Search results for 'Confidentiality' (try it on Scholar)

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  1. D. Confidentiality (forthcoming). 34 Chapter 2 Ethical Dimensions of Therapist-Patient Roles and Relationships. Bioethics.score: 30.0
     
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  2. Teen Smokers, Adolescent Patient Confidentiality & Whom Are We Kidding (2001). Subject Index to Volume 29. Substance 125 (131):279.score: 30.0
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  3. Martin Tolich (2009). The Principle of Caveat Emptor: Confidentiality and Informed Consent as Endemic Ethical Dilemmas in Focus Group Research. [REVIEW] Journal of Bioethical Inquiry 6 (1):99-108.score: 24.0
    Informed consent and confidentiality supposedly minimize harm for research participants in all qualitative research methodologies, inclusive of one-on-one unstructured interviews and focus groups. This is not the case for the latter. Confidentiality and informed consent uniquely manifest themselves as endemic ethical dilemmas for focus group researchers. The principle of caveat emptor (let the buyer beware) may be a more useful tool for those involved in focus group research: that is, let the researcher, the participants and the ethics committee (...)
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  4. M. A. Crook (2013). The Risks of Absolute Medical Confidentiality. Science and Engineering Ethics 19 (1):107-122.score: 24.0
    Some ethicists argue that patient confidentiality is absolute and thus should never be broken. I examine these arguments that when critically scrutinised, become porous. I will explore the concept of patient confidentiality and argue that although, this is a very important medical and bioethical issue, this needs to be wisely delivered to reduce third party harm or even detriment to the patient. The argument for absolute confidentiality is particularly weak when it comes to genetic information and inherited (...)
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  5. Ke Yu (2008). Confidentiality Revisited. Journal of Academic Ethics 6 (2):161-172.score: 24.0
    This article challenges the importance and necessity of confidentiality, which are often taken for granted, and questions whether the default promise of confidentiality to all participants, particularly in educational research, could in fact be an unnecessary concern. This article begins by reviewing the difference in the way confidentiality is handled in different fields and the applicability of some underlying assumptions. This is followed by an explanation of why confidentiality is investigated in the sense of anonymity in (...)
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  6. Colleen Reid & Elana Brief (2009). Confronting Condescending Ethics: How Community-Based Research Challenges Traditional Approaches to Consent, Confidentiality, and Capacity. [REVIEW] Journal of Academic Ethics 7 (1-2):75-85.score: 24.0
    Community based research is conducted by, for, and with the participation of community members, and aims to ensure that knowledge contributes to making a concrete and constructive difference in the world (The Loka Institute 2002). Yet decisions about research ethics are often controlled outside the research community itself. In this analysis we grapple with the imposition of a community confidentiality clause and the implications it had for consent, confidentiality, and capacity in a province-wide community based research project. Through (...)
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  7. John Lowman & Ted Palys (2007). Strict Confidentiality: An Alternative to Pre's “Limited Confidentiality” Doctrine. [REVIEW] Journal of Academic Ethics 5 (2-4):163-177.score: 24.0
    In “Advisory Opinion on Confidentiality, Its Limits and Duties to Others” the Canadian Interagency Advisory Panel on Research Ethics (PRE) articulates a rationale for a priori limitations to research confidentiality, based largely on putative legal duties to violate confidentiality in certain circumstances. We argue that PRE promotes a “Law of the Land” doctrine of research ethics that is but one approach to resolving potential conflicts between law and research ethics. PRE emphasises risks that have never materialized, and (...)
