From Fear and Loathing in Bioethics

“New evidence of privacy violations in the CAFE study”

“Last week I posted a HIPAA form for Dan Markingson which the University of Minnesota had produced in response to a complaint by Mike Howard. What was so puzzling about this HIPAA form was that it had never emerged during the lawsuit by Mary Weiss, despite her charge that Markingson had not consented to the release of his health information to CAFÉ study sponsors. In fact, when Stephen Olson was deposed, he was repeatedly questioned about HIPAA regulations (and was unable to give good answers.) At the time, the only relevant document found in Markingson’s medical records was an unsigned “consent for service” document from Fairview Hospital. But the new HIPAA form produced by the university contained a dated signature by Markingson. If the university had been in possession of a signed, dated HIPAA authorization form from Dan Markingson all along, why didn’t it produce that HIPAA form in the lawsuit?”

Socratic Questioning in Psychology:
“Socratic questioning has also been used in therapy, most notably as a cognitive restructuring technique in cognitive therapy, Logotherapy and Classical Adlerian psychotherapy. The purpose here is to help uncover the assumptions and evidence that underpin people’s thoughts in respect of problems. A set of Socratic questions in cognitive therapy to deal with automatic thoughts that distress the patient:[3][4]

1. Revealing the issue: ‘What evidence supports this idea? And what evidence is against its being true?’
2. Conceiving reasonable alternatives: ‘What might be another explanation or viewpoint of the situation? Why else did it happen?’
3. Examining various potential consequences: ‘What are worst, best, bearable and most realistic outcomes?’
4. Evaluate those consequences: ‘What’s the effect of thinking or believing this? What could be the effect of thinking differently and no longer holding onto this belief?’
5. Distancing: ‘Imagine a specific friend/family member in the same situation or if they viewed the situation this way, what would I tell them?’

Careful use of Socratic questioning enables a therapist to challenge recurring or isolated instances of a person’s illogical thinking while maintaining an open position that respects the internal logic to even the most seemingly illogical thoughts.”

“”Respect for person, beneficence and — mental block”: a conversation with the head of research subject protection at the University of Minnesota”

“Q. Have you ever heard of the Nuremberg Code?

A. Uh-huh. Yes. I’m sorry.

Q. When was that adopted?

A. I don’t know.

Q. Do you have any idea at all?

A. No. Sometime after World War II, I would assume.

Q. What does the Nuremberg Code say?

A. Frankly, I’m not that familiar with the Nuremberg Code.

Q. Okay. Have you ever had any training in the ethics of human subjects, experimentation?”

And so on………..

“As pyschiatrist researchers, we fully understand the human condition.”

This entry was posted in Uncategorized. Bookmark the permalink.

Leave a Reply

Fill in your details below or click an icon to log in: Logo

You are commenting using your account. Log Out /  Change )

Google+ photo

You are commenting using your Google+ account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )


Connecting to %s