Hughes, Julian C2019-09-252019-09-252010-08-2720061916-2405http://hdl.handle.net/20.500.12424/175443This paper introduces the notion of patterns of practice and shows the extent to which it is useful at the level of practice and at a profound philosophical level. The notion makes deep connections with ideas in the realm of the philosophy of language and thought and, in addition, it connects to virtue ethics. Using the example of whether or not to admit someone using compulsory powers or whether to treat them in the community, the notion of patterns of practice can be used to demonstrate the internal and external coherence of decisions in psychiatric care and thus to offer clinical and ethical justification.engWith permission of the license/copyright holdermedical ethicsvirtue (s)PhilosophyjustificationBioethicsMedical ethicsArticle