title: Ethical dilemmas in child and adolescent consultation psychiatry.
abstract: Ethical issues in child and adolescent psychiatry consultation arise frequently but seldom are discussed in a public setting. This case of an adolescent victim of a surgical accident illustrates many aspects of consultation psychiatry. The consult question itself, of behavior management, is not unusual, although in this case the question is complicated by the sequelae of trauma, psychosocial chaos, and the staff's angry feelings toward the patient. In addition, potential surgical wrongdoing at the referring hospital brings up the more difficult ethical questions of the consultant's responsibilities, which must be to the patient and his family, as well as to the attending and referring physicians.
authors.affiliation: Department of Child Psychiatry, Massachusetts General Hospital, Boston 02114.
authors.forename: J
authors.initials: J
authors.lastname: Bloomberg
authors.forename: J
authors.initials: J
authors.lastname: Wozniak
authors.forename: N
authors.initials: N
authors.lastname: Fost
authors.forename: D N
authors.initials: DN
authors.lastname: Medearis
authors.forename: D B
authors.initials: DB
authors.lastname: Herzog
mesh_terms: D000293:Adolescent; D004992:Ethics, Medical; D005196:Family Therapy; D006801:Humans; D007604:Juvenile Delinquency / Q000523:psychology*; D008297:Male; D010348:Patient Care Team; D010819:Physician's Role; D011613:Psychotherapy; D012803:Sick Role; D016312:Treatment Refusal / Q000523:psychology*; D014948:Wounds, Gunshot / Q000523:psychology*