关于在房间里的大象和夜晚不叫的狗：边界违规和印度的卫生专业人员。
All about elephants in rooms and dogs that do not bark in the night: boundary violations and the health professional in India.
机构信息
Department of Medical Ethics, St. John's Medical College Hospital, Bangalore, Karnataka, India.
出版信息
Indian J Psychiatry. 2012 Jan;54(1):81-7. doi: 10.4103/0019-5545.94654.
Sexual and non-sexual boundary violations occur in the health professional-patient relationship all over the world as well as in India. However, the issue is rarely, if ever, discussed here in a frank and rational manner. This paper discusses the challenges faced by all health professionals and particularly mental health professionals in handling this problem in India. Health professionals can now either let things remain as they are or try to change things for the better, despite the inherent risks in attempting the latter. Since knowledge about boundary issues is essential for effective healthcare, prevention of boundary violations by oneself and reducing harm to patients should a violation occur by another professional, it is important that all health professionals are aware of the issues involved.
性和非性边界侵犯在全球范围内以及在印度的医患关系中都时有发生。然而，这个问题在这里很少被以坦诚和理性的方式讨论。本文讨论了所有卫生专业人员，特别是精神卫生专业人员在印度处理这个问题所面临的挑战。卫生专业人员现在要么让事情保持原样，要么试图为了更好的结果而改变事情，尽管后者存在内在的风险。由于了解边界问题对于有效的医疗保健至关重要，因此，为了防止自己违反边界规定，并在其他专业人员违反规定时减少对患者的伤害，所有卫生专业人员都应该了解所涉及的问题。
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