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Correspondence
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Volume 338:1544-1546 May 21, 1998 Number 21
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Clinical Problem-Solving: Refusing HIV Testing

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 by Landor, M.
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To the Editor: The Clinical Problem-Solving case "A Hidden Agenda" (Jan. 1 issue)1 demonstrates the challenges involved in diagnosing an illness in a patient who denies having risk factors for human immunodeficiency virus (HIV) infection and refuses testing. We recognize the importance of confidentiality in the doctor–patient relationship, but we also acknowledge that there are times when this must be weighed against the risks to others that could be minimized or averted by disclosure. This is the lesson of the famous Tarasoff case, in which it was held that a psychologist had a duty to warn a murder victim and . . . [Full Text of this Article]

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