Author responsibility ethical considerations

ADR reporting may be either voluntary or obligatory. Spontaneous reporting by health professionals is often favoured, since it is very difficult to make reporting compulsory. But in many countries, considerations of ethical responsibility and/or technical expediency have inclined governments to make reporting mandatory for the holders of marketing authorizations. 

There is a reluctance to attribute so-called bad behavior or loss of ethical restraint to a psychoactive substance. Western philosophy, religion, and tradition tend to hold human beings responsible for their harmful behaviors and eschew excusing such behavior on the basis of so-called mental illness. Indeed, the concept of mental illness has been subject to challenge by this author and many others. Nonetheless, the weight of considerable evidence indicates that psychoactive substances can play a role in causing suicide, violence, and other forms of disinhibited criminal... 

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