Sondheimer A, Martucci L C
UMDNJ-New Jersey Medical School, Newark 07103.
J Am Acad Child Adolesc Psychiatry. 1992 May;31(3):415-22. doi: 10.1097/00004583-199205000-00006.
Examples of ethical dilemmas, emerging in the context of a resident case-centered seminar, are used to illustrate a proposed approach to instruction in ethics for child and adolescent psychiatry residents. In addition to a rudimentary formal didactic curriculum, a teaching methodology is outlined that intentionally focuses on ethical problems, approaches to analyses, proposed courses of action, and attempts at resolution. Four representative issues are utilized: confidentiality, treatment refusal, treatment termination, and the interface of individual and family therapies. Educational objectives include the increased recognition by child and adolescent psychiatry trainees of potential ethical conflicts, of the utility of ethical analyses to inform choices of clinical interventions, and of the desirability of forestalling premature action before attempts at thoughtful resolution.
以住院医师案例研讨会上出现的伦理困境为例，来说明一种针对儿童和青少年精神病学住院医师的伦理教学建议方法。除了基础的正式讲授课程外，还概述了一种教学方法，该方法有意聚焦于伦理问题、分析方法、建议的行动方案以及解决尝试。使用了四个代表性问题：保密、拒绝治疗、治疗终止以及个体治疗与家庭治疗的交叉问题。教育目标包括提高儿童和青少年精神病学受训人员对潜在伦理冲突的认识，认识到伦理分析对指导临床干预选择的作用，以及认识到在深思熟虑的解决尝试之前避免过早行动的可取性。
