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Under what conditions do lay people and health professionals accept a breach of doctor-patient confidentiality regarding a patient with signs of terrorist radicalization?

Abstract : Introduction: Confidentiality is crucial to the establishment of a strong patient-physician relationship. However, certain situations create a dilemma for the physician who is faced with the choice of either respecting medical confidentiality or protecting others from a serious risk of violence. Objective: This study aimed to observe how lay people and health professionals assessed the acceptability of breaching confidentiality when a physician is confronted to a patient showing signs of terrorist radicalization. Method: 228 participants (174 from the general population and 54 health professionals) judged the acceptability of 54 scenarios which were constructed through the orthogonal combination of 4 factors frequently mentioned in the literature: presence of a “Psychiatric disorder”; “Signs of radicalization”; “Projects of violence”; “Collegiality”. Variance and cluster analyses were performed on all the raw data. Results: Results showed that all factors influenced the judgment of participants but that “Psychiatric disorders” had a weaker impact. Five clusters were identified: “Favorable if collegiality” (n=23); “Favorable to breach confidentiality” (n=77); “Unfavorable to breach confidentiality” (n=26); “Sensitive to all factors” (n=71); “Favorable if violence” (n=31), respectively with mean ratings of 5.87, 8.42, 3.64, 6.30, and 7.16, on an acceptability scale of 0-10. Conclusion: The importance that the great majority of participants attribute to these factors indicates that they influence their judgments in this specific context.
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https://hal-univ-tlse2.archives-ouvertes.fr/hal-03187187
Contributor : Mathilde Lochmann <>
Submitted on : Wednesday, March 31, 2021 - 5:35:15 PM
Last modification on : Thursday, April 1, 2021 - 3:26:49 AM

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Mathilde Lochmann, Myriam Guedj. Under what conditions do lay people and health professionals accept a breach of doctor-patient confidentiality regarding a patient with signs of terrorist radicalization?. European Review of Applied Psychology / Revue Européenne de Psychologie Appliquée, Elsevier, In press, Integration Theory and Functional Measurement, 71 (5), pp.1-9. ⟨hal-03187187⟩

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