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At least 19 recordsLinked to original sources

Breaking bad news.

OBJECTIVE: To investigate the importance of a sympathetic approach to breaking bad news in the doctor-patient relationship. DATA SOURCES: Worldwide surveys of views on truth disclosure by health care professionals, the public, and patients with cancer and other diseases. STUDY SELECTION: Surveys using a Medline Computer Search were identified. DATA EXTRACTION: Twenty-two questionnaire studies. DATA SYNTHESIS: The data obtained demonstrate trends of an increasing wish since 1950 on the part of patients, the public and doctors for more openness. CONCLUSIONS: The skills necessary for breaking bad news well can be acquired through organised undergraduate and postgraduate education which emphasises a good working doctor-patient relationship.

Australia

Alcohol abusers' perceptions of the accuracy of their self-reports of drinking: implications for treatment.

Several major literature reviews have concluded that alcohol abusers generally give valid self-reports when interviewed under certain conditions. Nevertheless, across all studies a small proportion of alcohol abusers' self-reports continue to be suspect. Sources of invalidity may relate to subject factors or to circumstances under which data are collected. One novel way of gaining information about conditions possibly affecting the accuracy of alcohol abusers' self-reports is to ask the subjects themselves. In the present study, 208 alcohol abusers were asked about (a) how accurately different people they knew or lived with would report their (i.e., the subjects') drinking at different levels (e.g., abstinent, 1-4 drinks) compared to the subjects' own reports; (b) how accurate their own reports would be at different levels of ethanol consumption; and (c) how accurate their own reports would be when interviewed under different conditions (e.g., by phone, their therapist, a researcher, their employer). The results are largely consistent with studies that have empirically examined the validity of alcohol abusers' self-reports. Suggestions for future research and evaluation are offered.

Adult

The so-called 'therapeutic privilege' or 'contra-indication': its nature and role in non-disclosure cases.

This article critically examines the nature, scope and application of the so-called 'therapeutic privilege' or 'contra-indication' as a defence to a failure to procure an informed consent to medical interventions. This is done within the context of the doctor's legal-ethical duty to inform his patient of the diagnosis and treatment on the hand and his sometimes conflicting medico-ethical duty to heal on the other, with special reference to the application of the defence in cases of solicited information and lie-telling.

Disclosure

Informed consent in medical practice. With particular reference to neurology.

Informed consent is a significant ethical as well as medicolegal issue. Both aspects are summarized in this article, which focuses on the major unresolved problems raised by legal and moral analyses of informed consent. The discussion stresses the effects of the doctrine of informed consent on medical practice, with particular reference to problems encountered in the neurological health field.

Comprehension

Consent forms--how, or whether, they should be used.

If written consent forms are to be used--their use normally is not mandatory--care should be taken that their use is proper and, hence, beneficial. To be of benefit to the physician, the consent forms must help him in meeting his duty to inform the patient or in protecting him from a patient's claim that his was not an informed consent (or both). Consent forms are of no benefit to the physician or the patient if they are worded poorly or put to poor use. Suggestions are provided to help the physician in considering his or her use of written consent forms.

Consent Forms