Perry S
Consultation-Liaison Service, New York Hospital-Cornell Medical Center, New York 10021.
Hosp Community Psychiatry. 1989 Feb;40(2):158-61. doi: 10.1176/ps.40.2.158.
The American Psychiatric Association has adopted a policy stating that psychiatrists may warn third parties who are placed at risk by the behavior of a patient infected with human immunodeficiency virus (HIV). The author argues that although the policy appears reasonable and has well-established precedent, the public will ultimately be better served if HIV-infected patients are assured absolute confidentiality. He contends that the Tarasoff decision is not directly applicable to most HIV-infected patients, that education alone will not be sufficient to deter some infected patients from placing others at risk, that additional psychiatric interventions will be necessary to reduce the high-risk behaviors of those individuals, and that APA's policy will prevent many from seeking treatment.
美国精神病学协会已通过一项政策，声明精神科医生可以向因感染人类免疫缺陷病毒（HIV）的患者行为而面临风险的第三方发出警告。作者认为，尽管该政策看似合理且有充分确立的先例，但如果能确保HIV感染患者的绝对保密性，最终将能更好地服务公众。他争辩说，塔萨夫案的裁决并不直接适用于大多数HIV感染患者，仅靠教育不足以阻止一些感染患者将他人置于风险之中，需要额外的精神科干预措施来减少这些人的高危行为，而且美国精神病学协会的政策将阻止许多人寻求治疗。
