Youngner S J
Department of Medicine and Biomedical Ethics, Case Western Reserve University, Cleveland, OH, USA.
Psychosomatics. 1997 Jul-Aug;38(4):309-12. doi: 10.1016/S0033-3182(97)71437-3.
As clinical ethicists increasingly populate hospital settings, a definition of their roles and responsibilities vis à vis those of consultation-liaison (C-L) psychiatrists remains a matter of both interest and uncertainty. Both fields share certain evolutionary and ideological features, yet until very recently, psychiatry has ignored medical ethics, leaving the field to other medical specialties. This estrangement can be explained by psychiatry's traditional suspicion and devaluation of moral philosophy and its more recent wish to be identified more with biomedicine than with the "softer" social sciences and humanities. C-L psychiatry has both a lot to offer and a lot to learn from clinical ethics.
随着临床伦理学家越来越多地进入医院环境,明确他们相对于会诊联络(C-L)精神科医生的角色和职责仍是一个既有趣又不确定的问题。这两个领域有一些共同的发展和思想特征,但直到最近,精神病学一直忽视医学伦理学,将这一领域留给了其他医学专业。这种疏离可以用精神病学传统上对道德哲学的怀疑和贬低,以及其最近更希望被视为生物医学而非 “较软” 的社会科学和人文学科来解释。C-L精神病学既能为临床伦理学提供很多东西,也能从临床伦理学中学到很多东西。