사회복지실천에서의 비밀보장 등에 관한 연구
A Study on Confidentiality and Privacy in Social Work Practice
0
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
본 연구는 사회복지 전문직의 윤리적 실천을 위해서 매우 중요하게 여겨 온 전통적인 가치이며 동시에 다양한 법률에 명시되어 있는 매우 높은 수준의 안전을 의미하는 비밀보장원칙에 관해 논의하고 있다. 사회복지사들은 클라이언트 개인의 사적인 생활을 반드시 존중하고 보호해야 한다. 또한 클라이언트와 함께 실천이 진행되고 있는 동안이나 실천이 종료된 이후에도 클라이언트의 사적인 정보를 지속적으로 보호하여야 한다. 본문에서는 비밀보장의 윤리적 근거 및 법률적 근거는 무엇인가, 비밀보장의 원리가 가능하게 만드는 법률규정에 의한 사생활보호 권리 및 제한은 언제 가능한가, 법률이 규정한 비밀보장과 비밀보장의 제한에 관한 사회복지사의 의무 등에 관한 논의가 이루어졌다. 더불어 비밀유지특권과 특권의 제한, 고지된 동의와 경고의 의무 등 사회복지실천 과정에서 반드시 고려해야 할 윤리규정에 관해 논의하였다.
Abstract
Confidentiality and Privacy remain cornerstones of social work practice. Yet while social workers might like to assure their patients or clients that whatever is disclosed will remain secret, and patients or clients may want that assurance before freely disclosing highly personal information, the reality is that assurances may not be possible. Sound social work practice often necessitates supervision, consultation, and peer review of cases, making, total secrecy impossible. Careful documentation in care records, often necessary for decision making, consultation, record review, and protection from possible future litigation, results in a written record, which at a later time can become partially or totally accessible. Nonetheless, the social worker must operate within these mandates and constraints and where appropriate, explain them to clients. Why certain information is confidential and private, why other information is not, and why even confidential and private information may be never totally confidential or private are issues, which professionals and clients must struggle with frequently. This paper is an attempt to present the realities to the social work professional and student, including the patterns, complexities, and seeming in consistencies. To accomplish this end, choices had to be made between what is necessary or more important and what is not necessary or less important.
참고문헌 (31)
- "가정폭력범죄의 처벌 등에 관한 특례법(일부개정 1998.12.28 법률 제5593호)", ~
- "국민연금법(일부개정 2005. 1. 27. 법률 제 7347호)", ~
- "사회보장기본법(개정1999.4.30, 법률 05134호)", ~
- "아동복지법(2000. 7. 13) (일부개정 2005. 3. 24 법률 7413호)", ~
- "유엔(UN) 아동권리협약", ~
- "의료법(일부개정 2003.9.29, 보건복지부령 제06984호)", ~
- "의사윤리강령(제정 1997.4.12, 대한의사협회)", ~
- "한국사회복지사 윤리강령 (한국사회복지사협회, 2001)", ~
- 한글학회, "우리말 큰 사전" (1991), 어문각
- "현행 헌법(제 9차 개정, 1987.10.29)", ~
- Barksdale, C, "Child abuse reporting: A clinical dilemmas", Smith College Studies in Social Work, 59(2), pp.170~182 (1989)
- Biestak,F.P, "The Casework Relationship" (1957), Chicago: Loyola University Press
- Boyd, K, "HIV infection and AIDS: the ethics of medical confidentiality", Journal of Medical Ethics, 18, pp.173~179 (1992)
- Congress,E, "Social Work Values and Ethics: Identifying and Resolving Professional Dilemmas" (1999), Wadsworth, Thomson Learning
- Conrad,A.& Joseph,V, "Conrad, A. & Joseph, V. 1996. A model for ethical problem solving: A process for resolving questions and quandaries, Presentation at the Annual NASW conference, Cleveland, OH", ~ (1996)
- Dickson,D.T, "Confidentiality and Privacy in Social Work: A Guide to the Law for Practitioners and Students" (1998), The Free Pree, New York, N.Y.
- Egley,Lance C, "Defining the Tarasoff Duty", Journal of Psychiatry and Law, 19, pp.93~133 (1992)
- Givelber. D, "Tarasoff: Myth and reliability", Wisconsin Law Review, 2, pp.443~497 (1984)
- Green, S.L, "Ethical dilemmas faced by family therapists", Journal of Marriage and Family Therapy, 15, pp.149~158 (1989)
- Kopels, S, "Do social workers have a duty to Warn?", Social Service Review, 6(1), pp.101~126 (1993)
- Kottow, M, "Medical confidentiality: an intransigent absolute obligation", Journal of Medical Ethics, 12, pp.117~122 (1986)
- Kottow,M, "Kottow, M. 1994. Stringent and predicatable medical confidentiality. In R.Gillon and A. Lloya(eds), Principles of Health Care Ethics, Chichester: John Wiley, 471-8", ~ (1994)
- Lewis, H, "Ethical Assessment", Social Casework, 65(4), pp.203~211 (1984)
- Lowenberg, F, "Ethical decisions in Social Work Practice" (1966), Itasca, IL: Peacoak
- NASW, "Encyclopedia of Social Work" (1999), NASW press
- NASW(National Association of Social Workers), "Code of Ethics" (1996), Washington, D.C.: Author
- Reamer, F, "Social Work Values and Ethics (2nd edition)" (1999), New York: Columbia University Press
- Siegel, M, "Privacy, ethics and confidentiality", Professional Psychology, 10, pp.249~258 (1979)
- Siegel, M, "Confidentiality in medicine: a decrepit concept. New England", Journal of Medicine, 307, pp.1518~1521 (1982)
- Thompson, Della, "The Concise Oxford Dictionary 9th ed" (1995), Clarendon Press, Oxford.
- Warwick, S. J, "A Vote for no Confidence", Journal of Medical Ethics, 15, pp.183~185 (1989)