Bibace R, Comer R, Cotsonas C E
J Fam Pract. 1978 Nov;7(5):1029-35.
The unique goal of family practice, that of caring for the entire family's broadly defined health needs, places the family physician in an especially uncomfortable position when there is intrafamily conflict. In particular, the question of "whose agent (physician) are you?" when a family is in conflict often creates a serious ethical dilemma for the family physician. The roles of three experts who deal with family conflict, the psychotherapist, the lawyer, and the family physician, are compared and contrasted. The physician as expert is a useful approach only insofar as there are clearcut answers to a particular problem. But the ambiguity inherent in ethical problems makes this approach less than satisfactory. The role of the physician as teacher/facilitator is explored as an alternative to resolving the ethical dilemmas of intrafamily conflict.
家庭医疗的独特目标，即满足整个家庭广泛定义的健康需求，使得当家庭内部发生冲突时，家庭医生处于一种特别尴尬的境地。尤其是当家庭出现冲突时，“你是哪一方（家庭成员）的医生？”这个问题常常给家庭医生带来严重的伦理困境。本文对处理家庭冲突的三位专家，即心理治疗师、律师和家庭医生的角色进行了比较和对比。医生作为专家的角色，仅在对特定问题有明确答案时才是一种有用的方法。但伦理问题中固有的模糊性使得这种方法不尽如人意。本文探讨了医生作为教师/调解人的角色，作为解决家庭内部冲突伦理困境的一种替代方法。
