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Journal of Pediatric Psychology Advance Access originally published online on August 13, 2008
Journal of Pediatric Psychology 2009 34(5):585-587; doi:10.1093/jpepsy/jsn088
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© The Author 2008. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org

Commentary: Electronic Communication in the Pediatric Setting—Dilemmas Associated with Patient Blogs

Rachel Tunick, PhD and Lauren Mednick, PhD

Children's Hospital Boston and Harvard Medical School

All correspondence concerning this article should be addressed to Rachel Tunick, Children's Hospital Boston, Hospital Library, 300 Longwood Ave., Fegan Plaza, Boston, MA 02115, USA. E-mail: rachel.tunick@childrens.harvard.edu

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Advances in communication and technology have posed serious challenges to some of the fundamental ethical principles upon which psychologists operate, including the protection of patient privacy and confidentiality and the ideals of beneficence and nonmaleficence. In pediatric settings, efforts have been made to limit inadvertent dissemination of personal information in public areas such as hallways, cafeterias, elevators, and hospital emergency departments (Olsen & Sabin, 2003Go; Patient privacy, 2004Go; Ubel et al., 1995Go). Likewise, legislation (The Health Insurance Portability and Accountability Act, HIPAA, 1996Go) now imposes standards around electronic transmission of protected health information, and psychologists are addressing privacy and confidentiality concerns in the context of computer-mediated clinical services (Drotar et al., 2006Go). However, recent phenomena in electronic communication, . . . [Full Text of this Article]


   Privacy/Confidentiality of Other Patients
 

   Professional Reactions/Reputations
 

   Privacy of Child/Family
 

   Therapeutic Boundaries
 

   To Read or Not to Read: Guidelines and Recommendations
 

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