Silva J A, Leong G B, Weinstock R
School of Medicine, University of California, Los Angeles.
Bull Am Acad Psychiatry Law. 1989;17(1):33-43.
The acquired immune deficiency syndrome (AIDS) crisis has raised many clinical and forensic dilemmas for the health-care system. Psychiatrists may encounter particular problems when evaluating and treating human immunodeficiency virus (HIV) infected patients. The authors present a case of an HIV seropositive, bipolar, intravenous drug abusing patient who participates in unsafe sexual practices to illustrate clinicolegal dilemmas involving dangerousness, involuntary hospitalization, confidentiality, and Tarasoff-like duty.
获得性免疫缺陷综合征(艾滋病)危机给医疗保健系统带来了许多临床和法医方面的困境。精神科医生在评估和治疗感染人类免疫缺陷病毒(HIV)的患者时可能会遇到特殊问题。作者介绍了一例HIV血清学阳性、患有双相情感障碍、静脉注射毒品且有不安全性行为的患者,以说明涉及危险性、非自愿住院治疗、保密以及类似塔萨夫(Tarasoff)义务等临床法律困境。