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Titre : | Under what conditions do lay people and health professionals accept a breach of doctor-patient confidentiality regarding a patient with signs of terrorist radicalization? (2021) |
Titre original: | Sous quelles conditions le grand public et les professionnels de santé acceptent-ils de rompre le secret médical face à un patient présentant des signes de radicalisation terroriste ? |
Auteurs : | Mathilde Lochmann ; Myriam Guedj |
Type de document : | Article |
Dans : | European Review of Applied Psychology (Vol. 71, n° 5, September 2021) |
Article en page(s) : | 10 p. |
Langues: | Anglais |
Descripteurs : |
HE Vinci Confidentialité ; Ethique ; Radicalisation ; Terrorisme |
Résumé : |
Introduction
Confidentiality is crucial to the establishment of a strong patient-physician relationship. However, certain situations create a dilemma for the physician who is faced with the choice of either respecting medical confidentiality or protecting others from a serious risk of violence. Objective This study aimed to observe how lay people and health professionals assessed the acceptability of breaching confidentiality when a physician is confronted to a patient showing signs of terrorist radicalization. Method A total of 228 participants (174 from the general population and 54 health professionals) judged the acceptability of 54 scenarios which were constructed through the orthogonal combination of 4 factors frequently mentioned in the literature: presence of a Psychiatric disorder; Signs of radicalization; Projects of violence; Collegiality. Variance and cluster analyses were performed on all the raw data. Results Results showed that all factors influenced the judgment of participants but that Psychiatric disorders had a weaker impact. Five clusters were identified: Favorable if collegiality (n = 23); Favorable to breach confidentiality (n = 77); Unfavorable to breach confidentiality (n = 26); Sensitive to all factors (n = 71); Favorable if violence (n = 31), respectively with mean ratings of 5.87, 8.42, 3.64, 6.30 and 7.16, on an acceptability scale of 010. Conclusion The importance that the great majority of participants attribute to these factors indicates that they influence their judgments in this specific context. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S1162908820300542 |