Is it acceptable for a psychiatrist to break confidentiality to prevent spousal violence?

Guedj, Myriam; Sastre, Marı́a Teresa Muñoz; Mullet, Étienne; Sorum, Paul Clay

doi:10.1016/j.ijlp.2009.01.003

Cited by 14 publications

(14 citation statements)

References 22 publications

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“…As in the 2006 study, several distinct clusters of lay participants were found: Always acceptable, Requiring consultation with an expert, Depending on many circumstances (the majority cluster), and Never acceptable. Synthesizing the findings from both studies, Guedj et al (2009) concluded that lay people were well aware that, when a threat might result in serious injury or illness or even death, decisions about breaking confidentiality are not clear-cut, are fraught with moral complexity and ambiguity, are dependent on the particular circumstances, and require discussion with outside experts. Lay people in France appear, in general, to think more in accordance with Anglo-American than with French laws, legal decisions, and medical ethical dictums.…”

Section: Professionals and Patients' Views As Regards Confidentialitymentioning

confidence: 99%

Breaking Patient Confidentiality: Comparing Chilean and French Viewpoints Regarding the Conditions of its Acceptability

et al. 2010

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The study examined the conditions under which lay people and health professionals living in Chile find it acceptable for a physician to break confidentiality to protect the wife of a patient with a sexually transmitted disease (STD). One hundred sixty-nine lay persons, 10 physicians, 17 psychologists, and 11 paramedical professionals indicated the acceptability of breaking confidentiality in 48 scenarios. The scenarios were all possible combinations of five factors: disease severity (severe, lethal); time taken to discuss this with the patient (little time, much time); patient’s intent to inform his spouse about the disease (none, one of these days, immediately); patient’s intent to adopt protective behaviors (no intent, intent); and physician’s decision to consult an STD expert (yes, no), 2 x 2 x 3 x 2 x 2. The study also compared Chilean and French views, using data gathered previously in France. A cluster analysis conducted on the overall set of raw data revealed groups of participants that found breaking confidentiality “always acceptable” (9%), requiring “consultation with an expert” (5%), “depending on the many circumstances” (70%), and “never acceptable” (11%)”. Despite clear differences in legislation and official codes of ethics between their two countries, Chilean and French lay people did not differ much in their personal convictions regarding the circumstances in which patient confidentiality can be broken or must not be broken. By contrast, Chilean physicians, in agreement with their code of ethics, were much less supportive than French physicians of complete respect of patient confidentiality in all cases

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Section: Professionals and Patients' Views As Regards Confidentialitymentioning

confidence: 99%

Breaking Patient Confidentiality: Comparing Chilean and French Viewpoints Regarding the Conditions of its Acceptability

et al. 2010

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“…In terms of studying attitudes, the above implies that if two or more factors related to attitudes are psychologically integrated by a person, then an interaction graph obtained from experimental factor manipulation will show a specific visual pattern describing the integration information rule used by this person for attitude formation [24,25]. Typical cognitive algebraic behaviour seems to be typified by summative, multiplicative, and average rules [26,27]. Thus, parallel lines patterns in an interaction graph imply the use of cognitive additive rules to factor integration, whereas graph lines showing a fan pattern imply the use of a cognitive multiplicative rule.…”

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confidence: 99%

Cognitive Algebra Underlying Special Education Teachers’ and Psychology Students’ Attitudes Towards School Inclusion of People with Intellectual Disability

Morales

Lopez

TreviÃ±o

et al. 2014

J. Intellect. Disabl. Diagn. Treat.

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Attitudes towards regular school inclusion of people with intellectual disabilities (ID) are affected by factors such as disability severity, educational level, and teacher experience. Nevertheless, the ways that teachers integrate these factors to form inclusion judgments remains unclear. The current paper explores what systematic cognitive algebra rules are used to cognitively integrate this set of inclusion factors by special education teachers and psychology students. To do so, 469 special education teachers and psychology students were asked to take part in two experimental cognitive algebra studies. In each study, participants had to read a set of school inclusion scenarios and rate the probability that a scenario actor with ID could be successfully integrated into a regular school program. To this purpose, factor effects on successful school inclusion and ID related to individuality, situational aspects, and contextual considerations (e.g., school environment, grade level taught) were explored. Results suggested that participants showed attitudes to school inclusion ranking from light to moderate positive values. Situational factors, as well as context factors, were judged to be more significant than other factors in elementary education. These factors were integrated by following a cognitive summative rule. Overall, judgment for successful school inclusion follows a summative rule to integrate sources of information. This rule is maintained irrespective of the disability under consideration. However, valuation of each source of information does depend on the type of the current study sample. Implications of these results for inclusion of people with disabilities in regular schools are discussed in this paper.

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“…, ), to break patient confidentiality (Guedj et al . ) or to perform an abortion (Muñoz Sastre et al . ).…”

Section: Discussionmentioning

confidence: 99%

Lay people's and health professionals’ views about breaking bad news to children

Sastre

Sorum

Mullet

2012

Child

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Is it acceptable for a psychiatrist to break confidentiality to prevent spousal violence?

Abstract: Lay people in France are influenced by situational factors when deciding if a psychiatrist should break confidentiality to protect a patient's wife.

Cited by 14 publications

References 22 publications

Breaking Patient Confidentiality: Comparing Chilean and French Viewpoints Regarding the Conditions of its Acceptability

Breaking Patient Confidentiality: Comparing Chilean and French Viewpoints Regarding the Conditions of its Acceptability

Cognitive Algebra Underlying Special Education Teachers’ and Psychology Students’ Attitudes Towards School Inclusion of People with Intellectual Disability

Lay people's and health professionals’ views about breaking bad news to children

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