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  8. Beverly Woodward (2001). Confidentiality, Consent and Autonomy in the Physician-Patient Relationship. Health Care Analysis 9 (3):337-351.score: 24.0
    In the practice of medicine there has long been a conflict between patient management and respect for patient autonomy. In recent years this conflict has taken on a new form as patient management has increasingly been shifted from physicians to insurers, employers, and health care bureaucracies. The consequence has been a diminshment of both physician and patient autonomy and a parallel diminishment of medical record confidentiality. Although the new managers pay lip service to the rights of patients to (...) of their records, in fact they advocate very liberal medical records access policies. They argue that a wide range of parties has a need to know the contents of individually identifiable medical records in order to control costs, promote quality of care, and undertake research in the public interest. Broad interpretations of the need to know, however, are at odds with strict interpretations of the right to confidentiality. Strict confidentiality policies require that, with few exceptions, patient consent be obtained whenever a patient's record is used outside the treatment context. The traditional criterion for overriding the consent requirement has been that without the override some harm would directly result. This rule is now challenged by the claim that patients have a duty to make their records available for a wide range of research and public health purposes. The longstanding tension between physician responsibility for patient welfare and respect for patient autonomy is being replaced by a debatable requirement that both physician and patient autonomy be subordinated to the goals of data collection and analysis. (shrink)
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  9. Seda Gürses (2010). PETs and Their Users: A Critical Review of the Potentials and Limitations of the Privacy as Confidentiality Paradigm. [REVIEW] Identity in the Information Society 3 (3):539-563.score: 24.0
    “Privacy as confidentiality” has been the dominant paradigm in computer science privacy research. Privacy Enhancing Technologies (PETs) that guarantee confidentiality of personal data or anonymous communication have resulted from such research. The objective of this paper is to show that such PETs are indispensable but are short of being the privacy solutions they sometimes claim to be given current day circumstances. Using perspectives from surveillance studies we will argue that the computer scientists’ conception of privacy through data or (...)
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  10. Ted Palys & John Lowman (2012). Defending Research Confidentiality “To the Extent the Law Allows:” Lessons From the Boston College Subpoenas. [REVIEW] Journal of Academic Ethics 10 (4):271-297.score: 24.0
    Although in the US there have been dozens of subpoenas seeking information gathered by academic researchers under a pledge of confidentiality, few cases have garnered as much attention as the two sets of subpoenas issued to Boston College seeking interviews conducted with IRA operatives who participated in The Belfast Project, an oral history of The Troubles in Northern Ireland. For the researchers and participants, confidentiality was understood to be unlimited, while Boston College has asserted that it pledged (...) only “to the extent American law allows.” This a priori limitation to confidentiality is invoked by many researchers and universities in the United States, Canada and Great Britain, but there has been little discussion of what the phrase means and what ethical obligations accompany it. An examination of the researchers’ and Boston College’s behaviour in relation to the subpoenas provides the basis for that discussion. We conclude that Boston College has provided an example that will be cited for years to come of how not to protect research participants to the extent American law allows. (shrink)
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  11. Ghiath Alahmad & Kris Dierickx (2012). What Do Islamic Institutional Fatwas Say About Medical and Research Confidentiality and Breach of Confidentiality? Developing World Bioethics 12 (2):104-112.score: 24.0
    Protecting confidentiality is an essential value in all human relationships, no less in medical practice and research.1 Doctor-patient and researcher-participant relationships are built on trust and on the understanding those patients' secrets will not be disclosed.2 However, this confidentiality can be breached in some situations where it is necessary to meet a strong conflicting duty.3Confidentiality, in a general sense, has received much interest in Islamic resources including the Qur'an, Sunnah and juristic writings. However, medical and research confidentiality (...)
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  12. Paul Ndebele, Joseph Mfutso-Bengo & Francis Masiye (2008). Hiv/Aids Reduces the Relevance of the Principle of Individual Medical Confidentiality Among the Bantu People of Southern Africa. Theoretical Medicine and Bioethics 29 (5):331-340.score: 24.0
    The principle of individual medical confidentiality is one of the moral principles that Africa inherited unquestioningly from the West as part of Western medicine. The HIV/AIDS pandemic in Southern Africa has reduced the relevance of the principle of individual medical confidentiality. Individual medical confidentiality has especially presented challenges for practitioners among the Bantu communities that are well known for their social inter-connectedness and the way they value their extended family relations. Individual confidentiality has raised several unforeseen (...)
