title: Gender, sex, and professional ethics in child and adolescent psychiatry.
abstract: Ethics in child and adolescent psychiatry can be understood as a collective effort to reconcile three potentially conflicting sets of duties toward the minor patient, the parents of the minor patient, and the community. Therapists have a primary duty to the medical needs and the emerging autonomy of the minor patient and must take into account the anticipated needs of the adult that the child will become. Therapists also have a duty to respect the authority of parents in medical decision-making and to respect the community's interest in preventing harm to children. Conflicts arise when parental demands or refusals are inconsistent with ethically weighty interests of the child and when a community mandates professional actions that serve families badly. Examples of these are examined.
authors.affiliation: Department of Philosophy, University of Hawaii at Manoa, 2530 Dole Street, Sakamaki Hall D-301, Honolulu, HI 96822, USA. kkipnis@hawaii.edu
authors.forename: Kenneth
authors.initials: K
authors.lastname: Kipnis
mesh_terms: D000296:Adolescent Psychiatry / Q000941:ethics*; D002665:Child Psychiatry / Q000941:ethics*; D004995:Ethics, Professional; D005260:Female; D005783:Gender Identity; D006801:Humans; D008297:Male; D010287:Parent-Child Relations; D012725:Sexual Behavior / Q000523:psychology*