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- ETHICS, Page 71Free Advice
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- When a big story breaks, the first thing reporters do is
- get the news. The next thing, usually, is to round up a few
- experts to say what it all means. Too often, what gets experts
- quoted -- and called again the next time news relates to their
- specialty -- is not specific knowledge of a case but crisp,
- piquant opinion. The expert enjoys the publicity; the journalist
- enlivens a story. The losers are the public, who get
- ill-informed speculation masquerading as analysis, and the news
- subjects, who are assessed in intimate, knowing terms by
- strangers.
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- Many health professionals refuse to dispense such pseudo
- expertise, saying if it is wrong to discuss patients about whom
- they know something, it cannot be right to diagnose people they
- have never met. Yet even hard-liners were startled last week
- when the Massachusetts Board of Registration of Psychologists
- opened an investigation of four practitioners -- a procedure
- that could end in revoking their right to practice -- because
- of interviews they gave the Boston Globe about the emotional
- problems of Kitty Dukakis, wife of Governor Michael Dukakis. An
- acknowledged recovering alcoholic and amphetamine addict, she
- was hospitalized Nov. 5 after drinking rubbing alcohol.
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- None of the therapists had treated her. Yet they
- speculated, according to the Globe, that Mrs. Dukakis'
- difficulties resulted from "taking on her husband's emotional
- burdens as well as her own"; they implied that the Governor is
- repressed and in effect made him the culprit in her illness. The
- psychologists also said he too needed therapy to help his wife.
- One even suggested that Dukakis resign his office (his term runs
- through 1990) to aid his wife's recovery. After the board acted,
- some of the psychologists said they had been misquoted or their
- remarks had been taken out of context, which the Globe denies.
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- The state inquiry impinges on press freedom and is
- politically awkward: registry-board members are appointed by the
- Governor. A better idea would be to shame media and "experts"
- into ending the practice. Says George Annas, professor of
- medical ethics at Boston University: "The board shouldn't
- regulate this. It calls for self-restraint on the part of
- journalists and professionals, and that is very hard."
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