Department of Psychiatry, Baylor College of Medicine, Houston, TX 77401, USA.
Acad Psychiatry. 2011 May-Jun;35(3):168-74. doi: 10.1176/appi.ap.35.3.168.
The era of the Internet presents new dilemmas in educating psychiatrists about professional boundaries. The objective of this overview is to clarify those dilemmas and offer recommendations for dealing with them.
The characteristics of social networking sites, blogs, and search engines are reviewed with a specific focus on their potential to present problems of professional boundaries for psychiatrists.
The professional boundary questions that have arisen in the expanded world of online communication can be subdivided into three areas: ethical concerns, professionalism issues, and clinical dilemmas. Only the first category involves true boundary problems as normally defined.
The expansion of the Internet has redefined traditional areas of privacy and anonymity in the clinical setting. Guidelines are proposed to manage the alteration of professional boundaries, as well as issues of professionalism and clinical work, that have arisen from the complexities of cyberspace. The author discusses implications for residency training.
互联网时代给精神病学家的专业边界教育带来了新的困境。本综述的目的是阐明这些困境，并提出应对这些困境的建议。
本文回顾了社交网站、博客和搜索引擎的特点，特别关注它们可能为精神病学家带来的专业边界问题。
在扩大的在线交流领域出现的专业边界问题可分为三个领域：伦理问题、专业问题和临床困境。只有第一类涉及通常定义的真正边界问题。
互联网的扩展重新定义了临床环境中隐私和匿名的传统领域。提出了管理专业边界变化的准则，以及网络空间的复杂性所带来的专业和临床工作问题。作者讨论了对住院医师培训的影响。
