tailieunhanh - Psychiatry in Society - part 5

Khái niệm về bảo mật là trung tâm của bác sĩ bất kỳ ± bệnh nhân mối quan hệ, nhưng đặc biệt là trong tâm thần học, nơi bản chất của mối quan hệ hoàn tất công bố thông tin của các bệnh nhân của động cơ trong cùng của họ và các khu vực thân mật của cuộc sống. | 112 PSYCHIATRY IN SOCIETY Confidentiality The concept of confidentiality is central to any doctor-patient relationship but especially in psychiatry where the essence of the relationship is complete disclosure by patients of their innermost motives and intimate areas of life. Yet the clinical setting on many occasions renders the concept very porous to the extent that it is virtually non-existent. Nurses residents social workers psychologists ward clerks Medicaid reviewers and accreditation bodies read the patient s chart. So one may say that the great majority of people who see the patient s information do not have any personal interest in or knowledge of the patient and look at their charts in an administrative capacity 22-24 Furthermore the computerization of health care information has both positive and negative consequences. The sharing of information between health care professionals has become easier as transmission of data has been simplified. On the other hand the security measures in place to protect personal information may be lacking. Unauthorized access or disclosure therefore becomes a greater concern for patients and may have a chilling effect on the disclosure of information by patients to their health care providers 25-29 . Psychotherapy Psychotherapy in the broad sense is an accepted component of many medical interventions and is an implicit or explicit part of the majority of physician-patient contacts. The specialty of psychotherapy is a complex of activity-related strategies to influence perception and behavior in order to eliminate or reduce mentally induced or associated disorders. It also helps patients to cope with physical illness or psychosocial burdens as well as to prevent illness. As such the term psychotherapy describes in general a field of medical care and specifically a treatment method a specialty field . Since it is not ethically acceptable to apply procedures of treatment for which there are no specific indications and no .