Brendel Rebecca W, Schouten Ronald
Department of Psychiatry, Massachusetts General Hospital, Harvard Medical School, 15 Parkman Street, WAC 812, Boston, MA 02114, USA.
Psychiatr Clin North Am. 2007 Dec;30(4):663-76. doi: 10.1016/j.psc.2007.07.010.
In the practice of psychosomatic medicine, the psychiatric consultant is likely to be confronted with questions at the interface of psychiatry and law. These issues generally emerge around questions of confidentiality and exceptions to confidentiality, assessments of a patient's ability to consent to and refuse treatment, and concerns about malpractice liability. Overall, psychiatrists should approach the care of patients clinically, while understanding the applicable laws and regulations of the jurisdictions in which they practice. In addition, clinicians should be aware of the legal and risk management resources available to them should a complex situation arise. Finally, the psychiatric consultant should make use of consultation when complex issues emerge at the interface of psychiatry and law.
在身心医学实践中,精神科会诊医生可能会面临精神病学与法律交叉领域的问题。这些问题通常围绕保密及保密例外情况、对患者同意和拒绝治疗能力的评估以及对医疗事故责任的担忧等问题出现。总体而言,精神科医生应在临床层面为患者提供治疗,同时了解其执业所在司法管辖区适用的法律法规。此外,临床医生应知晓在出现复杂情况时可利用的法律和风险管理资源。最后,当精神病学与法律交叉领域出现复杂问题时,精神科会诊医生应寻求会诊。