Dell Mary Lynn, Kinlaw Kathy
Psychiatry and Behavioral Sciences, Emory University School of Medicine, 492 Ponce de Leon Manor NE, Atlanta, GA 30307, USA.
Child Adolesc Psychiatr Clin N Am. 2008 Jan;17(1):1-19, vii. doi: 10.1016/j.chc.2007.08.005.
Familiarity with medical ethical theory and the history of bioethics is helpful for the understanding of the current state of bioethics, as well as possible future developments that will affect physicians and patients alike. This article reviews major schools of thought in bioethics and their relevance to clinical work with children, adolescents, and families. Child and adolescent psychiatrists need to be familiar with major ethical issues in general medicine, psychiatry, and pediatrics, in addition to those controversies that are more specific to their subspecialty. Employing a systematic approach for the identification and analysis of ethical concerns, such as the Four Topics Model of Jonsen and colleagues, improves child and adolescent psychiatrists' confidence that they are aware of ethical quandaries in practice and are addressing these issues in a transparent, well-informed manner.
熟悉医学伦理理论和生物伦理学历史，有助于理解生物伦理学的现状以及可能影响医生和患者的未来发展。本文回顾了生物伦理学的主要思想流派及其与儿童、青少年及家庭临床工作的相关性。儿童和青少年精神科医生除了要熟悉其亚专业特有的争议问题外，还需要熟悉普通医学、精神病学和儿科学中的主要伦理问题。采用系统的方法来识别和分析伦理问题，如琼森及其同事提出的四主题模型，可增强儿童和青少年精神科医生的信心，使他们确信自己在实践中意识到了伦理困境，并以透明、明智的方式处理这些问题。
