The Declaration of Hawaii, adopted by the World Psychiatric Association (WP
A) in 1977, was a significant event. But the needs and new ethical dilemmas
of the 1990s led WPA to develop new recommendations on the duties of psych
iatrists resulting in the Declaration of Madrid, adopted by WPA in 1996. Tt
outlines the framework of ethical conduct of psychiatrists, formulates sev
en general guidelines with an increased emphasis on research and resource a
llocation, and gives five specific guidelines on euthanasia, torture, the d
eath penalty, selection of sex, and organ transplantation.