综述

精神心理卫生服务中网络检索来访者的伦理问题

  • 胡心悦 ,
  • 邵阳
展开
  • 上海交通大学医学院附属精神卫生中心,上海 200030
胡心悦,2020年6月毕业于浙江师范大学应用心理学专业,获得学士学位。目前上海交通大学、应用心理专业硕士在读,研究方向为社会心理与心理健康。
*邵阳, sawyer2002@163.net

网络出版日期: 2024-06-06

基金资助

上海市公共卫生体系建设三年行动计划“优秀人才培养计划”(GWV-10.2-XD27); 上海市卫生法学研究会研究项目(2020WF03)

Ethical Issues of Patient-Targeted Googling in Mental Services

  • HU Xinyue ,
  • SHAO Yang
Expand
  • Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai 200030, China
*SHAO Yang, sawyer2002@163.net

Online published: 2024-06-06

摘要

网络检索来访者(patient targeted googling,PTG)是指卫生专业人员通过搜索引擎、社交平台等网络途径获取来访者相关信息的行为。在精神心理服务领域,专业人员检索来访者的行为因其复杂的伦理问题广受争议:一方面,PTG可能侵犯来访者隐私,破坏治疗界限、影响治疗关系;另一方面,PTG可以帮助评估和筛查来访者,也可以在关键时刻保障来访者安全,增强来访者安全性。因此,进一步研究精神心理服务领域的PTG现象并制定相应伦理标准和决策程序,对规范和管理专业人员的PTG行为至关重要。

本文引用格式

胡心悦 , 邵阳 . 精神心理卫生服务中网络检索来访者的伦理问题[J]. 心理学通讯, 2022 , 5(4) : 280 -286 . DOI: 10.12100/j.issn.2096-5494.222044

Abstract

Patient targeted googling (PTG) is the behavior of obtaining patient-related information through search engines, social platforms, etc. In the field of mental health services, PTG is widely disputed because of its complex ethical issues: on the one hand, PTG may violate patient privacy, undermine treatment boundaries, and affect treatment relationships. On the other hand, PTG can help to evaluate and screen patients, and also, at critical moments, ensure patient safety. Therefore, it is essential to research further on PTG in the field of mental health services and to establish corresponding ethical standards and decision-making procedures for the purpose of regulating and managing the PTG behavior of professionals.

