Gutheil T G, Duckworth K
Program in Psychiatry and the Law, Massachusetts Mental Health Center, Harvard Medical School, Boston 02115.
Bull Menninger Clin. 1992 Winter;56(1):87-94.
Psychiatric consultation in general medical settings is a valuable corollary to the work of other health care professionals. In various contexts, such consultation can be debased, however, to the point that the psychiatrist is serving as a technician rather than as a consultant in relation to several aspects of the informed consent process. The authors identify five inappropriate models of psychiatric consultation and review the proper approach to obtaining true informed consent.
综合医疗环境中的精神科会诊是其他医疗保健专业人员工作的一项重要补充。然而,在各种情况下,这种会诊可能会被贬低,以至于精神科医生在知情同意过程的几个方面充当的是技术人员而非顾问的角色。作者识别出精神科会诊的五种不恰当模式,并探讨了获得真正知情同意的正确方法。