cognitive impairment and dangerous driving a decision making model for the psychologist to balance confidentiality with safety认知障碍和危险驾驶决策模型为心理学家保密与安全之间找到平衡.pdfVIP
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cognitive impairment and dangerous driving a decision making model for the psychologist to balance confidentiality with safety认知障碍和危险驾驶决策模型为心理学家保密与安全之间找到平衡
Psychology
2011. Vol.2, No.3, 254-260
Copyright © 2011 SciRes. DOI:10.4236/psych.2011.23040
Cognitive Impairment and Dangerous Driving: A Decision
Making Model for the Psychologist to Balance
Confidentiality with Safety
1 2 2 2
Christopher Love , Jennifer Costillo , Robert Welsh , Sheryn Scott ,
David Brokaw2
1Patton State Hospital, Patton, USA;
2Azusa Pacific University, Azusa, USA.
Email: rwelsh@
Received October 7th, 2010; revised December 22nd, 2010; accepted February 3rd, 2011.
The Transitional Opportunity Partnership (TOP) is a framework for psychological care of cognitively impaired
individuals. In this paper we address the issues associated with cognitively impaired drivers and how the TOP
model can assist psychologists in managing the ethical, legal, and moral dilemmas that often occur with this
challenging population. This paper offers suggestions for how to therapeutically manage the privilege of driving
with cognitively impaired individuals, through client education, increasing awareness of client resistance or in-
capacity to recognize impairment, and proactive intervention.
Keywords : Cognitive Disorders, Policy, Ethics, Law, Driving
Treating or
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