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  13. Stavroula A. Papadodima, Chara A. Spiliopoulou & Emmanouil I. Sakelliadis (2008). Medical Confidentiality: Legal and Ethical Aspects in Greece. Bioethics 22 (7):397-405.score: 24.0
    Respect for confidentiality is firmly established in codes of ethics and law. Medical care and the patients' trust depend on the ability of the doctors to maintain confidentiality. Without a guarantee of confidentiality, many patients would want to avoid seeking medical assistance The principle of confidentiality, however, is not absolute and may be overridden by public interests. On some occasions (birth, death, infectious disease) there is a legal obligation on the part of the doctor to disclose (...)
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  14. B. S. Elger (2009). Factors Influencing Attitudes Towards Medical Confidentiality Among Swiss Physicians. Journal of Medical Ethics 35 (8):517-524.score: 24.0
    Medical confidentiality is a core concept of professionalism and should be an integral part of pregraduate and postgraduate medical education. The aim of our study was to define the factors influencing attitudes towards patient confidentiality in everyday situations in order to define the need for offering further education to various subgroups of physicians. All internists and general practitioners who were registered members of the association of physicians in Geneva or who were working in the department of internal medicine (...)
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  15. Ted Palys & John Lowman (2010). Going Boldly Where No One Has Gone Before? How Confidentiality Risk Aversion is Killing Research on Sensitive Topics. Journal of Academic Ethics 8 (4):265-284.score: 24.0
    Bernhard and Young (Journal of Academic Ethics, 7, 175-191, 2009) allege that a myth of confidentiality plagues research in North America because of the absence of statute-based legal protections and the requirements of some REBs to limit confidentiality to the extent permitted by law. In this commentary we describe statute-based protections for research confidentiality available in the United States, clarify the legal situation regarding research confidentiality in Canada, and explain that REBs that require confidentiality to (...)
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  16. Barbara J. Daly, Ashley Rosko, Shulin Zhang & Hillard M. Lazarus (forthcoming). The Devil is in the Details: Confidentiality Challenges in the Age of Genetics. HEC Forum:1-8.score: 24.0
    This clinical case report illustrates the potential dilemmas that can arise from knowledge gained through genetic analysis. These conflicts require careful ethical analysis of presumed duties to protect patient privacy and maintain confidentiality, the duty to warn a second party of a health risk, and the duty of veracity. While the questions raised by genetic testing of one individual for disease that reveals potentially important information about relatives, such as risk for Huntington chorea or breast cancer, have been discussed, (...)
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  17. Bernice Elger & David Shaw (forthcoming). Confidentiality in Prison Health Care – A Practical Guide. In Bernice Elger, Catherine Ritter & Heino Stöver (eds.), Emerging Issues in Prison Health. Springer.score: 24.0
    The importance of medical confidentiality is obvious to anyone who has ever been a patient, and protecting private information about patients is one of the key responsibilities of healthcare professionals. However, maintaining the confidentiality of patients who are incarcerated in prisons poses several ethical challenges. In this chapter we explain the importance of confidentiality in general, and the dilemmas that sometimes face doctors with regard to it, before describing some of the specific difficulties faced by prison doctors. (...)
     
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  18. Tenzin Wangmo, Violet Handtke & Bernice Simone Elger (2014). Disclosure of Past Crimes: An Analysis of Mental Health Professionals' Attitudes Towards Breaching Confidentiality. Journal of Bioethical Inquiry 11 (3):347-358.score: 24.0
    Ensuring confidentiality is the cornerstone of trust within the doctor–patient relationship. However, health care providers have an obligation to serve not only their patient’s interests but also those of potential victims and society, resulting in circumstances where confidentiality must be breached. This article describes the attitudes of mental health professionals (MHPs) when patients disclose past crimes unknown to the justice system. Twenty-four MHPs working in Swiss prisons were interviewed. They shared their experiences concerning confidentiality practices and attitudes (...)
