Alvarez A
Departamento de Psicología Médica, Psiquiatría y Salud Mental, Facultad de Medicina, UNAM, Coyoacán, México, D.F.
Rev Invest Clin. 1997 Nov-Dec;49(6):491-6.
A brief review of some ethical issues related to the advancement of science and technology is presented. The principles currently considered priorities for a healthy relation between patient and physician are discussed, including autonomy, intimacy and respect. In addition, due to the linkage between psychoanalysis and medicine, some elements that determine the ethics of psychoanalysis-such as transference-are analyzed in order to consider their vinculations with the physician-patient relationship. Important corollaries emerge, i.e. the physician must not forget that he deals with a person, that illnesses have particular meanings to patients who also have particular needs, questions and wishes of his or her own.
本文简要回顾了一些与科技进步相关的伦理问题。讨论了目前被认为是患者与医生建立健康关系的优先原则，包括自主性、亲密性和尊重。此外，由于精神分析与医学之间的联系，分析了一些决定精神分析伦理的要素——如移情——以便考虑它们与医患关系的关联。由此产生了一些重要的推论，即医生绝不能忘记他面对的是一个人，疾病对患者有着特殊的意义，患者也有自己特殊的需求、问题和愿望。
