Petrila J P, Sadoff R L
New York State Office of Mental Health, Albany 12229.
Hosp Community Psychiatry. 1992 Feb;43(2):136-9. doi: 10.1176/ps.43.2.136.
Many families provide mentally ill relatives with a residence and other support. Although professionals increasingly acknowledge the importance of the supportive role families play, families continue to report that they receive too little information from professionals about the patient, particularly when the family acts as caregiver. The authors suggest that mental health professionals' views about confidentiality may prevent them from providing information to families and urge professionals to rethink the issue of confidentiality and its application to families acting as caregivers. The authors conclude that certain information about a patient can--and should--be shared with families who are in a caregiver role without violating clinical, legal, or ethical principles.
许多家庭为患有精神疾病的亲属提供住所及其他支持。尽管专业人员越来越认识到家庭所发挥的支持作用的重要性，但家庭仍不断报告称，他们从专业人员那里获得的关于患者的信息太少，尤其是当家庭充当照顾者时。作者们认为，心理健康专业人员对保密的看法可能会阻碍他们向家庭提供信息，并敦促专业人员重新思考保密问题及其在充当照顾者的家庭中的应用。作者们得出结论，在不违反临床、法律或伦理原则的情况下，可以而且应该与充当照顾者的家庭分享有关患者的某些信息。
