01887nam a22002057a 450000500170000000800410001702000180005802801300007608200150020610000190022124500920024026000600033230000250039236500090041752011810042665000190160765000180162665000190164470000180166320260508134901.0260508b        |||||||| |||| 00| 0 eng d  a9780520274792  a: International Book Distributorsb: 17, Prakash Apartment, 4405/2, Ansari Road, Daryaganj, New Delhic: 122798d: 25/04/2026  a362.19 BRO  aBrodwin, Paul.  aEveryday Ethicsb: Voices from the Front Line of Community Psychiatry.c/ Paul Brodwin.  a, Californiab: University of California Pressc, 2013.  axiii, 233p.c: 24cm.  b1939  aThis book explores the moral lives of mental health clinicians serving the most marginalized individuals in the US healthcare system. Drawing on years of fieldwork in a community psychiatry outreach team, Brodwin traces the ethical dilemmas and everyday struggles of front line providers. On the street, in staff room debates, or in private confessions, these psychiatrists and social workers confront ongoing challenges to their self-image as competent and compassionate advocates. At times they openly question the coercion and forced-dependency built into the current system of care. At other times they justify their use of extreme power in the face of loud opposition from clients. This in-depth study exposes the fault lines in today's community psychiatry. It shows how people working deep inside the system struggle to maintain their ideals and manage a chronic sense of futility. Their commentaries about the obligatory and the forbidden also suggest ways to bridge formal bioethics and the realities of mental health practice. The experiences of these clinicians pose a single overarching question: how should we bear responsibility for the most vulnerable among us?  aMental health   aPsychiatrists  aSocial workers  aPaul Brodwin.