AMA Journal of Ethics. January 2017
This month in Journal of Ethics
Human Trafficking and Medicine
Human trafficking victims frequently present to clinicians who fail to recognize that their patients are being trafficked for sex or labor. When they do suspect a patient is trafficked, clinicians can struggle with the ethical, clinical, and legal complexities of responding to that patient’s needs and vulnerabilities. This month, the AMA Journal of Ethics features a range of perspectives on how clinicians can respond more effectively and sensitively to victims and survivors of trafficking. The issue also suggests how clinicians can work to motivate research and education about human trafficking. Additional resources in this issue include lessons for clinicians about how to identify trafficking victims, practice trauma-informed care, and assume leadership roles in promoting legislative and organizational efforts to better respond to the problem of human trafficking.
Physician Encounters with Human Trafficking: Legal Consequences and Ethical Considerations Commentary by Jonathan Todres, JD Physicians caring for trafficking victims should know about applicable criminal and human rights law and mandatory reporting requirements.
Human Trafficking, Mental Illness, and Addiction: Avoiding Diagnostic Overshadowing Commentary by Hanni Stoklosa, MD, MPH, Marti MacGibbon, CADC-II, ACRPS, and Joseph Stoklosa, MD Clinicians diagnosing and treating potentially trafficked patients with co-occurring addiction and mental illness should guard against expressing negative biases.
Caring for the Trafficked Patient: Ethical Challenges and Recommendations Wendy L. Macias-Konstantopoulos, MD, MPH Principles of respect for autonomy, beneficence, and nonmaleficence guide trauma-informed care. Care ethics should also support this framework for responding to the health needs of trafficked patients.
Who Is in Your Waiting Room? Culturally Responsive and Trauma-Informed First Responses Rochelle Rollins, PhD, MPH, Anna Gribble, MSW, MPH, Sharon E. Barrett, DrPH, MS, and Clydette Powell, MD, MPH What’s the evidence base for future standards of care for trafficked patients?
February Legitimacy and Authority in Medicine
March Language and Hierarchy in Medicine
April Moral Psychology and "Difficult" Doctor-Patient Dyads
May Mental Health and Oncology
June Moral Distress and Medicine
July Quality of Life in Dementia
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