Ross M W
South Australian Health Commission.
J Med Ethics. 1989 Jun;15(2):74-81. doi: 10.1136/jme.15.2.74.
The psychosocial morbidity associated with HIV infection and responses to such infection may exceed morbidity associated with medical sequelae of such infection. This paper argues that negative judgements on those with HIV infection or in groups associated with such infection will cause avoidable psychological and social distress. Moral judgements made regarding HIV infection may also harm the common good by promoting conditions which may increase the spread of HIV infection. This paper examines these two lines of argument with regard to the ethical aspects of psychological bases of health care, clinical contact, public perceptions of AIDS and the comparative perspective. It is concluded that the psychosocial aspects of HIV infection impose ethical psychological, as well as medical, obligations to reduce harm and prevent the spread of infection.
与艾滋病毒感染相关的心理社会发病率以及对此类感染的反应可能超过该感染医学后遗症所带来的发病率。本文认为，对艾滋病毒感染者或与此类感染相关群体的负面判断会导致可避免的心理和社会痛苦。关于艾滋病毒感染所做的道德判断也可能通过促成可能增加艾滋病毒感染传播的条件而损害公共利益。本文从医疗保健的心理基础、临床接触、公众对艾滋病的认知以及比较视角的伦理方面审视这两条论证思路。得出的结论是，艾滋病毒感染的心理社会方面在伦理、心理以及医学上都施加了减少伤害和防止感染传播的义务。
