Abuse of the Doctor-patient Relationship

Front Cover
Fiona Subotsky, Susan Bewley, Michael Crowe
RCPsych Publications, 2010 - Medical - 239 pages
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The doctor–patient relationship is fraught with risk. Patients may be at risk from a doctor who misuses their position of authority, or is unclear where the appropriate boundaries lie. Doctors risk disciplinary or criminal proceedings when this happens. This book aims to address these risks, to assist clinicians in their daily relationships with patients, and to improve patient safety.

The authors examine the ethical principles and how these may be taught; prevalence of abuse; regulation and sanctions; management and governance; remediation; and the roles of the different organisations that may be involved, such as the General Medical Council and medical protection societies.

  • Practical guide to help clinicians avoid boundary violations and improve patient safety.
  • Expert contributions from a wide range of professionals.
  • Special focus on abuse by nurses, psychotherapists, sexual therapists and gynaecologists.
  • Extensively illustrated with case examples.
  • Includes professional guidelines.


Readership:

A multidisciplinary approach makes this book useful for all doctors and medical trainees, especially general practitioners and gynaecologists, as well as all mental health professionals, nurses, social workers and their teachers and students. Health service managers and regulators, and their legal advisers, will also find this indispensable.

 

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Contents

Figures tables and boxes
3
impact and treatment
15
Boxes
16
Teaching ethics and ethical behaviour to medical students
28
The prevalence of boundary violations between mental
51
responding to the KerrHaslam Inquiry
64
The general practitioner and abuse in primary care
78
LIST OF FIGURES TABLES AND BOXES
85
a special case?
114
a career perspective
127
sanctions and remediation
151
the protection societys experience
164
Regulation and its capacity to minimise abuse by professionals
177
The role of the General Medical Council
190
Extract from Vulnerable Patients Safe Doctors
203
Website resources and information
230

Boundaries and boundary violations in psychotherapy
91
ethical guidelines vulnerabilities
104

Common terms and phrases

About the author (2010)

Fiona Subotsky is a consultant child and adolescent psychiatrist with a special interest in risk, systemic abuse and women's mental health. She was the officer of the Royal College of Psychiatrists responsible for liaising with the Kerr/Haslam Inquiry.
Susan Bewley is a consultant obstetrician at St Thomas' Hospital, London, and has a research interest in violence against women.
Michael Crowe is a consultant psychiatrist specialising in sexual and relationship therapy.

Bibliographic information