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[针对妇女暴力行为的伦理与法律问题]

[Ethical and legal aspects of violence against women].

作者信息

Peramato Martín Teresa, González-Fernández Jorge

机构信息

Fiscal de Sala contra la Violencia sobre la Mujer, Fiscalía General del Estado.

Médico Forense, Director del Instituto de Medicina Legal y Ciencias Forenses de La Rioja.

出版信息

Aten Primaria. 2024 Nov;56(11):102857. doi: 10.1016/j.aprim.2023.102857. Epub 2024 Jan 18.

Abstract

Caring for female victims of violence presents health professionals with situations that require careful consideration due to the conflicts raised between the fundamental principles of bioethics. During this process, intermediate courses of action should be adopted in which none of the affected principles is totally compromised, yet always take into account due compliance with legal and deontological regulations. Within these conflicts, the possible impact on the autonomy of the victim must be taken into consideration, conditioned by the relationship of dominance with respect to their aggressor, a fundamental characteristic of gender violence. However, the fact that there is a legal obligation to issue an injury report or to communicate a well-founded suspicion of abuse is not enough to ignore the fact that the person, in this case the victim, must be a participant in the process. As such, the doctor has the obligation to inform his or her patient about this legal requirement, dedicating all the time and attention necessary to ensure that the victim understands the purpose and benefits of complying with this. In any case, and beyond the appropriate adaptation of the professional's conduct to current precepts, the ethical principle of care must be adhered to, by which the best thing the professional can do is to provide the victim with the means to avoid the repetition of new attacks, implementing prevention measures that have their origin in the accurate diagnosis of the situation of violence and in the communication of this to the authorities.

摘要

照顾暴力行为的女性受害者给卫生专业人员带来了一些情况,由于生物伦理学基本原则之间产生的冲突,这些情况需要仔细考虑。在此过程中,应采取中间行动方案,使受影响的原则无一完全受损,但始终要考虑到充分遵守法律和道义规范。在这些冲突中,必须考虑到对受害者自主权可能产生的影响,这种影响受其与施暴者的支配关系制约,这是性别暴力的一个基本特征。然而,有出具伤情报告或通报有充分根据的虐待怀疑的法律义务,这一事实并不足以忽视这样一个事实,即在此情况下的当事人,即受害者,必须是这一过程的参与者。因此,医生有义务告知其患者这一法律要求,并投入所有必要的时间和精力,以确保受害者理解遵守这一要求的目的和益处。无论如何,除了使专业人员的行为适当符合当前规范之外,还必须坚持护理的伦理原则,根据这一原则,专业人员所能做的最好的事情就是为受害者提供避免再次遭受袭击的方法,实施源于对暴力情况的准确诊断并将其通报当局的预防措施。

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