Manuel Trachsel
Biographic Data
| ID | 1560907 |
|---|---|
| NAME | Manuel Trachsel |
| GIVEN NAMES | Manuel |
| FAMILY NAME | Trachsel |
| SIGNATURE | TRACHSEL M |
| AFFILIATIONS | University of Zurich |
| ORCID | 0000-0002-2697-3631 |
| VERIFIED | Yes |
| TOTAL WORKS | 12 |
| TOTAL CITATIONS | 1 |
| AUTHOR COUNT | 12 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2020 |
| LATEST PUBLICATION YEAR | 2025 |
| H-INDEX | 1 |
Overestimating prevalence? Rethinking boundaries and confounders of moral distress
Moral distress denotes a negative reaction to a morally challenging situation. It has been associated with adverse outcomes for healthcare professionals, patients and healthcare institutions. We argue that existing definitions, along with measures of moral distress, compromise the validity of empirical research. First, the definition and measurement of moral distress conflate moral events and psychological distress, even though they are distinct …
With great power comes great vulnerability
Psychedelics are experiencing a renaissance in mental healthcare. In recent years, more and more early phase trials on psychedelic-assisted therapy have been conducted, with promising results overall. However, ethical analyses of this rediscovered form of treatment remain rare. The present paper contributes to the ethical inquiry of psychedelic-assisted therapy by analysing the ethical implications of its therapeutic mechanisms proposed by the re…
Moral Intuitions About Futility as Prompts for Evaluating Goals in Mental Health Care
Mental health professionals' moral intuitions about futility should prompt reevaluation of goals of care and care plans. Mostly, it will suffice to improve the care plan and/or slightly adjust the goal of care (eg, lower expectations), which is standard practice. Sometimes, however, all care plans that seek to reduce core symptoms (ie, that pursue a curative goal) are most likely futile and thus should not be imposed. Here, it may be in the patie…
Ethics of telepsychiatry versus face-to-face treatment
Suffering is not enough
Persons with mental disorders who are resistant to evidence‐based treatment can be referred to as patients with severe and persistent mental illness (SPMI). Some patients with SPMI develop a strong wish for assisted dying. Switzerland has the longest history of non‐medicalized assisted dying, which is considered a civil right even in non‐pathological situations. Public debate in Switzerland about the issue of suffering in the context of assisted …
Palliative Psychiatry for Patients With Severe and Persistent Mental Illness
Most of the participating psychiatrists in India agreed that palliative psychiatry can be indicated for patients with SPMI. The comparison with psychiatrists in Switzerland highlights the need to take account of cultural differences in future studies of this kind. In summary, this study shows the potential of palliative psychiatry as a genuine biopsychosocio-existential approach which systematically integrates biological, psychological, social, a…
Physician assisted-dying in mentally and somatically ill individuals in Switzerland
ClinicalTrials.gov, identifier: NCT05492461
Perceived Burdensomeness and the Wish for Hastened Death in Persons With Severe and Persistent Mental Illness
Background: In several European countries, medical assistance in dying (MAID) is no longer confined to persons with a terminal prognosis but is also available to those suffering from persistent and unbearable mental illness. To date, scholarly discourse on MAID in this population has been dominated by issues such as decision-making capacity, uncertainty as to when a disease is incurable, stigmatization, isolation, and loneliness. However, the iss…
Compulsory Interventions in Severe and Persistent Mental Illness
Background: Some psychiatric patients develop severe and persistent mental illness (SPMI), which, for a variety of reasons, can be therapy-refractory. Sometimes, treatment is not considered helpful by the patients themselves and does not improve their subjective quality of life. Furthermore, many SPMI patients experience compulsory interventions such as seclusion, restraint, or treatment against their will, which can cause harm. Methods: In a cro…
Decision-making capacity
What are the Key Characteristics of a ‘Good’ Psychotherapy? Calling for Ethical Patient Involvement
Our arguments support the tendency that can be observed in health care in recent years towards more active patient involvement across different health-care domains, but also in clinical research. This article offers an ethical perspective on the question what defines a 'good psychotherapy', which, hopefully, will help to leave behind some of the ongoing psychotherapy debates and move the field forward
The Ethical Use of Telepsychiatry in the Covid-19 Pandemic
In a statement to the press, Dr. Hans Henri P. Kluge, World Health Organization (WHO) Regional Director for Europe, stressed that it is important not to lose sight of the mental health implications of Covid-19 for everyone, noting that “[i]t is absolutely natural for each of us to feel stress, anxiety, fear, and loneliness during this time” (1). If mentally healthy individuals react with fear and stress to the Covid-19 pandemic, it is not difficu…
Overestimating prevalence? Rethinking boundaries and confounders of moral distress
