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病例 vignette:意外的临近性。

Case vignette: unanticipated propinquity.

作者信息

Appelbaum Paul S, Bourne Richard, Candilis Philip J, Jorgenson Linda Mabus

出版信息

Ethics Behav. 1997;7(4):377-88. doi: 10.1207/s15327019eb0704_8.

Abstract

UNANTICIPATED PROPINQUITY. Dr. Marge N. O'Vera has a reputation in the community as a thoughtful, caring, and highly ethical psychotherapist. For more than a year she has been treating Greta Grievance, helping her to cope with emotional and financial insecurities in the aftermath of a highly contentious divorce. During a therapy session, Ms. Grievance tells Dr. O'Vera that she has decided to sue the attorney who represented her during the divorce. Ms. Grievance believes that he did not represent her interests effectively and that she foolishly took his advice in accepting a very inferior settlement. She has retained another attorney who, she tells O'Vera, will soon be calling to request information on the stress of the divorce and Ms. Grievance's continuing need for therapy. Dr. O'Vera will be asked to testify as to the harm caused to her client and resulting treatment expenses. As Ms. Grievance gets up to leave, she tells Dr. O'Vera, "I'm so glad you'll help me teach that awful Tom Tort a lesson." As she hears the name of Attorney Tort for the first time, Dr. O'Vera begins to sweat. Thomas Tort, attorney at law, is also a client of hers. She had no idea that he had been Ms. Grievance's divorce lawyer. She has treated him for recurring major depression over several years and knows that he probably was sufficiently depressed so as to compromise his professional work at the time he represented Ms. Grievance. When she is named as an expert witness for the plaintiff, Attorney Tort will learn that his therapist was also treating Ms. Grievance. At the same time, her duty of confidentiality precludes her informing others that Tort is also her client. What is Dr. O'Vera to do?

摘要

意外的职业冲突。玛吉·N·奥维拉医生在社区中以体贴、关怀和道德高尚的心理治疗师而闻名。一年多来,她一直在治疗格里塔·格里夫斯,帮助她应对一场激烈离婚后的情感和经济不安全感。在一次治疗过程中,格里夫斯女士告诉奥维拉医生,她决定起诉在离婚期间代表她的律师。格里夫斯女士认为他没有有效地代表她的利益,而且她愚蠢地听从了他的建议,接受了一份非常不利的和解协议。她聘请了另一位律师,她告诉奥维拉,这位律师很快会打电话索要有关离婚压力以及格里夫斯女士持续治疗需求的信息。奥维拉医生将被要求就对她的客户造成的伤害以及由此产生的治疗费用作证。当格里夫斯女士起身离开时,她告诉奥维拉医生:“我很高兴你会帮我给那个讨厌的汤姆·托尔特一个教训。”当奥维拉医生第一次听到托尔特律师的名字时,她开始出汗。托马斯·托尔特,执业律师,也是她的客户。她完全不知道他曾是格里夫斯女士的离婚律师。她已经为他治疗复发性重度抑郁症好几年了,并且知道他当时可能抑郁到足以影响他在代理格里夫斯女士案件时的专业工作。当她被提名为原告的专家证人时,托尔特律师会得知他的治疗师也在治疗格里夫斯女士。与此同时,她的保密义务使她不能告知其他人托尔特也是她的客户。奥维拉医生该怎么办?

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