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  19. Shaun Stevenson, B. L. Beattie, Richard Vedan, Emily Dwosh, Lindsey Bruce & Judy Illes (2013). Neuroethics, Confidentiality, and a Cultural Imperative in Early Onset Alzheimer Disease: A Case Study with a First Nation Population. Philosophy, Ethics, and Humanities in Medicine 8 (1):15.score: 21.0
    The meaningful consideration of cultural practices, values and beliefs is a necessary component in the effective translation of advancements in neuroscience to clinical practice and public discourse. Society’s immense investment in biomedical science and technology, in conjunction with an increasingly diverse socio-cultural landscape, necessitates the study of how potential discoveries in neurodegenerative diseases such as Alzheimer disease are perceived and utilized across cultures. Building on the work of neuroscientists, ethicists and philosophers, we argue that the growing field of neuroethics provides (...)
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  20. Kenneth Kipnis (2006). A Defense of Unqualified Medical Confidentiality. American Journal of Bioethics 6 (2):7 – 18.score: 18.0
    It is broadly held that confidentiality may be breached when doing so can avert grave harm to a third party. This essay challenges the conventional wisdom. Neither legal duties, personal morality nor personal values are sufficient to ground professional obligations. A methodology is developed drawing on core professional values, the nature of professions, and the justification for distinct professional obligations. Though doctors have a professional obligation to prevent public peril, they do not honor it by breaching confidentiality. It (...)
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  21. Elleke Landeweer, Tineke A. Abma, Linda Dauwerse & Guy A. M. Widdershoven (2011). Triad Collaboration in Psychiatry: Privacy and Confidentiality Revisited. International Journal of Feminist Approaches to Bioethics 4 (1):121-139.score: 18.0
    Recently, there has been increased interest in the involvement of family members in treating psychiatric patients who are involuntarily admitted into mental hospitals (Goodwin and Happel 2006; Wilkinson and McAndrew 2008). Family is, for instance, expected to be of use in preventing escalations and aggression on the wards by giving information about patient needs and providing support to the patient. Yet, in practice, family is not routinely involved in the treatment process, and is not even regularly informed about situations (Marshall (...)
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  22. Barbara L. Adams, Fannie L. Malone & Woodrow James (1995). Confidentiality Decisions: The Reasoning Process of CPAS in Resolving Ethical Dilemmas. [REVIEW] Journal of Business Ethics 14 (12):1015 - 1020.score: 18.0
    As in other professions, such as law and medicine, accounting has a Code of Professional Conduct (Code) that members are expected to abide by. In today''s legalistic society, however, the question of what is the right thing to do, is often confused with what is legal? In many instances, this may present a conflict between adhering to the Code and doing what some may perceive as proper ethical behavior. This paper examines (1) the reasoning process that CPAs use in resolving (...)
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  23. Brett A. Williams & Leslie E. Wolf (2013). Biobanking, Consent, and Certificates of Confidentiality: Does the ANPRM Muddy the Water? Journal of Law, Medicine and Ethics 41 (2):440-453.score: 18.0
    In its Advanced Notice of Proposed Rule Making (ANPRM), the U.S. Department of Health and Human Services proposed substantial changes to how biospecimen research is treated under the regulations governing human subjects research. Currently, much of this research can be conducted without consent because it may not be considered “human subjects” research, is considered exempt, or consent may be waived. Responding to criticisms that scientific changes have made biospecimen research riskier than contemplated when the Common Rule was last amended, the (...)
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  24. Matthew K. Wynia (2007). Breaching Confidentiality to Protect the Public: Evolving Standards of Medical Confidentiality for Military Detainees. American Journal of Bioethics 7 (8):1 – 5.score: 18.0
    Confidentiality is a core value in medicine and public health yet, like other core values, it is not absolute. Medical ethics has typically allowed for breaches of confidentiality when there is a credible threat of significant harm to an identifiable third party. Medical ethics has been less explicit in spelling out criteria for allowing breaches of confidentiality to protect populations, instead tending to defer these decisions to the law. But recently, issues in military detention settings have raised (...)
