Levine S B, Stagno S J
Department of Psychiatry, Case Western Reserve University, Cleveland, Ohio, USA.
J Psychother Pract Res. 2001 Summer;10(3):193-201.
A new international standard of editorial policy calls for written informed consent by the subject of every case report. Although this appears to be ethically appealing, the authors posit that in some situations, requesting informed consent may be unethical, can harm patients, and may erode the use of case reports as a valuable teaching method in psychiatry and psychotherapy. The authors discuss concerns regarding this new policy for mental health publication based on issues of transference, countertransference, best interest of the patient, and practicality.
一项新的编辑政策国际标准要求每篇病例报告的受试者都要提供书面知情同意书。尽管这在伦理上似乎很有吸引力,但作者认为,在某些情况下,要求知情同意可能是不道德的,会对患者造成伤害,并且可能会削弱病例报告在精神病学和心理治疗中作为一种有价值教学方法的作用。作者基于移情、反移情、患者的最大利益和实用性等问题,讨论了关于这一心理健康出版新政策的担忧。