Kermani E J, Weiss B A
Department of Psychiatry, New York University Medical Center, N.Y. 10016.
Am J Psychother. 1989 Jan;43(1):25-31. doi: 10.1176/appi.psychotherapy.1989.43.1.25.
Persons with positive HIV appear to have the same right to confidentiality as other medical psychiatric patients. The ethical and legal duties of practitioners who learn that their HIV positive patients are endangering others is discussed. The essential policies of the CDC, AMA, and APA are reviewed along with the current legal situation. One conclusion reached is that applying the Tarasoff doctrine to warn/protect a third party, if that party may already be infected, is useful only when the third party is moral and sensible enough to cease behavior that would spread the disease to others.
艾滋病毒检测呈阳性的人似乎与其他医学或精神科患者享有同等的保密权。文中讨论了从业者在得知其艾滋病毒呈阳性的患者正在危及他人时的道德和法律责任。还回顾了美国疾病控制与预防中心（CDC）、美国医学协会（AMA）和美国心理协会（APA）的基本政策以及当前的法律状况。得出的一个结论是，如果第三方可能已经被感染，那么应用塔拉索夫原则来警告/保护该第三方，只有当该第三方有足够的道德意识和理智来停止可能将疾病传播给他人的行为时才有用。
