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David M. Baughan, MD
University of California, San Diego School of Medicine La Jolla

JAMA. 1993;269(23):2986.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.

—I applaud the publication of the article by Dr Jecker entitled "Privacy Beliefs and the Violent Family."¹ In 15 years of clinical and academic medicine, I have been frequently frustrated with the inadequacy of ethical discussions as they apply to privacy concepts and significant, expensive health problems, such as family violence and substance abuse, that I commonly detect in primary care. I am also aware that I am not detecting these problems as often as possible owing to the habits and inhibitions of my socialization and medical training. I find the application of the concept of justice to the ethical analysis of the physician's role to be entirely appropriate.

In support of the call in Dr Jecker's last sentence for "questioning the assumptions underpinning ethical analysis," I would like to suggest additional concepts that may be pertinent to family violence and other health problems in which . . . [Full Text PDF of this Article]

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