Redlich F, Mollica R F
Am J Psychiatry. 1976 Feb;133(2):125-36. doi: 10.1176/ajp.133.2.125.
The authors survey the ethical problems confronting psychiatry today. They state that with rare exceptions psychiatric intervention can be morally justified only with the potential patient's informed consent. Within this framework, they discuss the fact that today nonpsychiatrists, particularly ethicists, lawyers, legislators, and social scientists, as well as psychiatrists are concerned about medical ethics, specifically regarding the right to be treated, the right not to be treated, the civil rights of psychiatric patients, the ethics of behavior control, the problem of conflicts of interest in therapeutic goals, privacy and confidentiality, the ethics of human experimentation, policy decisions, and psychiatry's relationship to the changing moral value structure of U.S. society.
作者们审视了当今精神病学所面临的伦理问题。他们指出,除了极少数例外情况,只有在潜在患者知情同意的情况下,精神病学干预在道德上才是合理的。在此框架内,他们探讨了这样一个事实,即如今非精神科医生,尤其是伦理学家、律师、立法者和社会科学家,以及精神科医生都关注医学伦理,特别是关于接受治疗的权利、拒绝治疗的权利、精神病患者的公民权利、行为控制伦理、治疗目标中的利益冲突问题、隐私和保密、人体实验伦理、政策决策,以及精神病学与美国社会不断变化的道德价值结构之间的关系。