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BMJ No 7124 Volume 316

Education and debate Saturday 3 January 1998


Ethical debate

Child sexual abuse: when a doctor's duty to report abuse conflicts with a duty of confidentiality to the victim

painting
Fifteen years after she has been admitted to hospital with unexplained bruising, a woman asks to see her paediatric medical records. Professor T J David describes the dilemma surrounding her allegations of sexual abuse, and a general practitioner, lawyer, and community paediatrician offer their opinions.

The woman who wanted to see her paediatric hospital records
T J David

Social services can act on anonymous information about abuse
Jane Wynne

Confidentiality may be overvalued
Anthony S Kessel

Wider public interest may come before issues of confidentiality
Margaret Brazier


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