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关于法医精神病学中《法院规则》与《道德准则》之间关系的思考。

A consideration of the relationship between the Rules of Court and the Code of Ethics in forensic psychiatry.

作者信息

Gaughwin Peter C

机构信息

Crown Solicitor's Office, GPO Box 464, Adelaide, South Australia 5001, Australia.

出版信息

Aust N Z J Psychiatry. 2004 Jan-Feb;38(1-2):20-5. doi: 10.1111/j.1440-1614.2004.01293.x.

Abstract

OBJECTIVE

To consider the relationship between the Rules of Court for expert witnesses and the revised Ethical Guideline No. 9 and Practice Guideline No. 9 of the Royal Australian and New Zealand College of Psychiatrists (RANZCP) and how this affects the responsibilities that psychiatrists have to a court and to their profession, when they enter the legal arena.

METHOD

Literature relevant to the subject, the Federal Court rules relating to expert witnesses and the RANZCP Guidelines are discussed and compared, with examples used to illustrate particular issues that arise from time to time in the civil jurisdiction. A distinction is drawn between the functions of those psychiatrists who undertake forensic assessment and those who undertake clinical work, and some of the ethical challenges facing forensic psychiatrists are considered.

RESULTS

The Rules of Court relating to expert witnesses and the RANZCP Guidelines No. 9 have a complementary relationship and are thus ethically consistent with each other and provide a basis for psychiatrists to maintain and enhance the integrity of their profession.

CONCLUSION

Forensic psychiatry is a particularly complex medical speciality and one that can create enormous personal conflict for clinicians, especially those who are not forensic consultants. It may therefore be time for the College to develop an accreditation process for those prepared to undertake further study in the nature and practice of forensic psychiatry.

摘要

目的

探讨专家证人的法院规则与澳大利亚和新西兰皇家精神科医学院(RANZCP)修订后的第9号道德准则及第9号实践准则之间的关系,以及当精神科医生进入法律领域时,这如何影响他们对法院和其职业所承担的责任。

方法

讨论并比较了与该主题相关的文献、联邦法院关于专家证人的规则以及RANZCP准则,并举例说明民事司法管辖中不时出现的特定问题。区分了进行法医评估的精神科医生和从事临床工作的精神科医生的职能,并考虑了法医精神科医生面临的一些伦理挑战。

结果

与专家证人相关的法院规则与RANZCP第9号准则具有互补关系,因此在伦理上相互一致,并为精神科医生维护和提升其职业操守提供了基础。

结论

法医精神病学是一个特别复杂的医学专业,会给临床医生,尤其是那些不是法医顾问的医生带来巨大的个人冲突。因此,学院可能有必要为那些准备进一步研究法医精神病学的性质和实践的人制定一个认证程序。

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