Ethical dilemmas in the care of patients suffering from psychotic catatonia: a case report
BackgroundCoercive measures in psychiatric practice are controversial due to their potential for severe negative effects. Ethical debates focus on respecting autonomy, minimizing damaging effects, and acting in the patient’s best interest.CaseWe present a unique case of a young patient suffering fro...
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Frontiers Media S.A.
2025-02-01
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| Series: | Frontiers in Psychiatry |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1543563/full |
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| author | Luigi F. Saccaro Luigi F. Saccaro Barbara Privé Ambra D’Imperio Ambra D’Imperio Claire Bridel Othman Sentissi Othman Sentissi Alexandre Wullschleger |
| author_facet | Luigi F. Saccaro Luigi F. Saccaro Barbara Privé Ambra D’Imperio Ambra D’Imperio Claire Bridel Othman Sentissi Othman Sentissi Alexandre Wullschleger |
| author_sort | Luigi F. Saccaro |
| collection | DOAJ |
| description | BackgroundCoercive measures in psychiatric practice are controversial due to their potential for severe negative effects. Ethical debates focus on respecting autonomy, minimizing damaging effects, and acting in the patient’s best interest.CaseWe present a unique case of a young patient suffering from a first episode of catatonic psychosis, in which striking this balance was especially difficult given the patient’s complete mutism and opposition, given the absence of immediate danger to herself or others, the lack of anamnestic information, and her avoidance of social support, which would have meant that she would not have encountered psychiatric care, were it not for an exceptional government plan in place at the time of hospitalization. The patient showed a very favorable, persistent response to nonvoluntary treatment with haloperidol and lorazepam, which could be discussed and debriefed once she recovered, after almost 5 months of hospitalization and follow-up.DiscussionArguments for and against nonvoluntary treatment are reviewed based on discussion with the local ethics committee, providing a useful reference for future similar cases. Finally, this case highlights an atypical onset of psychosis in a previously high-functioning individual and explores the mental health impact of international tensions, particularly the Russian-Ukrainian war, on individuals. |
| format | Article |
| id | doaj-art-d7778ccfa4e44abda58b2c250b589c57 |
| institution | Kabale University |
| issn | 1664-0640 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Psychiatry |
| spelling | doaj-art-d7778ccfa4e44abda58b2c250b589c572025-02-05T07:32:40ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402025-02-011610.3389/fpsyt.2025.15435631543563Ethical dilemmas in the care of patients suffering from psychotic catatonia: a case reportLuigi F. Saccaro0Luigi F. Saccaro1Barbara Privé2Ambra D’Imperio3Ambra D’Imperio4Claire Bridel5Othman Sentissi6Othman Sentissi7Alexandre Wullschleger8Psychiatry Department, Faculty of Medicine, University of Geneva, Geneva, SwitzerlandPsychiatry Department, Geneva University Hospital, Geneva, SwitzerlandPsychiatry Department, Geneva University Hospital, Geneva, SwitzerlandForensic Psychiatry and Psychology Department, Bern University Hospital, Geneva, SwitzerlandInstitute of History and Ethics in Medicine, Technical University of Munich, Geneva, GermanyDepartment of Medicine, Faculty of Medicine, University of Geneva, Geneva, SwitzerlandPsychiatry Department, Faculty of Medicine, University of Geneva, Geneva, SwitzerlandPsychiatry Department, Geneva University Hospital, Geneva, SwitzerlandPsychiatry Department, Geneva University Hospital, Geneva, SwitzerlandBackgroundCoercive measures in psychiatric practice are controversial due to their potential for severe negative effects. Ethical debates focus on respecting autonomy, minimizing damaging effects, and acting in the patient’s best interest.CaseWe present a unique case of a young patient suffering from a first episode of catatonic psychosis, in which striking this balance was especially difficult given the patient’s complete mutism and opposition, given the absence of immediate danger to herself or others, the lack of anamnestic information, and her avoidance of social support, which would have meant that she would not have encountered psychiatric care, were it not for an exceptional government plan in place at the time of hospitalization. The patient showed a very favorable, persistent response to nonvoluntary treatment with haloperidol and lorazepam, which could be discussed and debriefed once she recovered, after almost 5 months of hospitalization and follow-up.DiscussionArguments for and against nonvoluntary treatment are reviewed based on discussion with the local ethics committee, providing a useful reference for future similar cases. Finally, this case highlights an atypical onset of psychosis in a previously high-functioning individual and explores the mental health impact of international tensions, particularly the Russian-Ukrainian war, on individuals.https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1543563/fullcatatoniaethicsMRIcase reportpsychiatrypsychosis |
| spellingShingle | Luigi F. Saccaro Luigi F. Saccaro Barbara Privé Ambra D’Imperio Ambra D’Imperio Claire Bridel Othman Sentissi Othman Sentissi Alexandre Wullschleger Ethical dilemmas in the care of patients suffering from psychotic catatonia: a case report Frontiers in Psychiatry catatonia ethics MRI case report psychiatry psychosis |
| title | Ethical dilemmas in the care of patients suffering from psychotic catatonia: a case report |
| title_full | Ethical dilemmas in the care of patients suffering from psychotic catatonia: a case report |
| title_fullStr | Ethical dilemmas in the care of patients suffering from psychotic catatonia: a case report |
| title_full_unstemmed | Ethical dilemmas in the care of patients suffering from psychotic catatonia: a case report |
| title_short | Ethical dilemmas in the care of patients suffering from psychotic catatonia: a case report |
| title_sort | ethical dilemmas in the care of patients suffering from psychotic catatonia a case report |
| topic | catatonia ethics MRI case report psychiatry psychosis |
| url | https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1543563/full |
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