参考文献

[1] Ashby G. A., O’Brien A., Bowman D., Hooper C., Stevens T., & Lousada E. (2015). Should psychiatrists ‘google’ their patients?BJPsych Bull, 39(6), 278-283. doi: 10.1192/pb.bp.114.047555
[2] Baker M. J., George D. R., & Kauffman G. L. (2015). Navigating the google blind spot: An emerging need for professional guidelines to address patient-targeted googling.J Gen Intern Med, 30(1), 6-7. doi: 10.1007/s11606-014-3030-7
[3] Camila, D. A. R., & Kowacs, C. (2019). Patient-targeted “googling:” When therapists search for information about their patients online.Psychodyn Psychiatry, 47(1), 27-38. doi: 10.1521/pdps.2019.47.1.27
[4] Chester A. N., Walthert S. E., Gallagher S. J., Anderson L. C., & Stitely M. L. (2017). Patient-targeted googling and social media: A cross-sectional study of senior medical students.BMC Med Ethics, 18(1), 70. doi: 10.1186/s12910-017-0230-9
[5] Clinton B. K., Silverman B. C., & Brendel D. H. (2010). Patient-targeted googling: The ethics of searching online for patient information.Harv Rev Psychiatry, 18(2), 103-112. doi: 10.3109/10673221003683861
[6] Cole, A. (2016). Patient-targeted googling and psychiatry: A brief review and recommendations in practice.Am J Psychiat, 11(5), 7-9. doi: 10.1176/appi.ajp-rj.2016.110504
[7] Cox K. E., Simonds L. M., & Moulton-Perkins A. (2021). Patient-targeted googling by psychological therapists: A narrative review of the literature and ethical implications. Couns Psychother Res, capr.12454. doi: 10.1002/capr.12454
[8] Dike C. C., Candilis P., Kocsis B., Sidhu N., & Recupero P. (2019). Ethical considerations regarding internet searches for patient information.Psychiatr Serv, 70(4), 324-328. doi: 10.1176/appi.ps.201800495
[9] DiLillo, D., & Gale, E. B. (2011). To google or not to google: Graduate students’ use of the internet to access personal information about clients.Training and Education in Pro-fessional Psychology, 5(3), 160-166. doi: 10.1037/a0024441
[10] Eichenberg, C., & Herzberg, P. Y. (2016). Do therapists google their patients? A survey among psychotherapists.J Med Internet Res, 18(1), e3. doi: 10.2196/jmir.4306
[11] Farnan J. M., Sulmasy L. S., Worster B. K., Chaudhry H. J., Rhyne J. A., Arora V. M.,.. Federation of State Medical Boards Special Committee on Ethics and Professionalism*. (2013). Online medical professionalism: Patient and public relationships: Policy statement from the American College of Physicians and the Federation of State Medical Boards. Ann Intern Med, 158(8), 620-627. doi: 10.7326/0003-4819-158-8-201304160-00100
[12] Fisher, C. E., Appelbaum, P. S. (2017). Beyond googling: The ethics of using patients‘ electronic footprints in psychiatric practice.Harv Rev Psychiatry, 25(4), 170-179. doi: 10.1097/HRP.0000000000000145
[13] Gabbard G. O., Kassaw K. A., & Perez-Garcia G. (2011). Professional boundaries in the era of the internet.Acad Psychiatr, 35(3), 168-174. doi: 10.1176/appi.ap.35.3.168
[14] Gershengoren, L. (2019). Patient-targeted googling and psychiatric professionals.Int J Psychiatry Med, 54(2), 133-139. doi: 10.1177/0091217418791459
[15] Hedlin, M. (2019). Is it ethical to ‘google’ a patient?-clinical correlations. Clinical correlations. Retrieved May 7, 2022, from https://www.clinicalcorrelations.org/2019/09/19/is-it-ethical-to-google-a-patient/
[16] Jashinsky J., Burton S. H., Hanson C. L., West J., Giraud-Carrier C., Barnes M. D.,.. Argyle T. (2014). Tracking suicide risk factors through Twitter in the US.Crisis, 35(1), 51-59. doi: 10.1027/0227-5910/a000234
[17] Jones R., Sharkey S., Ford T., Emmens T., Hewis E., Smithson J.,.. Owens C. (2011). Online discussion forums for young people who self-harm: User views.The Psychiatrist, 35(10), 364-368. doi: 10.1192/pb.bp.110.033449
[18] Kolmes, K., & Taube, D. O. (2014). Seeking and finding our clients on the internet: Boundary considerations in cyberspace.Prof Psychol-Res Pr, 45(1), 3-10. doi: 10.1037/a0029958
[19] Lane M., Esterlis I., Tello A., Vesga-Lopez O., Zonana H., & Jean-Baptiste M. (2006). Using the internet for clinical information gathering about unidentified psychiatric patients. J Psychiatr Pract, 12(5), 324-326. doi: 10.1097/00131746-200609000-00009
[20] Lehavot K., Barnett J. E., & Powers D. (2010). Psychotherapy, professional relationships, and ethical considerations in the myspace generation.Prof Psychol-Res Pr, 41(2), 160-166. doi: 10.1037/a0018709
[21] McNary, A. (2014). Google: Valuable source of information or Pandora’s box?Innov Clin Neurosci, 11(7-8), 47-49.
[22] Shore R., Halsey J., Shah K., Crigger B. J., Douglas S. P., & AMA Council on Ethical and Judicial Affairs (CEJA). (2011). Report of the AMA Council on Ethical and Judicial Affairs: Professionalism in the use of social media. J Clin Ethics, 22(2), 165-172.
[23] Thabrew H., Sawyer A., & Eischenberg C. (2018). Patient-targeted googling by New Zealand mental health professionals: A new field of ethical consideration in the internet age.Telemed J E Health, 24(10), 818-824. doi: 10.1089/tmj.2017.0247
[24] Tunick R. A., Mednick L., & Conroy C. (2011). A snapshot of child psychologists’ social media activity: Professional and ethical practice implications and recommendations.Prof Psychol-Res Pr, 42(6), 440-447. doi: 10.1037/a0025040
文章导航

/

〈 〉