Gonda T A, Barchas J D, MacIntosh D N
Calif Med. 1966 Apr;104(4):272-7.
A physician has an ethical duty to hold in confidence communications made to him by his patient. A legal recognition of this ethical duty is found in the concept of privilege, which is the subject of this article. January 1967 will bring to California physicians a new protection for patients' communications. The physician-patient privilege has been redefined to include confidential communications made during diagnostic evaluation, those made to non-licensed physicians, interns and medical aides, and those overheard by eavesdroppers. There has been added a psychotherapist-patient privilege designed to facilitate communications required in psychotherapy as well as in behavioral research. This paper first presents a brief historical background and discusses the protections and limitations afforded by the new California Evidence Code. There follows a section on the psychotherapist-patient privilege with the recommendation that in the context of psychotherapy, patients of physicians who are not psychiatrists should be afforded the additional benefits of the psychotherapist-patient privilege. Lastly, advice is given concerning the physician's conduct in relation to his duty to claim privilege under the new code.
医生有道德义务对患者向他透露的信息保密。特权概念中体现了对这一道德义务的法律认可,这也是本文的主题。1967年1月将为加利福尼亚州的医生带来对患者信息交流的新保护。医患特权已被重新定义,包括在诊断评估期间进行的保密交流、与无执照医生、实习生和医疗助手的交流以及被窃听者偷听的交流。新增了心理治疗师 - 患者特权,旨在促进心理治疗以及行为研究中所需的交流。本文首先介绍简要的历史背景,并讨论新的《加利福尼亚证据法典》所提供的保护和限制。接下来是关于心理治疗师 - 患者特权的部分,并建议在心理治疗背景下,非精神科医生的患者应享有心理治疗师 - 患者特权的额外益处。最后,就医生在根据新法典主张特权的义务方面的行为给出了建议。