When a patient reports a sexual relationship with a prior provider during treatment, a psychiatrist or therapist must balance conflicting ethics principles of autonomy, confidentiality, and social justice in deciding whether to report this behavior to the proper authority. Many states have statutes regarding such reporting that are unclear or ambiguous; others lack laws entirely. We surveyed state laws and contacted state medical boards to clarify each state's position on mandatory reporting of sexually exploitive psychiatrists, specifically when the patient reveals the exploitation during treatment. Our results showed that only 5 state legislatures have explicitly addressed this matter. Of the remaining states, 18 require reporting through a patchwork of laws and policies, and the other 27 states and the District of Columbia have no laws that require reporting a colleague if a patient discloses a past sexual relationship. In this article, we examine the different approaches and considerations taken by state legislatures and medical boards in addressing this concern.

中文翻译：

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以前的提供者举报性剥削的法律和道德考量。

当患者在治疗期间报告与先前提供者的性关系时，精神科医生或治疗师必须权衡相互冲突的自治，保密和社会公正的道德原则，才能决定是否将此行为报告给适当的权威。许多州关于此类报告的法规不清楚或模棱两可；其他人完全没有法律。我们调查了州法律，并与州医疗委员会联系，以阐明每个州对强制性剥削精神科医生的报告立场，特别是当患者在治疗期间暴露出对性剥削的情况时。我们的结果表明，只有5个州的立法机关明确地解决了这个问题。在其余的州中，有18个要求通过一系列法律和政策进行报告，其他27个州和哥伦比亚特区则没有法律规定，如果患者透露过性关系，则必须报告同事。在本文中，我们研究了州议会和医学委员会在解决此问题时采取的不同方法和考虑因素。