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Ethical issues in the psychosocial assessment of bariatric surgery candidates

机译:减肥手术候选人的社会心理评估中的伦理问题

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摘要

Psychosocial evaluation is recommended prior to bariatric surgery. Practice guidelines have been published on assessment methods for bariatric surgery candidates, but they have not emphasized ethical issues with this population. This review outlines ethical and professional considerations for behavioral healthcare providers who conduct pre-surgical assessments of bariatric surgery candidates by merging ethical principles for mental health professionals with current practices in pre-surgical assessments. Issues discussed include the following: (a) establishing and maintaining competence, (b) obtaining informed consent, (c) respecting confidentiality, (d) avoiding bias and discrimination, (e) avoiding and addressing dual roles, (f) selecting and using psychological tests, and (g) acknowledging limitations of psychosocial assessments.
机译:建议在减肥手术之前进行社会心理评估。关于减肥手术候选者评估方法的实践指南已发布,但并未强调该人群的伦理问题。这篇评论概述了行为保健提供者的道德和专业考虑因素,他们通过将心理健康专业人员的道德原则与术前评估中的当前实践相结合,对减肥手术候选人进行了术前评估。讨论的问题包括:(a)建立和保持能力,(b)获得知情同意,(c)尊重保密,(d)避免偏见和歧视,(e)避免和解决双重角色,(f)选择和使用心理测试,以及(g)承认心理社会评估的局限性。

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