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  25. S. Gibson, O. Benson & S. L. Brand (2012). Talking About Suicide: Confidentiality and Anonymity in Qualitative Research. Nursing Ethics 20 (1):0969733012452684.score: 18.0
    While it is acknowledged that there is a need for more qualitative research on suicide, it is also clear that the ethics of undertaking such research need to be addressed. This article uses the case study of the authors’ experience of gaining ethics approval for a research project that asks people what it is like to feel suicidal to (a) analyse the limits of confidentiality and anonymity and (b) consider the ways in which the process of ethics review can (...)
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  26. Ruth Macklin (1991). HIV-Infected Psychiatric Patients: Beyond Confidentiality. Ethics and Behavior 1 (1):3 – 20.score: 18.0
    The AIDS epidemic calls for an ethical analysis of conflicting obligations surrounding HIV-infected psychiatric patients and confidentiality, as well as issues that go beyond confidentiality. Although laws pertaining to HIV infection have been enacted in a number of states, these statutes leave much discretion to health professionals. The ethical principle known as "the harm principle" can permit disclosure of confidential information and detention or isolation of psychiatric patients who pose a threat of infecting other patients. From an ethical (...)
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  27. J. Miola (2008). Owning Information - Anonymity, Confidentiality and Human Rights. Clinical Ethics 3 (3):116-120.score: 18.0
    As the General Medical Council (GMC) is currently in the process of reviewing its ethical guidance on confidentiality, it is a prescient time to consider the legal and ethical issues inherent in it. This paper examines the question of anonymized data, and highlights the fact that the legal position regarding whether it should be classed as confidential is unclear, with the possibility of a change in the law being very real. Indeed, the article argues that the notion that anonymized (...)
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  28. J. V. McHale & J. Jones (2012). Privacy, Confidentiality and Abortion Statistics: A Question of Public Interest? Journal of Medical Ethics 38 (1):31-34.score: 18.0
    Next SectionThe precise nature and scope of healthcare confidentiality has long been the subject of debate. While the obligation of confidentiality is integral to professional ethical codes and is also safeguarded under English law through the equitable remedy of breach of confidence, underpinned by the right to privacy enshrined in Article 8 of the Human Rights Act 1998, it has never been regarded as absolute. But when can and should personal information be made available for statistical and research (...)
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  29. M. H. Kottow (1986). Medical Confidentiality: An Intransigent and Absolute Obligation. Journal of Medical Ethics 12 (3):117-122.score: 18.0
    Clinicians' work depends on sincere and complete disclosures from their patients; they honour this candidness by confidentially safeguarding the information received. Breaching confidentiality causes harms that are not commensurable with the possible benefits gained. Limitations or exceptions put on confidentiality would destroy it, for the confider would become suspicious and un-co-operative, the confidant would become untrustworthy and the whole climate of the clinical encounter would suffer irreversible erosion. Excusing breaches of confidence on grounds of superior moral values introduces (...)
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  30. James L. Werth, Caroline Burke & Rebekah J. Bardash (2002). Confidentiality in End-of-Life and After-Death Situations. Ethics and Behavior 12 (3):205 – 222.score: 18.0
    Confidentiality is one of the foundations on which psychotherapy is built. Limitations on confidentiality in the therapeutic process have been explained and explored by many authors and organizations. However, controversy and confusion continue to exist with regard to the limitations on confidentiality in situations where clients are considering their options at the end of life and after a client has died. This article reviews these 2 areas and provides some suggestions for future research.
