@article { , title = {Using an ethical model to manage patient-soldier confidentiality when medical treatment for post traumatic stress disorder is refused}, abstract = {This paper reviews the ethical tensions and the dual loyalty conflict between following military orders and professional codes of conduct. All competent patients have a right to refuse medical treatment. However, maintaining confidentiality is not an absolute right. In the military, a doctor may have a dual loyalty conflict between obeying military orders and following professional codes of practice. This can become exacerbated when a doctor in a military environment does not consider all the parties’ interests. This paper suggests that dual loyalty conflict in military healthcare practice in this environment is best managed via a discretionary ethic-role. This then allows independent clinical judgment while at the same time minimizing ethical dilemmas, harm, and conflict to a third party such as a military commander. KEYWORDS: military healthcare; confidentiality; refusal of treatment; dual loyalty conflict; PTSD}, doi = {10.18785/ojhe.0702.08}, eissn = {1551-4218}, issue = {2}, journal = {Online journal of health ethics}, note = {Batch 005. Output ID 37897.}, publicationstatus = {Published}, url = {https://hull-repository.worktribe.com/output/405748}, volume = {7}, keyword = {Health and Health Inequalities, Military healthcare, Confidentiality, Refusal of treatment, Dual loyalty conflict, PTSD}, year = {2011}, author = {Kelly, Janet C.} }