Theoretical Medicine and Bioethics ( IF 2.158 ) Pub Date : 2021-09-15 , DOI: 10.1007/s11017-021-09545-0 Cornelius Ewuoso 1
This paper demonstrates how ubuntu relational philosophy may be used to ground beneficial coercive care without necessarily violating a patient’s dignity. Specifically, it argues that ubuntu philosophy is a useful theory for developing necessary conditions for determining a patient’s potential dangerousness; setting reasonable limits to the duty to protect; balancing the long-term good of providing unimpeded therapy for patients who need it with the short-term good of protecting at-risk parties; and advancing a framework for future case law and appropriate regulations in the care of psychotherapy patients. Issues regarding the decision to breach medical confidentiality in psychotherapeutic care are ultimately reserved for the courts. Professional assessment might be an important first step in this process, and court rulings govern most aspects of this assessment. However, current case law, especially in the United States, places an unreasonable expectation on psychotherapists to protect all at-risk parties or foresee that a patient intends to follow through on said threats. It has largely failed to guarantee psychotherapy patients unlimited access to care, while potentially inhibiting future honest communication between patients and health professionals and endangering the safety of others. Of these decisions, the two most prominent are the 1976 Tarasoff decision and the 2016 Volk decision. This paper argues for the possibility of grounding good laws in ubuntu African philosophy in a way that protects others from harm and ensures unimpeded access to care without necessarily breaching medical confidentiality.
中文翻译:
患者保密、保护义务和心理治疗护理:来自 ubuntu 哲学的观点
本文展示了如何使用ubuntu关系哲学来建立有益的强制性护理,而不必侵犯患者的尊严。具体来说,它认为ubuntu哲学是一种有用的理论,可以为确定患者的潜在危险性发展必要条件;对保护义务设定合理的限制;在为需要治疗的患者提供畅通无阻治疗的长期利益与保护高危人群的短期利益之间取得平衡;并推进未来案例法的框架和心理治疗患者护理的适当法规。关于在心理治疗中违反医疗保密的决定的问题最终由法院处理。专业评估可能是此过程中重要的第一步,法院裁决管辖此评估的大部分方面。然而,当前的判例法,特别是在美国,对心理治疗师寄予不合理的期望,以保护所有处于危险之中的各方,或者预见到患者打算继续执行上述威胁。它在很大程度上未能保证心理治疗患者无限制地获得护理,同时可能会抑制患者与卫生专业人员之间未来的诚实沟通,并危及他人的安全。在这些决定中,最著名的两个是 1976 年 Tarasoff 决定和 2016 年 Volk 决定。本文论证了将良好法律作为基础的可能性 两个最突出的是 1976 年的 Tarasoff 决定和 2016 年的 Volk 决定。本文论证了将良好法律作为基础的可能性 两个最突出的是 1976 年的 Tarasoff 决定和 2016 年的 Volk 决定。本文论证了将良好法律作为基础的可能性ubuntu非洲哲学以保护他人免受伤害并确保不受阻碍地获得护理而不必违反医疗机密的方式。