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  31. M. W. Adler (1991). HIV, Confidentiality and 'a Delicate Balance': A Reply to Leone Ridsdale. Journal of Medical Ethics 17 (4):196-198.score: 18.0
    The passing on of information to GPs by genito-urinary doctors is to be encouraged but is not always possible and ultimately the patient's wishes and confidentiality must be respected if sexually transmitted diseases and HIV infection are to be controlled. Infected health-care workers should seek counselling and medical support and clear guidelines from professional organisations which are in existence. However, they will only do so if strict confidentiality is maintained and assurance about future employment can be given.
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  32. William A. Rae, Jeremy R. Sullivan, Nancy Peña Razo & Roman Garcia de Alba (2009). Breaking Confidentiality to Report Adolescent Risk-Taking Behavior by School Psychologists. Ethics and Behavior 19 (6):449-460.score: 18.0
    School psychologists often break confidentiality if confronted with risky adolescent behavior. Members of the National Association of School Psychologists ( N = 78) responded to a survey containing a vignette describing an adolescent engaging in risky behaviors and rated the degree to which it is ethical to break confidentiality for behaviors of varying frequency, intensity, and duration. Respondents generally found it ethical to break confidentiality when risky adolescent behaviors became more dangerous or potentially harmful, although there was (...)
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  33. Benjamin Freedman (1991). Violating Confidentiality to Warn of a Risk of HIV Infection: Ethical Work in Progress. Theoretical Medicine and Bioethics 12 (4).score: 18.0
    The old literature on whether medical confidentiality may be breached to warn a spouse of a risk of contracting syphilis from his/her partner — a deep and rich literature — has become relevant once again in the context of HIV infection and AIDS. This paper examines the reasoning and method employed in: the Catholic approach centered around the patient's (property) right to the secret; a (generic) model of justice, utilizing minimal principles of non-aggression and restitution; and an approach involving (...)
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  34. S. Glen (1997). Confidentiality:: A Critique of the Traditional View. Nursing Ethics 4 (5):403-406.score: 18.0
    Confidentiality’ can become a somewhat embellishing signboard for paternalistic caring. In essence, one needs to distinguish between confidentiality as a respectful attitude to a patient/client, where it becomes credible that the caring professional will not misuse the information he or she obtains about the patient/client, and between confidentiality misused as an instrument of power to keep the patient/client outside of processes in which it might be important or advantageous for him or her to participate.
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  35. G. Niveau, S. Burkhardt & S. Chiesa (2013). Medical Confidentiality and the Competent Patient. Journal of Medical Ethics 39 (11):686-689.score: 18.0
    Confidentiality is both a fundamental principle of medical ethics and a legal obligation.In exceptional situations not covered by legal provisions, doctors may want to waive confidentiality against the wishes of the patient. Swiss law calls for an authority to rule on such cases. In the Canton of Geneva this authority is the Commission for Professional Confidentiality. This paper concerns 41 cases managed by this commission. The study shows that the majority of these requests to the Commission concern (...)
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  36. Martin Gill & Peter Jordan (2012). UK Conference Report: Confidentiality and Collaboration—The Ethics of Information Sharing in Health and Social Care. Ethics and Social Welfare 6 (1):74-78.score: 18.0
    (2012). UK Conference Report: Confidentiality and Collaboration—The Ethics of Information Sharing in Health and Social Care. Ethics and Social Welfare: Vol. 6, No. 1, pp. 74-78. doi: 10.1080/17496535.2012.651888.
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  37. Jenna Goesling, Stacey M. Potts & Mitchell M. Handelsman (2000). Perceptions of Confidentiality Violations Among Psychologists. Ethics and Behavior 10 (4):363 – 374.score: 18.0
    This study explored psychologists' perceptions of confidentiality violations. One hundred ninety-five psychologists answered questionnaires about a vignette regarding a male therapist accused of violating the confidentiality of a female client. The vignette varied on the following variables: (a) Confidential information was conveyed to either an insurance company or another client, (b) the therapist's account of the violation included either an excuse or a justification, and (c) scapegoating was included or not included in the account. The insurance condition and (...)
