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Emerging Issues in Medical Ethics

Published online by Cambridge University Press:  06 August 2018

Carol C. Nadelson*
Affiliation:
Dept of Psychiatry, (Box 1007) Tufts-New England Medical Center Hospitals, 750 Washington Street, Boston, MA 02111 USA

Abstract

Ethical principles are influenced by personal values and beliefs, and by societal context. They are not immutable. In medicine, as new technologies have developed and changes in health-care delivery have resulted, historically held views about the responsibilities, obligations and relationships between health-care providers and patients have been challenged.

Type
Research Article
Copyright
Copyright © Royal College of Psychiatrists, 1991 

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References

Abraham, L. (1991) Transplants available – for young, white, wealthy men. American Medical News (7 January).Google Scholar
Altman, L. K. (1990) AIDS testing of doctors is crux of thorny debate. New York Times (27 December).Google Scholar
American Medical Association (1990) Sexual misconduct in the practice of medicine. Report of the Council on Ethical and Judicial Affairs of the AMA, presented to and passed by the House of Delegates in Miami, FLA, 19 December 1990.Google Scholar
American Psychiatric Association (1989) The Principles of Medical Ethics – With Annotation Especially Applicable to Psychiatry. Washington, D.C.: APA.Google Scholar
Applebaum, P. & Grisso, T. (1988) Assessing patient's capacities to consent to treatment. New England Journal of Medicine, 3219, 16351638.CrossRefGoogle Scholar
Atwood, M. (1986) The Handmaid's Tale. Boston: Houghton Mifflin.Google Scholar
Barnhouse, R. T. (1978) Sex between patient and therapist. Journal of the American Academy of Psychoanalysis, 6, 533540.Google Scholar
Beauchamp, T. L. (1989) Paternalism. In Encyclopedia of Bioethics (vol. 23, ed. W. T. Reich). New York: The Free Press/Macmillan.Google Scholar
Blank, R. H. (1986) Emerging notions of women's rights and responsibilities during gestation. Journal of Legal Medicine, 7, 441469.Google Scholar
Boston Globe (1991) Doctors plan to review fetal tissue research (8 January).Google Scholar
Bowes, W. A. & Selgestad, B. (1981) Fetal versus maternal rights: medical and legal perspectives. Obstetrics and Gynecology, 58, 209214.Google Scholar
Bouhoutsos, J., Holroyd, J., Lerman, H., et al (1983) Sexual intimacy between psychotherapists and patients. Professional Psychology: Research and Practice, 14, 185196.CrossRefGoogle ScholarPubMed
Burgess, A. (1981) Physician sexual misconduct and patients’ responses. American Journal of Psychiatry, 138, 13351342.Google Scholar
Brody, E. B. (1988) Culture, reproductive technology and women's rights: An intergovernmental perspective. Journal of Psychosomatic Obstetrics and Gynecology, 9, 199205.Google Scholar
Cole, H. M. (1990) Legal interventions during pregnancy. Journal of the American Medical Association, 264, 26632670.Google Scholar
Dahlberg, C. C. (1970) Sexual contact between patient and therapist. Contemporary Psychoanalysis, 6, 107124.Google Scholar
Derosis, H., Hamilton, J., Morrison, E., et al (1987) More on psychiatrist-patient sexual contact. American Journal of Psychiatry, 144, 688689.Google Scholar
Engelhardt, H. T. Jr (1986) The Foundations of Bioethics. New York: Oxford University Press.Google Scholar
Feldman-Summers, S. & Jones, G. (1984) Psychological impacts on sexual contact between therapists or other health care practitioners and their clients. Journal of Consulting and Clinical Psychology, 52, 10541061.Google Scholar
Freudenheim, M. (1991) Business and health: guarding medical confidentiality. New York Times (1 January, p. 1:42).Google Scholar
Gabbard, G. (1989) Sexual Exploitation in Professional Relationships. Washington, DC: American Psychiatric Press.Google Scholar
Gartrell, H., Herman, J., Olarte, S., et al (1986) Psychiatrist–patient sexual contact: results of a national survey, I: prevalence. American Journal of Psychiatry, 143, 11261131.Google ScholarPubMed
Gartrell, H., Herman, J., Olarte, S., et al (1989) Prevalence of psychiatrist–patient sexual contact. In Sexual Exploitation in Professional Relationships (ed. G. Gabbard), pp. 313. Washington, DC: American Psychiatric Press.Google Scholar
Goleman, D. (1990) New guidelines issued on patient-therapist sex. New York Times (20 December, p. B:2).Google Scholar
Harrison, M. (1990) Drug addiction in pregnancy: the interface of science, emotion and social policy. New York City: American Psychiatric Association Annual Meeting (17 May).Google Scholar
Herman, J. L., Gartrell, N., Olarte, S., et al (1987) Psychiatrist–patient sexual contact: results of a national survey, II: psychiatrists’ attitudes. American Journal of Psychiatry, 144, 164169.Google Scholar
Hilts, P. J. (1991) Groups set up panel on use of fetal tissue. New York Times (8 January).Google Scholar
