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Working in a flawed mental health care system: an ethical challenge. Washington, DC: American Academy of Child and Adolescent Psychiatry; 1995. Annotations to AACAP ethical code with special reference to evolving health care delivery and reimbursement systems. Ethics guidelines for the practice of forensic psychiatry. These requirements become particularly important because of the essentially private, highly personal, and sometimes intensely emotional nature of the relationship established with the psychiatrist. Patient-therapist boundary issues: an integrative review of theory and research. Commentary: two sides to every story—the need for objectivity and evidence. The psychiatrist shall be ever vigilant about the impact that his or her conduct has upon the boundaries of the doctor/patient relationship, and thus upon the well-being of the patient. M begins including personal disclosures in his conversations with her. M was taught never to date a current or former patient, but he views this situation as different. Y is seeing him only for weight loss, and he rationalizes that he is providing her with medical care, not “psychiatric” care. Psychoanalysts initially defined psychiatrist/patient boundaries as a way of structuring the unique and intimate relationship that evolves during analysis. Both the American Medical Association (AMA) and the Canadian Medical Association warn members to “scrupulously avoid using the physician/patient relationship to gratify their own emotional, financial, and sexual needs.” As are all physicians, psychiatrists are governed by the 9 biomedical ethics set forth in the AMA’s Principles of Medical Ethics. The debate continues: unique ethics for psychiatry. Washington, DC: American Psychiatric Association; 2008. After they begin dating, he decides to transfer her to another clinic physician “just to be safe.” Although many psychiatrists assume that psychiatrist/patient boundaries are well defined by ethical and legal standards, boundary issues are a complex and controversial aspect of clinical practice. American Psychiatric Association The principles of medical ethics with annotations especially applicable to psychiatry. To cross or not to cross: do boundaries in therapy protect or harm?
Maintaining treatment boundaries in small communities and rural areas. American Academy of Child and Adolescent Psychiatry code of ethics. Journal of Practical Psychiatry and Behavioral Health 1998;4(2):121-4. American Academy of Child and Adolescent Psychiatry. Commentary: two sides to every story—the need for objectivity and evidence. Professional Reference articles are written by UK doctors and are based on research evidence, UK and European Guidelines. You may find the - Sharing Your Information article more useful, or one of our other health articles.