The Ethical Dilemma of Balancing Confidentiality and Duty to Protect: A Case Report of Comorbid Schizophrenia and Cannabis Use Disorder with Homicidal Thoughts.

Autor: Fiagbe D; Department of Psychiatry, University of Ghana Medical School, University of Ghana, Ghana., Edwin AK; Department of Psychological Medicine and Mental Health, School of Medicine, University of Health and Allied Sciences, Ho, Ghana.; Department of Bioethics and Palliative Care, University of Ghana Medical Centre, Legon, Accra, Ghana., Dordoye EK; Department of Psychological Medicine and Mental Health, School of Medicine, University of Health and Allied Sciences, Ho, Ghana., Dellor D; Department of Psychiatry, Korle-Bu Teaching Hospital, Accra, Ghana., Gyamera A; Department of Psychiatry, Cape Coast Teaching Hospital, Cape Coast, Ghana., Dziwornu E; Department of Psychological Medicine and Mental Health, School of Medicine, University of Health and Allied Sciences, Ho, Ghana.
Jazyk: angličtina
Zdroj: Nigerian medical journal : journal of the Nigeria Medical Association [Niger Med J] 2023 Jul 02; Vol. 64 (3), pp. 424-426. Date of Electronic Publication: 2023 Jul 02 (Print Publication: 2023).
Abstrakt: This is a report of a 29-year-old female with a history of Schizophrenia and Cannabis Use Disorder who presented with auditory hallucinations that asked her to kill her immediate supervisor. She presented the ethical dilemma many healthcare providers face in balancing the principles of patient confidentiality with the duty to protect and beneficence. The clinicians breached the patient's right to confidentiality to protect her supervisor by informing the supervisor, their manager, and the police. However, they also ensured her job security, which she risked in an environment where mental illness is highly stigmatized. This case highlights the importance of considering the ethical principles of disclosing confidential information, such as the Tarasoff I and II, and beneficence (as her job was protected) in making clinical decisions. It also summarizes the legal precedents established by the Tarasoff cases and the implications for clinical practice.
(Copyright © 2023 Nigerian Medical Association.)
Databáze: MEDLINE
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