Dating a patient ethics 312sex chat
For psychiatrists, it is a violation to cross the "patient-lover boundary" with any person who has ever been in the other role.
According to the American Psychiatric Association: "Sexual activity with a current or former patient is unethical....
Sexual or romantic interactions between physicians and patients detract from the goals of the physician-patient relationship, may exploit the vulnerability of the patient, may obscure the physician's objective judgment concerning the patient's health care, and ultimately may be detrimental to the patient's well-being....
Sexual or romantic relationships between a physician and a former patient may be unduly influenced by the previous physician-patient relationship.
In an effort to refine how the "no overlap" principle should be applied, I'd like to throw a small monkey wrench at this naively simplistic construct.
Like the AMA, Colorado doesn't specify how long after a romantic relationship ceases a medical one might begin, stating only that they must not be "concurrent." Other states address — or do not address — this issue with varying degrees of explicitness.
Mental health professionals set even stricter standards.
A therapist who gratifies his or her own needs by exploiting a patient's vulnerability destroys the trust essential to treatment." The APA seems to imply that all sexual relationships are inherently exploitative. From the administrative justice standpoint, a "no overlap" rule is simple to administer and superficially unassailable. As a credentials reviewer, I've seen this clause invoked far more often by scorned lovers than by innocent parties.
Our contemporary attitude toward such encounters is to label them, categorically, as "unprofessional conduct." Given that there is no surveillance of this behavior, physician-patient sex comes to the attention of regulatory agencies only when the patient complains. The nominal standard establishes a rule of "no overlap": a physician-patient relationship must not coexist with a romantic-sexual relationship.The AMA says: "Sexual contact that occurs concurrent with the physician-patient relationship constitutes sexual misconduct.