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精神病学与在线社交媒体:精神科医生及实习生面临的潜力、陷阱与伦理准则

Psychiatry and online social media: potential, pitfalls and ethical guidelines for psychiatrists and trainees.

作者信息

Frankish Katherine, Ryan Christopher, Harris Anthony

机构信息

Redbank House, Westmead Hospital, Wentworthville, NSW, Australia.

出版信息

Australas Psychiatry. 2012 Jun;20(3):181-7. doi: 10.1177/1039856212447881. Epub 2012 Jun 7.

DOI:10.1177/1039856212447881
PMID:22679216
Abstract

OBJECTIVE

This paper proposes ethical guidelines for psychiatrists and psychiatry trainees when interacting with social media.

METHODS

A three-stage process was followed in the development of these guidelines. A literature review provided situations and possible broad rules as to how social media could be ethically engaged. A roundtable discussion by a panel of invited psychiatrists, psychiatry trainees, psychologists, e-health practitioners, lawyers and consumers was held to discuss the situations and to better formulate the ethical principles upon which psychiatrists could act. These vignettes and principles were then broadly discussed at a seminar held at the 2011 RANZCP Congress. Finally, this paper was circulated to the original invitees for final comment.

RESULTS

A set of recommendations for working with social media were developed.

CONCLUSIONS

The new social media provides important avenues for communication, education and treatment. These avenues pose ethical and practical dilemmas that can be resolved by the application of established ethical principles. Practical recommendations for navigating social media are proposed.

摘要

目的

本文为精神科医生及精神科实习医生在使用社交媒体时提供伦理准则。

方法

制定这些准则遵循了三个阶段的流程。文献综述提供了社交媒体在伦理层面的使用情形及可能的宽泛规则。邀请了精神科医生、精神科实习医生、心理学家、电子健康从业者、律师和消费者组成小组进行圆桌讨论,以探讨这些情形并更好地制定精神科医生可依循的伦理原则。随后,这些案例和原则在2011年皇家澳大利亚和新西兰精神科医学院年会上举办的研讨会上进行了广泛讨论。最后,本文分发给最初的受邀者征求最终意见。

结果

制定了一套使用社交媒体的建议。

结论

新的社交媒体为沟通、教育和治疗提供了重要途径。这些途径带来了伦理和实际困境,可通过应用既定的伦理原则来解决。本文提出了使用社交媒体的实用建议。

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