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Kenneth Kipnis

Publications and source records attributed to Kenneth Kipnis.

10 recordsLinked to original sources
PubMed2004

Gender, sex, and professional ethics in child and adolescent psychiatry.

Ethics in child and adolescent psychiatry can be understood as a collective effort to reconcile three potentially conflicting sets of duties toward the minor patient, the parents of the minor patient, and the community. Therapists have a primary duty to the medical needs and the emerging autonomy of the minor patient and must take into account the anticipated needs of the adult that the child will become. Therapists also have a duty to respect the authority of parents in medical decision-making and to respect the community's interest in preventing harm to children. Conflicts arise when parental demands or refusals are inconsistent with ethically weighty interests of the child and when a community mandates professional actions that serve families badly. Examples of these are examined.

Adolescent Psychiatry↗
PubMed2003

Seven vulnerabilities in the pediatric research subject.

Most recent thinking about the vulnerability of research subjects uses a "subpopulation" focus. So conceived, the problem is to work out special standards for prisoners, pregnant women, the mentally ill, children, and similar groups. In contrast, an "analytical" approach would identify characteristics that are criteria for vulnerability. Using these criteria, one could support a judgment that certain individuals are vulnerable and identify needed accommodations if they are to serve as research subjects. Seven such characteristics can be evident in children: they commonly lack the capacity to make mature decisions; they are subject to the authority of others; they (and their parents) may be deferential in ways that can mask underlying dissent; their rights and interests may be socially undervalued; they may have acute medical conditions requiring immediate decisions not consistent with informed consent; they may have serious medical conditions that cannot be effectively treated; and they (and their parents) may lack important socially distributed goods. Each of these vulnerabilities can call for special care in the design and implementation of research protocols.

Child↗
PubMedDate not supplied

A defense of unqualified medical confidentiality.

It is broadly held that confidentiality may be breached when doing so can avert grave harm to a third party. This essay challenges the conventional wisdom. Neither legal duties, personal morality nor personal values are sufficient to ground professional obligations. A methodology is developed drawing on core professional values, the nature of professions, and the justification for distinct professional obligations. Though doctors have a professional obligation to prevent public peril, they do not honor it by breaching confidentiality. It is shown how the protective purpose to be furthered by reporting is defeated by the practice of reporting. Hence there is no conflict between confidentiality and the professional responsibility to protect endangered third parties.

Confidentiality↗