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  38. Marwan Habiba & Martyn Evans (2002). The Inter-Role Confidentiality Conflict in Recruitment for Clinical Research. Journal of Medicine and Philosophy 27 (5):565 – 587.score: 18.0
    Recruiting patients into clinical research is essential for the advancement of medical knowledge. However, when the physician undertaking the care of the patient is also responsible for recruitment into clinical research, a situation arises of an inter-role breach of confidentiality which is distinguishable from other conflicts of interest. Such discord arises as the physician utilizes confidential information obtained within the therapeutic relationship beyond its primary objective, and safeguards ought to be observed in order to avert this important, and generally (...)
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  39. Helen McLaren (2007). Exploring the Ethics of Forewarning: Social Workers, Confidentiality and Potential Child Abuse Disclosures. Ethics and Social Welfare 1 (1):22-40.score: 18.0
    This article reports on exploratory research into social workers? perceptions and actions regarding ?forewarning? clients of their child abuse reporting obligations as a limitation of confidentiality at relationship onset. Ethical principles and previous research on forewarning are discussed prior to stating the research methods and presenting findings. Data obtained from South Australian social workers engaged in human service work with adult family members articulate a strong desire to practise in accordance with professional codes of ethics. However, the findings suggest (...)
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  40. Simon Shimshon Rubin & Omer Dror (1996). Professional Ethics of Psychologists and Physicians: Mortality, Confidentiality, and Sexuality in Israel. Ethics and Behavior 6 (3):213 – 238.score: 18.0
    Clinical psychologists' and nonpsychiatric physicians' attitudes and behaviors in sexual and confidentiality boundary violations were examined. The 171 participants' responses were analyzed by profession, sex, and status (student, resident, professional) on semantic differential, boundary violation vignettes, and a version of Pope, Tabachnick, and Keith-Spiegel's (1987) ethical scale. Psychologists rated sexual boundary violation as more unethical than did physicians (p<.001). Rationale (p<.01) and timing (p<.001) influenced ratings. Psychologists reported fewer sexualized behaviors than physicians (p<05). Professional experience (p<.01) and sex (p<.05) (...)
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  41. P. Cain (1998). The Limits of Confidentiality. Nursing Ethics 5 (2):158-165.score: 18.0
    Two conditions are commonly taken to constitute an obligation of confidentiality: information is entrusted by one person to another; and there is an express understanding that this will not be divulged. This conception of confidentiality, however, does not match much of the practice of health care. Health care practitioners would, for example, hold themselves to be under an obligation of confidentiality in situations where neither of these conditions obtain. The discussion proposes, therefore, two additional grounds for (...). This is in order to clarify, in general terms, the scope of this obligation (i.e. to clarify at what point confidentiality can be said to have been broken). The ‘limits of confidentiality’, it is argued, are set by the wishes of the client or, where these are not known, by reference to those whose right and need to know relate to the care of the client. Anonymous references to the client outside this limit may not be breaches of confidence; whether they are or not depends, it is suggested, on if such reference is responsible. (shrink)
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  42. V. Carli, G. Hadlaczky, C. Wasserman, N. Stingelin-Giles, S. Reiter-Theil & D. Wasserman (2012). Maintaining Confidentiality in Prospective Studies: Anonymous Repeated Measurements Via Email (ARME) Procedure. Journal of Medical Ethics 38 (2):127-129.score: 18.0
    Respecting and protecting the confidentiality of data and the privacy of individuals regarding the information that they have given as participants in a research project is a cornerstone of complying with accepted research standards. However, in longitudinal studies, establishing and maintaining privacy is often challenging because of the necessity of repeated contact with participants. A novel internet-based solution is introduced here, which maintains privacy while at the same time ensures linkage of data to individual participants in a repeated measures (...)
