Sabin James E, Harland Jonathan Clark
Department of Psychiatry, Harvard Medical School, Boston, MA, USA.
Department of Population Medicine, Harvard Medical School, Boston, MA, USA.
Curr Psychiatry Rep. 2017 Sep;19(9):55. doi: 10.1007/s11920-017-0815-5.
Internet and social media use continue to expand rapidly. Many patients and psychiatrists are bringing digital technologies into the treatment process, but relatively little attention has been paid to the ethical challenges in doing this. This review presents ethical guidelines for psychiatry in the digital age.
Surveys demonstrate that patients are eager to make digital technologies part of their treatment. Substantial numbers search for professional and personal information about their therapists. Attitudes among psychiatrists about using digital technologies with patients range from dread to enthusiastic adoption. Digital technologies create four major ethical challenges for psychiatry: managing clinical boundaries; maintaining privacy and confidentiality; establishing realistic expectations regarding digital communications; and upholding professional ideals. Traditional ethical expectations are valid for the evolving digital arena, but guidance must be adapted for actual application in practice.
互联网和社交媒体的使用持续快速增长。许多患者和精神科医生正在将数字技术引入治疗过程，但对此所涉及的伦理挑战关注相对较少。本综述提出了数字时代精神病学的伦理准则。
调查表明患者渴望将数字技术纳入其治疗。大量患者搜索有关其治疗师的专业和个人信息。精神科医生对与患者使用数字技术的态度从恐惧到积极采用不等。数字技术给精神病学带来了四大伦理挑战：管理临床界限；维护隐私和保密；对数字通信建立现实期望；以及秉持专业理想。传统的伦理期望在不断发展的数字领域仍然有效，但指导必须适应实际应用于实践的需要。
