Sexson Sandra B, Sexson William R
Division of Child, Adolescent and Family Psychiatry, Department of Psychiatry and Health Behavior, Medical College of Georgia, 997 St. Sebastian Way, Augusta, GA 30912-3800, USA.
Child Adolesc Psychiatr Clin N Am. 2008 Jan;17(1):209-24, xi. doi: 10.1016/j.chc.2007.07.006.
Over the past 30 years, institutional ethics committees have become the standard vehicle for addressing ethical issues in health care institutions. Early in this development, general psychiatrists became integrally involved; however, child and adolescent psychiatry roles on institutional ethics committees have been delineated less clearly. This article provides an overview of the functioning of institutional ethics committees, including composition and a definition of the roles across education, policy development, and case consultation. Within the context of the various roles of the institutional ethics committee, the potential contributions of a child and adolescent psychiatrist are defined and specific areas of expertise are delineated. Case examples are cited to demonstrate the unique contributions in the areas of developmental understanding, enhanced understanding of communication styles and failures, as well as an understanding of specific psychiatric factors and cultural issues that a child and adolescent psychiatrist may bring to the institutional ethics committee.
在过去30年里，机构伦理委员会已成为医疗机构解决伦理问题的标准载体。在这一发展初期，普通精神科医生就深度参与其中；然而，儿童和青少年精神科在机构伦理委员会中的角色界定却不那么清晰。本文概述了机构伦理委员会的运作情况，包括其组成以及在教育、政策制定和案例咨询等方面角色的定义。在机构伦理委员会的各种角色背景下，明确了儿童和青少年精神科医生的潜在贡献，并划定了特定的专业领域。文中引用了案例来展示儿童和青少年精神科医生在发展理解、增强对沟通方式及沟通障碍的理解，以及对特定精神科因素和文化问题的理解等方面，可能为机构伦理委员会带来的独特贡献。
