Nishizono M
Department of Psychiatry, Fukuoka University School of Medicine, Japan.
Jpn J Psychiatry Neurol. 1994;48 Suppl:33-8. doi: 10.1111/j.1440-1819.1994.tb03036.x.
The goal of psychotherapy is not only the dissolution of the symptoms, but also to attempt to bring about an improvement in adaptability and deepening the achievement of self-understanding. The nature of psychotherapy is based on the relationship between the therapist and patient. Such a goal and nature mean that some kinds of psychotherapy are beyond the medical model. In this paper ethical issues in psychotherapy are discussed as follows. 1) some complicated matters in informed-consent, 2) the hit or miss techniques of the poorly trained therapist, 3) the protection of privacy, 4) the sexual misconduct of therapists with patients, 5) special consideration for child-adolescent patients.
心理治疗的目标不仅是消除症状，还在于尝试提高适应性并深化自我理解。心理治疗的本质基于治疗师与患者之间的关系。这样的目标和本质意味着某些类型的心理治疗超出了医学模式。本文将对心理治疗中的伦理问题进行如下讨论：1）知情同意中的一些复杂问题；2）训练不足的治疗师的碰运气式技术；3）隐私保护；4）治疗师与患者之间的不当性行为；5）对儿童青少年患者的特殊考虑。
