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BEHAVIORAL SCIENCES - Universitatea de Medicină şi Farmacie

BEHAVIORAL SCIENCES - Universitatea de Medicină şi Farmacie

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forced to pay for the costs of their medical mistakes, they will be more<br />

careful to make sure that mistakes do not happen in the first place.<br />

Confi<strong>de</strong>ntiality violation as a form of malpractice<br />

The ethical principle of confi<strong>de</strong>ntiality requires that information<br />

shared by the client with the therapist in the course of treatment is not<br />

shared with others. This is important for the therapeutic alliance, as it<br />

promotes an environment of trust. However, there are important<br />

exceptions to confi<strong>de</strong>ntiality, namely where it conflicts with the clinician's<br />

duty to warn or duty to protect. This inclu<strong>de</strong>s instances of suicidal or<br />

homicidal i<strong>de</strong>ation, child abuse, el<strong>de</strong>r abuse and <strong>de</strong>pen<strong>de</strong>nt adult abuse.<br />

Confi<strong>de</strong>ntiality shows a respect for an individual's autonomy and<br />

their right to control the information relating to their own health. In<br />

keeping information about the patient secret the doctor is acting<br />

beneficently. Disclosing information without the patient's consent can<br />

damage the patient. For instance if a doctor were to reveal privileged<br />

information about a celebrity patient to the newspapers then this would be<br />

the very reverse of beneficent i.e. maleficent.<br />

Drug misuse<br />

Drug misuse is a term used commonly for prescription<br />

medications with clinical efficacy but abuse potential and known adverse<br />

effects linked to improper use, such as psychiatric medications with<br />

sedative, anxiolytic, analgesic, or stimulant properties. Prescription misuse<br />

has been variably and inconsistently <strong>de</strong>fined based on drug prescription<br />

status, the uses that occur without a prescription, intentional use to achieve<br />

intoxicating effects, route of administration, co-ingestion with alcohol, and<br />

the presence or absence of abuse or <strong>de</strong>pen<strong>de</strong>nce symptoms. Tolerance<br />

relates to the pharmacological property of substances in which chronic use<br />

leads to a change in the central nervous system, meaning that more of the<br />

substance is nee<strong>de</strong>d in or<strong>de</strong>r to produce <strong>de</strong>sired effects. Stopping or<br />

reducing the use of this substance would cause withdrawal symptoms to<br />

occur.<br />

Self-medication<br />

It is a term used to <strong>de</strong>scribe the use of drugs other self-soothing<br />

forms of behavior to treat untreated and often undiagnosed distress. Every<br />

day, everywhere, consumers reach for self-care products to help them<br />

through their common health problems. They do so because it may be<br />

easier for them, it may be more cost or time efficient, they may not feel<br />

their situation merits making an appointment with a healthcare<br />

69

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