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The AMA notes that the prior doctor/patient relationship may unduly influence the patient and that such a relationship is unethical if the doctor "uses or exploits trust, knowledge, emotions or influence derived from the previous professional relationship." Ethicists, such as Dr.
Richard Martinez, director of forensic psychiatry services at Denver Health Medical Center and the author of several articles on ethical decision-making and the patient/physician relationship, says the AMA was wise to leave a little wiggle room in its opinion. "Every ethical dilemma has to be evaluated and considered on a case-by-case basis." When a Potential Romance Depends on the Circumstance That simple "it's complicated" answer captures the spirit of nearly one third of the respondents' remarks.
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When conflicts arise between values, the standards must negotiate among the competing values.
Ethical Standard 10.08 is an excellent illustration of how the code accomplishes this essential function.
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The Ethics Code seeks to avoid harm and protect autonomy, informed by solid clinical thinking and good research. Stephen Behnke APA Ethics Director December 2004, Vol 35, No.
11 Print version: page 76 The APA Ethical Principles of Psychologists and Code of Conduct--our ethics code--consists of general principles and standards of conduct, as its title reveals.
Whereas many qualified their answers with caveats that they themselves would not engage in such a relationship and that "99.9% of the time" having a relationship with a patient is verboten, "there are weird instances in life when I can see this happening," wrote one general surgeon.
"Of course, the physician-patient relationship would have to end." Many make the important distinction that the intimacy or longevity of the professional relationship plays a large role in determining the ethics of the personal one.
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