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  43. R. D. Strous (2009). To Protect or to Publish: Confidentiality and the Fate of the Mentally Ill Victims of Nazi Euthanasia. Journal of Medical Ethics 35 (6):361-364.score: 18.0
    In Nazi Germany, approximately 200 000 mentally ill people were murdered under the guise of euthanasia. Relatively little is known regarding the fate of the Jewish mentally ill patients targeted in this process, long before the Holocaust officially began. For the Nazis, Jewish mentally ill patients were doubly cursed since they embodied both “precarious genes” and “racial toxin”. To preserve the memory of the victims, Yad Vashem, the leading institution dedicated to documentation of the Holocaust, actively collects information and documents (...)
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  44. J. Adams (1990). Confidentiality and Huntington's Chorea. Journal of Medical Ethics 16 (4):196-199.score: 18.0
    A doctor has duties towards his patients of both confidentiality and veracity and at times these may conflict, as in the following case. A mother who has the symptoms of Huntington's chorea does not wish her daughters to know. The doctor must try to make her realise how valuable the information can be to the daughters, and thus obtain her consent to inform them. If the mother's consent cannot be obtained, then the doctor must tell the mother that he (...)
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  45. Kimberly Hoagwood (1994). The Certificate of Confidentiality at the National Institute of Mental Health: Discretionary Considerations in its Applicability in Research on Child and Adolescent Mental Disorders. Ethics and Behavior 4 (2):123 – 131.score: 18.0
    Child and adolescent researchers must balance increasingly complex sets of ethical, legal, and scientific standards when investigating child and adolescent mental disorders. Few guidelines are available. One mechanism that provides the investigator immunity from legally compelled disclosure of research records is described. However, discretion must be exercised in its use, especially with regard to abuse reporting, voluntary disclosure of abuse, and protection of research data. Examples of discretionary issues in the use of the certificate of confidentiality are provided.
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  46. D. J. Kenny (1982). Confidentiality: The Confusion Continues. Journal of Medical Ethics 8 (1):9-11.score: 18.0
    The author, a regional health authority administrator, argues that `ownership' is a side issue in legal and moral arguments over confidentiality of medical records. Nor is it practicable, he argues, for doctors alone to control all access to the medical records. He proposes the principle of `custodianship' of confidential information, to be accepted by an institution as a whole, as a possible way of resolving the problem. In commentaries on this and the following article an academic lawyer and a (...)
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  47. Robert Lipkin (1989). Intimacy and Confidentiality in Psychotherapeutic Relationships. Theoretical Medicine and Bioethics 10 (4).score: 18.0
    This article explores the relations among and between intimacy, psychotherapeutic relationships and moral advice. The article concludes that a psychotherapeutic relationship is not usefully explained in terms of intimacy. Instead, a psychiatric relationship is a form of moral advice, and it is this dimension of a psychotherapeutic relationship as a form of moral advice that poses a natural limit to the confidentiality necessary for engaging in psychotherapy.
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  48. Eileen Munro (2007). Confidentiality in a Preventive Child Welfare System. Ethics and Social Welfare 1 (1):41-55.score: 18.0
    Emerging child welfare policies promoting preventive and early intervention services present a challenge to professional ethics, raising questions about how to balance respect for service users with concern for social justice. This article explains how the UK policy involves shifting the balance of power away from families towards state and professional decision making. The policy is predicated on sharing information between professionals to inform risk and need assessment and so poses a problem for the ethic of confidentiality in a (...)
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  49. Thomas V. Palma & Richard J. Iannelli (2002). Therapeutic Reactivity to Confidentiality with HIV Positive Clients: Bias or Epidemiology? Ethics and Behavior 12 (4):353 – 370.score: 18.0
    Therapeutic reactivity among psychology trainees (N = 68) was ascertained by their response to 10 clinical vignettes depicting clients with HIV who are sexually active with uninformed partners. This construct accounts for the relative change in decisions to maintain the confidentiality of clients who acknowledge safe versus unsafe sexual behavior. As anticipated, an analysis of variance revealed a significant main effect for safety and a significant 3-way interaction (Sexual Orientation × Safety × Gender). Subsequent analyses revealed that trainees exhibit (...)
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