Behind Closed Doors: Gender, Sexuality, and Touch in the Doctor/Patient Relationship

By Angelica Redleaf; Susan A. Baird | Go to book overview

10
What Is the Solution?

THE FAILURE OF SELF-REGULATION

History tells us that physician sexual misconduct is nothing new. It is a problem that at a minimum is nearly as old as the history of medicine, and that probably is as old as medicine itself. There are few historical references to misconduct itself, but many to society's attempts to solve it--generally, by self-regulation of the health-care professions, with ethical codes and credos indistinguishable from those in use today.

[E]thics codes, discussion, and research alone have failed to significantly change the situation. We have tried "Plan A"--self-regulation in concert with codes of ethics--and it has not solved the problem. Twenty-four centuries is probably long enough to try any one solution. Now it is time for new initiatives. 1

People and governments around the world are beginning to take steps toward developing new solutions to the problem of sexual misconduct. Canada has taken many.


EXTERNAL REGULATION

Ontario Province

In Canada, the province of Ontario took a major step toward new initiatives with a massive study in the late 1980s and early 1990s. The purpose of the study was to determine just what the extent of the problem of sexual misconduct is in Ontario, as well as to better define the problem itself. A task force was appointed, and its findings were published. As a result of this study, some major steps were taken by the Ministry of Health in Ontario. This project is

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Behind Closed Doors: Gender, Sexuality, and Touch in the Doctor/Patient Relationship
Table of contents

Table of contents

  • Title Page iii
  • Contents v
  • Preface ix
  • PART I Gender, Sexuality, and Touch 1
  • 1: Gender 3
  • Notes 29
  • 2: Sexuality 33
  • 3: Touch 43
  • 4: Explorations and Applications 53
  • PART II Sexual Misconduct 61
  • 5: What Is Misconduct? 63
  • 6: HOW Misconduct Occurs 71
  • 7: Caring for the Abused Patient 87
  • 8: Boundaries and Consent 91
  • 9: The Doctor Role 97
  • 10: What Is the Solution? 105
  • PART III Patient Protection Protocol 109
  • 12: Safe Practice Strategies 115
  • 13: Safe Practice Analysis 127
  • 14: Making Changes 161
  • 15: Defusing Sexual Attractions 169
  • PART IV Review 175
  • --16-- Six Factors for Safe Practice 177
  • 17: The New Patnership 183
  • Bibliography 185
  • Recommended Reading 191
  • Recommended Viewing 195
  • Index 199
  • About the Authors 213
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