Shepherd J, Morley R, Adshead G, Gillett G, Knight M A
University of Wales College of Medicine, Cardiff.
BMJ. 1995 Dec 16;311(7020):1617-21. doi: 10.1136/bmj.311.7020.1617a.
Currently the management of adult victims of violence by general practitioners and accident and emergency departments is reactive, concerned almost exclusively with the management of physical injuries. Professor Jonathan Shepherd outlines some ideas for a more proactive approach on the part of doctors to improve the protection and support of vulnerable people; to deal with psychological sequelae; to take the responsibility of making an official complaint to the police away from seriously injured people, who are unable to give or withhold consent to disclosure; and to prevent assailants inflicting further injuries. We asked a sociologist, a psychiatrist, a moral philosopher, and a police surgeon for their comments.
目前，全科医生和急诊部门对成年暴力受害者的处理方式是被动反应式的，几乎完全专注于身体伤害的处理。乔纳森·谢泼德教授概述了一些想法，旨在让医生采取更积极主动的方法，以加强对弱势群体的保护和支持；处理心理后遗症；将向警方正式投诉的责任从重伤者身上转移，因为他们无法对信息披露给予或拒绝同意；以及防止袭击者造成进一步伤害。我们征求了一位社会学家、一位精神科医生、一位道德哲学家和一位警医的意见。
