Skip to main content
Log in

`Watching' Medicine: Do Bioethicists Respect Patients' Privacy?

  • Published:
Theoretical Medicine and Bioethics Aims and scope Submit manuscript

Abstract

Agich has identified `watching' – the formal orinformal observation of the medical setting – as oneof the four main roles of the clinical bioethicist. By an analysis of a case study involving a bioethicsstudent who engaged in watching at an HIV/AIDS clinicas part of his training, I raise questions about theethical justification of watching. I argue that theinvasion of privacy that watching entails makes theactivity unacceptable unless the watcher has receivedprior consent from the patients who are beingobserved. I conclude that, even though it isimportant for bioethics students to understand thecomplexities of actual medical practice, watchingshould play a prominent role in bioethics educationonly if the privacy problems in it can be resolved.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

REFERENCES

  1. Agich George. Clinical ethics: A role theoretic look. Social Science and Medicine 1990; 30: 389-399.

    Google Scholar 

  2. Barnard David. Reflections of a reluctant clinical ethicist: Ethics consultation and the collapse of critical distance. Theoretical Medicine 1992; 13: 15-22.

    Google Scholar 

  3. Beauchamp Tom, Childress James. Principles of Biomedical Ethics, 4th edn. Oxford: OUP, 1994.

    Google Scholar 

  4. Bosk Charles. Forgive and Remember: Managing Medical Failure. University of Chicago Press, 1979.

  5. Bosk Charles. The fieldworker as watcher and witness.' Hastings Center Report 1985; 15: 10-14.

    Google Scholar 

  6. Callahan Daniel. Bioethics, our crowd, and ideology. Hastings Center Report 1996; 26: 3-4.

    Google Scholar 

  7. Callahan Daniel. Bioethics and the culture wars. The Nation 1997 (April 14): 23-24.

  8. Churchill Larry R. The role of the stranger: The ethicist in professional education. Hastings Center Report 1978; 8: 13-15.

    Google Scholar 

  9. Emerson Robert M. Ethical and political issues in field research: Introduction. In: Emerson, R., ed. Contemporary Field Research. Little, Brown, 1983: 255-268.

  10. Fox Renée. More than bioethics. Hastings Center Report 1996; 26: 5-6.

    Google Scholar 

  11. Gold Margaret. A crisis of identity: The case of medical sociology. Journal of Health and Social Behavior 1977; 18: 160-168.

    Google Scholar 

  12. Gostin Lawrence. Health care information and the protection of personal privacy: Ethical and legal considerations. Annals of Internal Medicine 1997; 127: 683-690.

    Google Scholar 

  13. Gostin Lawrence and Hadley Jack. Health services research: Public benefits, personal privacy, and proprietary interests. Annals of Internal Medicine 1998; 129: 833-835.

    Google Scholar 

  14. Gustavson Norman. The effect of human dissection on first-year students and implications for the doctor-patient relationship. Journal of Medical Education 1988; 63: 62-64.

    Google Scholar 

  15. Hoffmaster Barry. Can ethnography save the life of medical ethics? Social Science and Medicine 1992; 35: 1421-1431.

    Google Scholar 

  16. Humphreys Laud. Tearoom Trade: Impersonal Sex in Public Places, enlarged edn with a “Retrospect on Ethical Issues,” Aldine Publishing, 1977.

  17. Jonsen Albert. Watching the doctor. New England Journal of Medicine 1983; 308(25): 1531-1535.

    Google Scholar 

  18. Jonsen Albert. Bioethics, whose crowd, and what ideology? Hastings Center Report 1996; 26: 4-5.

    Google Scholar 

  19. Lidenthal Jacob J., Claudewell S. Thomas. Consumers, clinicians and confidentiality. Social Science and Medicine 1982; 16: 333-335.

    Google Scholar 

  20. Roth Julius A. 'Management bias' in social science study of medical treatment. Human Organization 1962; 21: 47-50.

    Google Scholar 

  21. Schoeman Ferdinand D., ed. Philosophical Dimensions of Privacy. Cambridge: CUP, 1984.

    Google Scholar 

  22. Schöne-Seifert Bettina, Klaus-Peter Rippe. Silencing the singer: Antibioethics in Germany. Hastings Center Report 1991; 21: 20-27.

    Google Scholar 

  23. Shalit Ruth. 1997: When we were philosopher kings. The New Republic 1997: 24-28.

  24. Siegler Mark. Confidentiality in medicine-a decrepit concept. New England Journal of Medicine 1982; 307(24): 1518-1521.

    Google Scholar 

  25. Ubel Peter A, Zell MM, Miller DJ, Fischer GS, Peters-Stefani D, Arnold R. Elevator talk: Observational study of inappropriate comments in public space. American Journal of Medicine 1995; 99: 190-194.

    Google Scholar 

  26. Wax Murray L. On fieldworkers and those exposed to fieldwork: Federal regulations and moral issues. In: Emerson, R., ed. Contemporary Field Research. Little, Brown, 1983: 288-299.

  27. Weiss Barry D. Confidentiality expectations of patients, physicians, and medical students. JAMA 1982; 247(19): 2695-2697.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Ainslie, D.C. `Watching' Medicine: Do Bioethicists Respect Patients' Privacy?. Theor Med Bioeth 21, 537–552 (2000). https://doi.org/10.1023/A:1026511902210

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1023/A:1026511902210

Navigation