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Ethical conflicts of diagnosis and consent: in psychiatry and prenatal diagnosis


l'Information Psychiatrique. Volume 87, Number 7, 557-66, Septembre 2011, Bioéthique, éthique et psychiatrie

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Author(s) : Anne Danion-Grilliat

Summary : Ethics is a practical philosophical discipline, a work of human reason, which leads to questioning in order to assess the values of an action and to indicate how to act in regard to others and oneself. Applied ethics allow to confront conflicting values in a given situation, as a daily practice, with respect to concrete issues and possibly in order to suspend or modify an action. The question of the diagnosis, whether it be in medicine in general, in psychiatry or in special clinical situations such as the prenatal diagnosis, is challenged by many ethical questions which do not only simply arise from the fact that the law obliges the physician to inform the patient of a given diagnosis. This is to the extent that this medical act is an integral part of the doctor-patient relationship and that it questions the very identity of the patient and their history, this is where the ethical conflict lies – and this will be analyzed in our article.

Keywords : ethics, diagnosis, informing patients of diagnosis, patient information, care consent, psychiatry, prenatal diagnosis

 

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