Lacan borrowed from Claude Lévi-Strauss the notion of a "private myth." But this fantasy is, Žižek says, illusionary, fragile, and helpless. Fantasy is the way everyone, each in a particular way, conceals the impasse of his desire. Psychoanalytic practice can be criticized as a radical destitution of the fundamental fantasy of the patient. The author argues that what Žižek analyzes (...) as fantasy is a misfire of vision, and could only be recognized in a subject where visions are possible. But visions-the visions of visionaries and seers, and the visions of youth-have to be envisioned dynamically in their activity of formulating, shaping, and intensifying one's insights and one's feelings. Žižek assumes that the forces mobilized by drive, which takes hold of an organ and compulsively makes it repeat the same failed gesture, aim at the excessive and monstrous paroxysm of pleasure in pain, which is jouissance. The author argues that that jouissance can never appear as something possible in the organism, not because it would be a death drive for a finite and temporal organism, but because it is a by-product and not a goal. (shrink)

The theories of information ethics articulated by Luciano Floridi and his collaborators have clear implications for law. Information law, including the law of privacy and of intellectual property, is especially likely to benefit from a coherent and comprehensive theory of information ethics. This article illustrates how information ethics might apply to legal doctrine, by examining legal questions related to the ownership and control of the personal data representations, including photographs, game avatars, and consumer profiles, that have become (...) ubiquitous with the proliferation of information and communication technologies. Recent controversy over the control of player performance statistics in “fantasy” sports leagues provides a limiting case for the analysis. Such data representations will in many instances constitute the kind of personal data that information ethics asserts constitutes an information entity. Legal doctrine in some instances proves sympathetic to such an assertion, but remains largely inchoate as to which data might constitute a given information entity in a given instance. Neither is information ethics, in its current state of development, entirely helpful in answering this critical question. While information ethics holds some promise to bring coherence to this area of the law, further work articulating a richer theory of information ethics will be necessary before it can do so. (shrink)

_The Lure of the Image_ shows how a close study of camera movement challenges key assumptions underlying a wide range of debates within cinema and media studies. Highlighting the shifting intersection of point of view and camera position, Daniel Morgan draws on a range of theoretical arguments and detailed analyses across cinemas to reimagine the relation between spectator and camera—and between camera and film world. With sustained accounts of how the camera moves in films by Fritz Lang, Guru Dutt, Max (...) Ophuls, and Terrence Malick and in contemporary digital technologies, _The Lure of the Image_ exposes the persistent fantasy that we move with the camera within the world of the film and examines the ways that filmmakers have exploited this fantasy. In so doing, Morgan provides a more flexible account of camera movement, one that enables a fuller understanding of the political and ethical stakes entailed by this key component of cinematic style. (shrink)

I examine the role of tragedy within the ethics of Alasdair MacIntyre and Iris Murdoch. MacIntyre argues for a narrative conception of the self, stressing the need for coherence and intelligibility and for the virtues which promote them. Tragic dilemma presents a successful self with severe frustration but not with destruction of its overall project. Murdoch, on the other hand, holds little hope for the self's coherence, and in fact champions tragic art's capacity for disturbing and even disrupting the (...) self's fantasies of control and coherence. Her virtues correspondingly help the agent to confront the tragic realities of life. I suggest one way to bring these two accounts, of tragedy and the virtues, together: by considering tragic experience in the context of moral pedagogy. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Underplayed Ethics and the Dilemmas of Psychiatric CareChong Siow Ann and Tamra LysaghtThe practice of psychiatry is fraught with uncertainty. The exact causes and the biological substrates underlying mental disorders remain to be elucidated; even the diagnosis of these disorders is descriptive and not based on an etiological understanding and no biological diagnostic markers have been validated. The manifestation of almost all mental disorders results from a complex (...) interaction of biological and environmental factors which encompasses the patient’s unique life history, experiences and relationship with others and the community. In the face of such uncertainties — at times extending to the types of treatment (psychiatry is generally acknowledged not be an exact science) — it has been argued that adopting a pragmatic approach is necessary.1 Accordingly, this approach necessitates high ethical standards among mental health practitioners.Some mental illnesses are associated with varying degrees and types of cognitive impairments. Others have certain symptoms like auditory hallucinations and delusions that might severely compromise the patients’ autonomy, distort their sense of reality, increase the risk of harm to themselves or others and render them incapable of making informed decisions in their treatment and participation in research.Consequently, there are issues that are particular to the provision of mental healthcare. These include the need for enforced involuntary treatment with the corollary of depriving a patient of his personal liberty even [End Page 173] though it is often justified on the grounds that it is in the patient’s best interests. However, at times, it is the legal and societal obligation of mental health practitioners to protect those who might be harmed from the patient’s action that might seem to be more pressing. In this situation of double agency, lies the tension of providing confidential care for patients and acting as “an agent of the state” where that patient’s confidentiality might be breached and his liberty infringed upon. This situation is further aggravated by the stigma that clings ever so tenaciously to those who suffer from mental disorders and where it is the norm to stereotype them as dangerous and unpredictable.Consideration of a patient’s autonomy is also challenged by characteristics that are unique to the practice of psychiatry. The prescription of certain psychotropic medications can alter how people think and feel, while psychotherapy works towards changing the patient’s views and values. The philosopher, Jennifer Radden, describes this process as “re-forming the patient’s whole self or character … akin to the responsibilities of raising children”.2 The psychotherapeutic relationship is thus particularly personal and intimate because patients are asked to provide information that often reveals their innermost feelings, fears and fantasies. This information is provided on the basis of trust and assurance of confidentiality, and with expectation of being helped.Jeremy Holmes and Gwen Adshead have elaborated on the vulnerability of patients seeking psychotherapy: they might be particularly susceptible to exploitation because their past experiences of being exploited have led to their distress and help seeking — their dependency and the extreme privacy of the therapeutic relationship make any transgression difficult to be uncovered.3 There is a calamitous combination of the “unconscious wish in the patient to be used” with the complicity of an unethical therapist seeking to fulfil his own interests.4As in any other doctor-patient relationship, the relationship between the mental healthcare practitioner and the patient is one of unequal power where the former is ascendant. While that power should be exercised to heal and to relieve suffering, it also gives the practitioner tremendous power “to harm, reject, misunderstand, or exploit patients who struggle with the experience of mental illness, which itself may generate helplessness, despair, distress, and exceptional dependence on the clinician”.5 Given the potential of doing good and harm coupled with the likelihood of being so significant in the life of the patient,6 providing care for those with mental disorders and distress is necessarily ethically exacting — arguably more so than in other medical practice settings. [End Page 174]This precariousness has led to the suggestion that ethics in psychiatry should have a special status and that the more general principles of biomedical ethics are too limited in scope to... (shrink)