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会诊联络精神病学与临床伦理学。历史的相似与差异。

Consultation-liaison psychiatry and clinical ethics. Historical parallels and diversions.

作者信息

Youngner S J

机构信息

Department of Medicine and Biomedical Ethics, Case Western Reserve University, Cleveland, OH, USA.

出版信息

Psychosomatics. 1997 Jul-Aug;38(4):309-12. doi: 10.1016/S0033-3182(97)71437-3.

DOI:10.1016/S0033-3182(97)71437-3
PMID:9217400
Abstract

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.

摘要

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。

相似文献

1
Consultation-liaison psychiatry and clinical ethics. Historical parallels and diversions.会诊联络精神病学与临床伦理学。历史的相似与差异。
Psychosomatics. 1997 Jul-Aug;38(4):309-12. doi: 10.1016/S0033-3182(97)71437-3.
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Psychiatry and bioethics. An exploration of the relationship.精神病学与生物伦理学。关系探究
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Consultation-liaison psychiatry and clinical ethics. Representative cases.会诊联络精神病学与临床伦理学。典型病例。
Psychosomatics. 1997 Jul-Aug;38(4):321-6. doi: 10.1016/S0033-3182(97)71439-7.
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Making a situational diagnosis. Psychiatrists at the interface of psychiatry and ethics in the consultation-liaison setting.进行情境诊断。会诊联络环境中处于精神病学与伦理学交叉领域的精神科医生。
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Consultation-liaison psychiatry and clinical ethics: a model for consultation and teaching.会诊联络精神病学与临床伦理学:一种会诊与教学模式
Gen Hosp Psychiatry. 1986 Nov;8(6):415-8. doi: 10.1016/0163-8343(86)90022-8.
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Response to the articles "Consultation-liaison psychiatry and the teaching of ethics," by J. R. McCartney and "Consultation-liaison psychiatry and clinical ethics," by J. R. Hayes.对J. R. 麦卡特尼所著《会诊联络精神病学与伦理学教学》以及J. R. 海斯所著《会诊联络精神病学与临床伦理学》两篇文章的回应。
Gen Hosp Psychiatry. 1986 Nov;8(6):419-21. doi: 10.1016/0163-8343(86)90023-x.
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Keeping moral space open. New images of ethics consulting.保留道德空间。伦理咨询的新形象。
Hastings Cent Rep. 1993 Mar-Apr;23(2):33-40.
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Roles and responsibilities: theoretical issues in the definition of consultation liaison psychiatry.角色与职责:会诊联络精神病学定义中的理论问题
J Med Philos. 1985 May;10(2):105-26. doi: 10.1093/jmp/10.2.105.
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An annotated bibliography for ethics training in consultation-liaison psychiatry.一份关于会诊联络精神病学中伦理培训的注释性文献目录。
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Consultation-liaison psychiatry and the teaching of ethics.会诊联络精神病学与伦理学教学
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引用本文的文献

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When psychiatry and bioethics disagree about patient decision making capacity (DMC).当精神病学与生物伦理学在患者决策能力(DMC)问题上存在分歧时。
J Med Ethics. 2006 Feb;32(2):90-3. doi: 10.1136/jme.2005.013136.
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Ethical issues for the consultant in the general hospital.综合医院中会诊医生的伦理问题。
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