Cheshire William Polk
Professor of neurology at the Mayo Clinic College of Medicine in Jacksonville, Florida, where he chairs the Medical Ethics Committee and leads the Program in Professionalism & Values.
AMA J Ethics. 2017 Jan 1;19(1):91-97. doi: 10.1001/journalofethics.2017.19.1.msoc3-1701.
Human trafficking is a pervasive problem that exceeds the capacity of social and organizational resources to restrain and for which guidelines are inadequate to assist medical professionals in responding to the special needs of victims when they present as patients. One obstacle to appropriate disagreement with an inadequate status quo is the lure of group cohesion. "Groupthink" is a social psychological phenomenon in which presumed group consensus prevails despite potentially adverse consequences. In the context of the medical response to human trafficking, groupthink may foster complacency, rationalize acquiescence with inaction on the basis of perceived futility, create an illusion of unanimity, and accommodate negative stereotyping. Despite these inhibiting influences, even in apparently futile situations, medical professionals have unique opportunities to be a force for good.
人口贩卖是一个普遍存在的问题，其严重程度超出了社会和组织资源的管控能力，而且现有的指导方针不足以帮助医疗专业人员应对受害者作为患者前来就医时的特殊需求。对不尽人意的现状提出恰当异议的一个障碍是群体凝聚力的诱惑。“群体思维”是一种社会心理现象，即尽管可能会产生不良后果，但假定的群体共识仍占上风。在应对人口贩卖的医疗情境中，群体思维可能会助长自满情绪，以认为徒劳无功为由使不作为的默许合理化，制造一致同意的假象，并容忍负面刻板印象。尽管存在这些阻碍性影响，但即使在看似徒劳无功的情况下，医疗专业人员也有独特的机会成为一股向善的力量。
