治疗师对患者行为的责任（塔萨夫法则）：精神科医生的立场
Responsibility of the therapist for the patients' actions (Tarasoff Rules): position of the psychiatrists.
作者信息
Melamed Yuval, Or Evgenia, Rudinski Dmitri, Cohen Shlomit, Gelkopf Marc, Lerner Arturo, Bleich Avi
机构信息
Lev Hasharon Mental Health Center, Netanya, Israel.
出版信息
Isr J Psychiatry Relat Sci. 2011;48(2):107-10.
BACKGROUND AND AIMS
Patient confidentiality and the therapists responsibility to society may present a challenge in the therapeutic relationship between the psychiatrist and the patient. We examined the attitudes of Israeli psychiatrists concerning the duty to warn and protect according to the Tarasoff Rule.
METHODS
Questionnaires to examine psychiatrists opinions concerning the implementation of the Tarasoff Rule in Israel were sent to senior psychiatrists involved in forensic psychiatry for anonymous completion.
RESULTS
108 (64%) questionnaires were returned. 61 (57%) replied that they encountered similar situations.
CONCLUSIONS
Thorough understanding of the Tarasoff Rule, clarification of the patients potential dangerousness, and timely deliberation of the issues will assist the therapist. Investigation of the medical consensus of senior physicians, as performed in our study, is also a point of reference for formulating an opinion.
背景与目的
患者保密原则以及治疗师对社会的责任可能会给精神科医生与患者之间的治疗关系带来挑战。我们根据塔萨夫法则，研究了以色列精神科医生对于警告和保护义务的态度。
方法
向参与法医精神病学的资深精神科医生发放问卷，以调查他们对塔萨夫法则在以色列实施情况的看法，问卷采用匿名方式填写。
结果
共收回108份（64%）问卷。其中61份（57%）回复称遇到过类似情况。
结论
深入理解塔萨夫法则、明确患者潜在危险性并及时审议相关问题将有助于治疗师。正如我们研究中所做的那样，对资深医生的医学共识进行调查，也是形成意见的一个参考依据。
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