公众对有心理健康问题者的能力、危险性以及法律强制需求的看法。
The public's view of the competence, dangerousness, and need for legal coercion of persons with mental health problems.
作者信息
Pescosolido B A, Monahan J, Link B G, Stueve A, Kikuzawa S
机构信息
Department of Sociology, Indiana University, Bloomington 47405, USA.
出版信息
Am J Public Health. 1999 Sep;89(9):1339-45. doi: 10.2105/ajph.89.9.1339.
OBJECTIVES
The authors examined Americans' opinions about financial and treatment competence of people with mental health problems, potential for harm to self or others, and the use of legal means to force treatment.
METHODS
The 1996 General Social Survey provided interview data with a nationally representative sample (n = 1444). Respondents were given a vignette based on diagnostic criteria for schizophrenia, major depression, alcohol dependence, or drug dependence, or a "control" case.
RESULTS
The specific nature of the problem was the most important factor shaping public reaction. Respondents viewed those with "troubles," alcohol dependence, or depression as able to make treatment decisions. Most reported that persons with alcohol or drug problems or schizophrenia cannot manage money and are likely to be violent toward others. Respondents indicated a willingness to coerce individuals into treatment. Respondent and other case characteristics rarely affected opinions.
CONCLUSIONS
Americans report greater concern with individuals who have drug or alcohol problems than with persons who have other mental health problems. Evaluations of dangerousness and coercion indicate a continuing need for public education.
目的
作者调查了美国人对有心理健康问题者的财务和治疗能力、对自身或他人造成伤害的可能性以及使用法律手段强制治疗的看法。
方法
1996年综合社会调查提供了对全国代表性样本（n = 1444）的访谈数据。受访者被给予一个基于精神分裂症、重度抑郁症、酒精依赖或药物依赖的诊断标准的案例 vignette，或一个“对照”案例。
结果
问题的具体性质是塑造公众反应的最重要因素。受访者认为有“问题”、酒精依赖或抑郁症的人能够做出治疗决定。大多数人报告说，有酒精或药物问题或精神分裂症的人无法管理钱财，并且可能对他人有暴力行为。受访者表示愿意强制个人接受治疗。受访者和其他案例特征很少影响看法。
结论
美国人报告称，比起有其他心理健康问题的人，他们更关注有药物或酒精问题的人。对危险性和强制手段的评估表明持续需要进行公众教育。
Zotero 插件