Moral distress denotes a negative reaction to a morally challenging situation. It has been associated with adverse outcomes for healthcare professionals, patients and healthcare institutions. We argue that existing definitions, along with measures of moral distress, compromise the validity of empirical research. First, the definition and measurement of moral distress conflate moral events and psychological distress, even though they are distinct …
Decision-making capacity
What are the Key Characteristics of a ‘Good’ Psychotherapy? Calling for Ethical Patient Involvement
Our arguments support the tendency that can be observed in health care in recent years towards more active patient involvement across different health-care domains, but also in clinical research. This article offers an ethical perspective on the question what defines a 'good psychotherapy', which, hopefully, will help to leave behind some of the ongoing psychotherapy debates and move the field forward
The Ethical Use of Telepsychiatry in the Covid-19 Pandemic
In a statement to the press, Dr. Hans Henri P. Kluge, World Health Organization (WHO) Regional Director for Europe, stressed that it is important not to lose sight of the mental health implications of Covid-19 for everyone, noting that “[i]t is absolutely natural for each of us to feel stress, anxiety, fear, and loneliness during this time” (1). If mentally healthy individuals react with fear and stress to the Covid-19 pandemic, it is not difficu…
Perceived Burdensomeness and the Wish for Hastened Death in Persons With Severe and Persistent Mental Illness
Background: In several European countries, medical assistance in dying (MAID) is no longer confined to persons with a terminal prognosis but is also available to those suffering from persistent and unbearable mental illness. To date, scholarly discourse on MAID in this population has been dominated by issues such as decision-making capacity, uncertainty as to when a disease is incurable, stigmatization, isolation, and loneliness. However, the iss…
Compulsory Interventions in Severe and Persistent Mental Illness
Background: Some psychiatric patients develop severe and persistent mental illness (SPMI), which, for a variety of reasons, can be therapy-refractory. Sometimes, treatment is not considered helpful by the patients themselves and does not improve their subjective quality of life. Furthermore, many SPMI patients experience compulsory interventions such as seclusion, restraint, or treatment against their will, which can cause harm. Methods: In a cro…
Ethics of telepsychiatry versus face-to-face treatment
Suffering is not enough
Persons with mental disorders who are resistant to evidence‐based treatment can be referred to as patients with severe and persistent mental illness (SPMI). Some patients with SPMI develop a strong wish for assisted dying. Switzerland has the longest history of non‐medicalized assisted dying, which is considered a civil right even in non‐pathological situations. Public debate in Switzerland about the issue of suffering in the context of assisted …
Palliative Psychiatry for Patients With Severe and Persistent Mental Illness
Most of the participating psychiatrists in India agreed that palliative psychiatry can be indicated for patients with SPMI. The comparison with psychiatrists in Switzerland highlights the need to take account of cultural differences in future studies of this kind. In summary, this study shows the potential of palliative psychiatry as a genuine biopsychosocio-existential approach which systematically integrates biological, psychological, social, a…
Physician assisted-dying in mentally and somatically ill individuals in Switzerland
ClinicalTrials.gov, identifier: NCT05492461
With great power comes great vulnerability
Psychedelics are experiencing a renaissance in mental healthcare. In recent years, more and more early phase trials on psychedelic-assisted therapy have been conducted, with promising results overall. However, ethical analyses of this rediscovered form of treatment remain rare. The present paper contributes to the ethical inquiry of psychedelic-assisted therapy by analysing the ethical implications of its therapeutic mechanisms proposed by the re…
Moral Intuitions About Futility as Prompts for Evaluating Goals in Mental Health Care
Mental health professionals' moral intuitions about futility should prompt reevaluation of goals of care and care plans. Mostly, it will suffice to improve the care plan and/or slightly adjust the goal of care (eg, lower expectations), which is standard practice. Sometimes, however, all care plans that seek to reduce core symptoms (ie, that pursue a curative goal) are most likely futile and thus should not be imposed. Here, it may be in the patie…
Overestimating prevalence? Rethinking boundaries and confounders of moral distress
Moral distress denotes a negative reaction to a morally challenging situation. It has been associated with adverse outcomes for healthcare professionals, patients and healthcare institutions. We argue that existing definitions, along with measures of moral distress, compromise the validity of empirical research. First, the definition and measurement of moral distress conflate moral events and psychological distress, even though they are distinct …
Medicine (11 works) · Psychology (11 works) · Psychiatry (9 works) · Mental health (8 works) · Healthcare Decision-Making and Restraints (5 works) · Mental illness (5 works) · Nursing (5 works) · Political science (5 works) · Computer Science (4 works) · Ethics in medical practice (4 works)