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Look Inside Abuse of the Doctor-Patient Relationship

Abuse of the Doctor-Patient Relationship


  • Date Published: November 2010
  • availability: In stock
  • format: Paperback
  • isbn: 9781904671374

£ 28.99

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About the Authors
  • The doctor-patient relationship is fraught with risk. Patients may be at risk from a doctor who misuses their position of authority, or is unclear where the appropriate boundaries lie. Doctors risk disciplinary or criminal proceedings when this happens. This book aims to address these risks, to assist clinicians in their daily relationships with patients, and to improve patient safety. The authors examine the ethical principles and how these may be taught; prevalence of abuse; regulation and sanctions; management and governance; remediation; and the roles of the different organisations that may be involved, such as the General Medical Council and medical protection societies. This is a practical guide to help clinicians avoid boundary violations and improve patient safety.

    • Expert contributions from a wide range of professionals
    • Special focus is given to abuse by nurses, psychotherapists, sexual therapists and gynaecologists
    • Extensively illustrated with case examples
    • Includes professional guidelines
    Read more

    Reviews & endorsements

    'This book clearly maps the territory in the complex areas of boundaries between patient and professional (all regulated healthcare professions, not just doctors). Experts are drawn in from general practice, psychotherapy, sexual therapies and nursing; obstetrics and gynaecology; as well as teachers, ethicists, medical managers and healthcare regulators. … The book contains important guidance on the prevention of boundary violations that vulnerable doctors can blunder into, perhaps due to a sometimes toxic combination of over-enthusiasm and naiveté.' British Journal of Psychiatry

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    Product details

    • Date Published: November 2010
    • format: Paperback
    • isbn: 9781904671374
    • length: 252 pages
    • dimensions: 235 x 157 x 14 mm
    • weight: 0.45kg
    • availability: In stock
  • Table of Contents

    Introduction: mapping the territory
    1. Ethical principles and professional trust
    2. The patient's perspective
    3. Teaching ethics and ethical behaviour to medical students
    4. With the benefit of hindsight: lessons from history
    5. The prevalence of boundary violations between mental health professionals and their patients
    6. Psychiatry: responding to the Kerr-Haslam inquiry
    7. The general practitioner and abuse in primary care
    8. Boundaries and boundary violations in psychotherapy
    9. Sexual therapies: vulnerabilities and boundaries
    10. Obstetrics and gynaecology: a special case?
    11. Nurses as abusers: a career perspective
    12. Medical management: governance and sexual boundary issues
    13. Dealing with offending doctors: sanctions and remediation
    14. Defending doctors: the protection society's experience
    15. Regulation and its capacity to minimise abuse by professionals
    16. The role of the General Medical Council
    1. Vulnerable patients, safe doctors: good practice in our clinical relationships
    2. Maintaining boundaries
    3. Other psychiatric codes
    4. Examples of sexualised behaviour by healthcare professionals towards patients or their carers
    5. Fitness to practise cases
    6. Web resources.

  • Editors

    Fiona Subotsky, King's College Hospital, London
    Fiona Subotsky is a Consultant Child and Adolescent Psychiatrist, King's College Hospital, London.

    Susan Bewley, St Thomas' Hospital, London
    Susan Bewley is a Consultant in Obstetrics and Gynaecology at St Thomas' Hospital, London.

    Michael Crowe
    Michael Crowe is a private Consultant Psychiatrist specialising in sexual and relationship therapy, working in London.

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