Borderline personality disorder, therapeutic privilege, integrated care: Is it ethical to withhold a psychiatric diagnosis?

Erika Sims, Katherine J. Nelson, Dominic Sisti

Research output: Contribution to journalArticlepeer-review

Abstract

Once common, therapeutic privilege - the practice whereby a physician withholds diagnostic or prognostic information from a patient intending to protect the patient - is now generally seen as unethical. However, instances of therapeutic privilege are common in some areas of clinical psychiatry. We describe therapeutic privilege in the context of borderline personality disorder, discuss the implications of diagnostic non-disclosure on integrated care and offer recommendations to promote diagnostic disclosure for this patient population.

Original languageEnglish (US)
JournalJournal of Medical Ethics
DOIs
StateAccepted/In press - 2021

Bibliographical note

Publisher Copyright:
© Author(s) (or their employer(s)) 2021. No commercial re-use. See rights and permissions. Published by BMJ.

Keywords

  • applied and professional ethics
  • clinical ethics
  • ethics
  • informed consent
  • psychiatry

PubMed: MeSH publication types

  • Journal Article

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