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J Med Ethics 2000;26:137-138 doi:10.1136/jme.26.2.137
  • At the coalface: medical ethics in practice

The man who claimed to be a paedophile

  1. Simon A Hill
  1. Senior House Officer in Acute and Rehabilitation Psychiatry

      Abstract

      A psychiatrist recounts a case of a man presenting with severe depression who claimed to have abused children and his pet dog.

      Clinical management of the case hinged on whether this claim was true, a lie or delusional. The uncertainty over this raised complex ethical dilemmas regarding confidentiality and protection of the public (and animals).

      Footnotes

      • Dr Simon A Hill, MA, BM, Bch, is a Senior House Officer in Acute and Rehabilitation Psychiatry.

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