AMA Journal of Ethics. May 2017
This month in Journal of Ethics
Ethics in Mental Health and Oncology
Depression is common in cancer patients, and the interactions between patients’ psychological and physiological experiences with cancer can pose significant ethical challenges for individual clinicians as well as health care systems. Oncological treatments can have a significant impact on patients’ mental health, while cancer patients with preexisting mental health conditions might require specialized care. The double stigma of cancer and mental illness introduces additional ethical complexities. How should physicians and other health care professionals maintain boundaries with cancer patients or integrate caregivers and surrogates into decision-making processes? What mental health screening processes should be implemented in cancer research and care settings? This month’s issue of the AMA Journal of Ethics explores these questions and underscores the need to provide empathic, well-integrated mental health care in oncology settings.
Do Pediatric Patients Have a Right to Know? Commentary by Philip M. Rosoff, MD, MA Some treatments of childhood cancer can cause infertility in adulthood. What should be the roles of physicians in helping parents decide whether, when, and what their child is told about this risk?
How Should Clinicians Respond to Transference Reactions with Cancer Patients? Commentary by Fatima Noorani, MD, and Allen R. Dyer, MD, PhD If a patient’s feelings become sources of resistance to treatment, clinicians need to know how to address these feelings’ influence on the therapeutic capacity of patient-clinician relationships.
Assessing Psychological Toxicity and Patient-Reported Distress as the Sixth Vital Sign in Cancer Care and Clinical Trials Thomas W. LeBlanc, MD, MA, MHS, and Arif H. Kamal, MD, MBA, MHS Clinical trials should assess patients’ distress and test interventions to address it, just as they assess adverse events and test novel therapeutic agents.
Decreasing Smoking but Increasing Stigma? Anti-tobacco Campaigns, Public Health, and Cancer Care Kristen E. Riley, PhD, Michael R. Ulrich, JD, MPH, Heidi A. Hamann, PhD, and Jamie S. Ostroff, PhD Clinicians can help mitigate stigmatizing messages from hard-hitting ads.
June Moral Distress and Medicine
July Quality of Life in Dementia
August Iatrogenesis in Pediatrics
September Incarceration and Correctional Health Care
October Clean Water Access and the Roles of Clinicians
November Ethics of Collaborative Health Systems Design
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