Thursday, 28 October 2010

The double effect and murdering by doctors

Last year I heard a senior lecturer speak about medical ethics. I called
him an idiot. I was somewhat wrong perhaps but perhaps not. He spoke at
length about biomedical ethics yet never touched upon mental health. He
considered money represented an unlimited pool of resource and this is
at the point I called him an idiot.

He spoke of the Double Effect. This is how medicine justifies abortion.
It's something the Church came up with and is often linked to Thomas
Aquinas.
http://www.saintmarys.edu/~incandel/doubleeffect.html

An unwanted foetus is not an illness. Doctors still treat it though.
It's an illness of a dysfunctional society. I'm trying to understand if
the double effect would apply to the continued use of antipsychotics in
the elderly with dementia.

The good is it keeps the crazy elderly sedate and makes it easier for
people who employed to continue producing towards GDP It makes them
easier to deal with like a straitjacket and a tape across their mouth
might. This is the sole action of the treatment.

Doctors now know that they're risking life. The deaths are intended
insomuch as the medical professionn is now aware of the significant risk
but the intention isn't to kill the paitent (no matter how I've twisted
the situation). Primary care physicians may not know the research
however they're made aware through finding out why they're suddenly
being measured on how few antipsychotics they prescribe for people with
dementia. The Royal Colleges are aware and it was the RCPsych that
published the 1,800 deaths a year figure in a reasonably recent report
that was covered by the media.

The reduced life expectancy is not a desired result but it is now well
established. The alternative of a strait jacket is safer however less
socially acceptable. People would not stand to see their elders in
shackles and gagged. It is what is achieved without the sight or
perception of shackling and gagging. This is the desired result from the
use of anitpsychotics..

There is no suicide risk which the drug treating nor a homicide risk as
far as I am aware. There may be a risk of unintended violence however
the repercussions of this do not weigh in favour of murdering the
elderly by using the chemical cosh. The elderly are frail when they get
to this stage in their life and are really no risk, not like a scary
black man. The key thing is make old people are quiet and submissive so
their last years are easier to deal with. It is to turn them into
statues so they are remembered as they were perhaps and not how they
were when they deteriorated through what seems to be a natural process
in aging..

On at least one of the principles of the double effect isn't met in the
use of antipsychotics in the 'treatment' of dementia and therefore they
should be banned. But they're not. I think it is also against the
Hippocratic Oath. Even the bastardised modern one.

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We It comes in part from an appreciation that no one can truly sign their own work. Everything is many influences coming together to the one moment where a work exists. The other is a begrudging acceptance that my work was never my own. There is another consciousness or non-corporeal entity that helps and harms me in everything I do. I am not I because of this force or entity. I am "we"