KCMHR, Institute of Psychiatry, Psychology & Neuroscience, Department of Basic and Clinical Neuroscience, London, UK
Combat Stress, Leatherhead, UK.
BMJ Mil Health. 2021 Dec;167(6):451-453. doi: 10.1136/bmjmilitary-2020-001534. Epub 2020 Jul 13.
Morally injurious incidents may present ethical or legal quandaries, yet how military or civilian clinicians should manage such disclosures is poorly understood. Individuals who experience moral injury may be reluctant to seek help due to concerns about the legal ramifications of disclosure. Guidance on breaching patient confidentiality differs by regulatory body but also by profession, geography and context. As moral injury continues to become recognised in clinical practice, in the military and elsewhere, clarity is needed regarding best practice in managing moral injury cases and the dilemmas they present.
道德伤害事件可能会带来伦理或法律上的困境，但军人或平民临床医生应该如何处理这些事件还不太清楚。由于担心披露的法律后果，经历道德伤害的个人可能不愿意寻求帮助。关于违反患者保密规定的指导意见因监管机构而异，也因职业、地理位置和背景而异。随着道德伤害在临床实践、军队和其他领域的不断被认识，需要明确处理道德伤害案件的最佳实践以及它们所带来的困境。
