Mosher Paul W, Swire Peter P
George Washington University Law School, 2000 H St. N.W., Washington, DC 20052, USA.
Psychiatr Clin North Am. 2002 Sep;25(3):575-84, vi-vii. doi: 10.1016/s0193-953x(01)00013-2.
The 1996 Jaffee v Redmond US Supreme Court decision established a privilege for psychotherapeutic communications in the federal courts. The new privilege has both substantive and symbolic importance. In its strongly worded opinion in Jaffee v Redmond, the US Supreme Court made clear that confidentiality in psychotherapy takes precedence over certain other important societal goals. The new Health Insurance Portability and Accountability Act (HIPAA) medical privacy rule promulgated by the Department of Health and Human Services relies on Jaffee v Redmond in providing additional legal protections for confidential psychotherapy. Both the US Supreme Court's Jaffee v Redmond ruling and the HIPAA rule support the ethical protection of confidentiality of conversations between psychiatrists and patients.
1996年美国最高法院“贾菲诉雷德蒙德案”的判决确立了联邦法院中精神治疗交流的特权。这项新特权具有实质和象征意义。美国最高法院在“贾菲诉雷德蒙德案”措辞强硬的意见书中明确表示，心理治疗中的保密性优先于某些其他重要的社会目标。美国卫生与公众服务部颁布的新的《健康保险流通与责任法案》（HIPAA）医疗隐私规则依据“贾菲诉雷德蒙德案”为保密的心理治疗提供了额外的法律保护。美国最高法院“贾菲诉雷德蒙德案”的裁决和HIPAA规则都支持对精神科医生与患者之间谈话保密性的伦理保护。
