Authors' abstractContrary to the usual discussion oflying or deceiving in medical ethics literature where the lying or deceiving is done by the doctor or surgeon, this paper deals with lying or deceiving on the part ofthe patient. Three cases involving HIV-infected male homosexual or bisexual persons are presented. In each case the patient deceives or wants the doctor to deceive a third party on his behalf. Are such deceptions or lies expressions ofcompassion? Are they in thepatient's best interests? Do they compromise the doctor's integrity? It is submitted that societal attitudes towards male homosexual acts were internalised by the men described in these cases. Thus, a dichotomy was created between the private life and the public image. Fear of condemnation by the doctor or others restricted communication towards the goal ofthe maintenance ofthe patient's health. The lack oftrust which inhibits truthtelling results in mutual and progressive isolation and impedes the provision ofoptimal care.Typically, when the topic of lying or deceiving is discussed in medical ethics literature, invariably the lying or deceiving is on the part of a doctor towards a patient. Consider the case of Mrs J who was admitted to the hospital at the request of her family doctor with severe chest pains. Dr H, the family doctor, was quite sure that Mrs J had had a severe heart attack. Three weeks later however, Mr J came to the doctor's office to tell him that his wife had cancer and 'it was only a matter of time'. 'The only blessing is,' he continued, 'that she knows nothing about it.' During the preceding three-week period Mr J hgd been informed by the surgeon in charge that his wife had cancer and that 'it was only a matter of time'. Mr J asked the surgeon not to tell his wife and the surgeon agreed. The surgeon told the patient she had a 'fungus infection' and that he had removed it. He did not tell her that she had cancer.Whether the surgeon would have lied or deceived the patient had her husband not asked him to do so, or

Susan Mintz, AdvisorThis study examined the relationship between mentor characteristics, beliefs about youth, relational communication skills, and the closeness of the mentoring relationship. To evaluate the effect of youth mentoring on college students participating in an academic service learning experience, it is important to examine positive mentoring outcomes that enhance learning for the mentor, and strengthen the mentoring relationship. College women mentors, age 18 to 22 years, were paired with middle school girls, age 11 to 14 years, for weekly one-on-one and group mentoring in an 8-month, school-based youth mentoring program. For the first 4-months of the program, college women mentors participated in an academic service-learning course where curriculum and instruction were aimed at enhancing students' understanding of and ability to relate to adolescent girls. For the sampled 40 college women mentors participating in the program, mentor's self-reported beliefs about youth and relational communication processes were measured in a pretest-posttest design. The mentor's perception of the closeness of the mentoring relationship was also measured. Through multiple regression analysis, the association between the mentors' youth-centered beliefs, relational skills and the closeness of the mentoring relationship were examined.Although there no were significant changes in neither mentors' beliefs nor mentors' relational communication skills from the beginning to the end of the academic service-learning course, mentors' strong academic standing was positively correlated with both youth-centered beliefs and close mentoring relationships. Finally, higher levels of cultural sensitivity and relational communication skills were positively related to close mentoring relationships. Implications for mentoring academic service-learning programs that use college students as youth mentors are discussed.