Ethical Reflection on Dual Roles in Remote and Isolated Areas

  • Chloe Trahan CISSS de la Montérégie Est, Montréal, Canada
  • Jacques Quintin Département de psychiatrie, Faculté de médecine et des sciences de la santé, Université de Sherbrooke, Sherbrooke, Canada
Keywords: deliberation, professionalism, dual relationships, deontology, consequentialism, relational ethics
Language(s): French


Some healthcare providers regularly intervene in remote and isolated areas to offer various care and services. This situation is often experienced as a hardship as it becomes difficult for them to meet their private needs without compromising their professionalism. We propose a scenario that raises a number of ethical issues surrounding substance use-related privacy. This scenario will be analyzed according to different conceptual frameworks. If the proposed situation raises several ethical issues, we will see that the conceptual frameworks used to reflect and deliberate on the situation pose themselves ethical issues. We will conclude by showing that if the professional aims for the best, there is also a risk of harm. It follows that there is tragedy in ethical life if reflection and deliberation are based on a single conceptual framework.

How to Cite
Trahan C, Quintin J. Ethical Reflection on Dual Roles in Remote and Isolated Areas. Can. J. Bioeth. 2021;4:21-8.