Holroyd, J. C. & Brodsky, A. M. (1977) Psychologists’ attitudes and practices regarding erotic and nonerotic physical contact with patients. American Psychologist, October, 843849.Google Scholar
Johnsen, D. (1987) A new threat to pregnant women's autonomy. Hastings Center Report, August, 3340.Google Scholar
Kahana, R. J. & Bibring, G. L. (1964) Personality types in medical management. In Psychiatry and Medical Practice in a General Hospital (ed. N. E. Zinberg), pp. 108123. New York: International University Press.Google Scholar
Kardener, S. H. (1974) Sex and physician-patient relationship. American Journal of Psychiatry, 131, 11341136.Google Scholar
Kardener, S. H., Fuller, M. & Mensh, I. N. (1976) Characteristics of “erotic” practitioners. American Journal of Psychiatry, 133, 13241325.Google Scholar
Katz, J. (ed.) (1972) Experimentation with Human Beings: The Authority of the Investigator, Subject, Professions, and State in the Human Experimentation Process. New York: Russell Sage Foundation.Google Scholar
Kluft, R. P. (1989) Treating the patient who has been exploited by a previous therapist. Psychiatric Clinics of North America.Google Scholar
Landwirth, J. (1987) Fetal abuse and neglect: an emerging controversy. Pediatrics, 79, 508514.Google Scholar
Lenow, J. L. (1983) The fetus as a patient: emerging rights as a person? American Journal of Law and Medicine, 9, 129.Google Scholar
Lewin, T. (1991) Implanted birth control device renews debate over forced contraception. New York Times (10 January, p. A:20).Google Scholar
Markey, E. J. (1990) Congress of the United States, House of Representatives, letter to Massachusetts constituents (9 December).Google Scholar
Marmor, J. (1976) The seductive psychiatrist. Psychiatry Digest, 31, 1016.Google Scholar
McCartney, J. (1966) Overt transference. Journal of Sex Research, 2, 227237.Google Scholar
McNulty, M. (1987–1988) Pregnancy police: the health policy and legal implications of punishing pregnant women for harm to their fetuses. New York University Review of Law and Social Change, 16, 277319.Google Scholar
Murray, T. H. (1987) Moral obligations to the not-yet born: the fetus as patient. Clinics in Perinatology, 14, 329343.Google Scholar
Nadelson, C. (1986) Presidential Address – Health care directions: who cares for patients? American Journal of Psychiatry, 143, 949955.Google Scholar
Nadelson, C. C. (1989) Afterword. In Sexual Exploitation in Professional Relationships (ed. G. Gabbard). Washington, DC: American Psychiatric Press.Google Scholar
Nadelson, C. C. & Notman, M. T. (1979) Women as patients and experimental subjects. In Encyclopedia of Bioethics, pp. 17131720. Washington, DC: Macmillan.Google Scholar
Nadelson, C. C. & Notman, M. T. (1990) The doctor/patient relationship: ethical issues. In The Free Woman: Women's Health in the 1990's (eds van Hall, E. & Everaerd, W.), pp. 894905. Carnforth, England: Parthenon Publishing Group.Google Scholar
Newman, L. & Brody, E. B. (1988) Editorial. Journal of Psychosomatic Obstetrics and Gynecology, 9, 155158.Google Scholar
Notman, M. T. & Nadelson, C. C. (1978) The woman patient: medical and psychological interfaces. In The Woman Patient (eds Notman, M. T. & Nadelson, C. C.), pp. 17. New York: Plenum Press.CrossRefGoogle Scholar
Palca, J. (1990) Women left out at NIH. Science, 248, 16011602.Google Scholar
Pellegrino, E. & Thomasma, D. (1988) For the Patient's Good. New York: Oxford University Press.Google Scholar
Perry, J. A. (1976) Physicians’ erotic and nonerotic physical involvement with patients. American Journal of Psychiatry, 133, 838840.Google Scholar
Pope, K. & Bohoutsos, J. (1986) Sexual Intimacy Between Therapists and Patients. New York: Praeger.Google Scholar
Rapp, M. S. (1987) Canadian Medical Association Journal, 137, 193194.Google Scholar
Rhoden, N. K. (1987) Cesareans and Samaritans. Law, Medicine and Health Care, 15, 118125.Google Scholar
Romeo, S. (1978) Dr. Martin answers his accusers. Knave, June, 1438.Google Scholar
Rothman, B. K. (1989) Recreating Motherhood: Ideology and Technology in a Patriarchal Society. New York: W. W. Norton.Google Scholar
Scheier, R. (1991) Who lives? Who dies? Who decides? American Medical News, 7 January, 34.Google Scholar
Shepard, M. (1971) The love treatment: sexual intimacy between patients and psychotherapists. New York: Wyden.Google Scholar
Simon, R. (1989) Sexual exploitation of patients: How it begins before it happens. Psychiatric Annals, 9, 104112.CrossRefGoogle Scholar
Stotland, N. (1990) Psychiatric Aspects of Reproductive Technology. Washington, DC: American Psychiatric Press, Inc.Google Scholar
US National Institutes of Health (1990) Report, 10 September, 1990.Google Scholar
Van Hall, E. V. (1988) Manipulation of human reproduction. Journal of Psychosomatic Obstetrics and Gynecology, 9, 207213.Google Scholar
Wickenden, D. (1990) Drug of choice: the side effects of RU 486. The New Republic, 26 November, 2427.Google Scholar
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