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痴呆症患者的赋权与决策:苏格兰法律干预措施的运用

Empowerment and decision-making for people with dementia: the use of legal interventions in Scotland.

作者信息

Wilkinson H

机构信息

Centre for Social Research on Dementia, University of Stirling, Scotland.

出版信息

Aging Ment Health. 2001 Nov;5(4):322-8. doi: 10.1080/13607860120080260.

Abstract

Dementia is associated with a decline in the ability to reason and make judgements thereby affecting a person's ability to make sound decisions. Others are not legally entitled to make these decisions until they have been assigned legal jurisdiction to do so. It is not clear, however, the extent to which people with dementia rely on available legal interventions. The growing emphasis on early diagnosis for people with dementia provides an opportunity for people to plan and control decisions about financial management and welfare and may well lead to an increase in the uptake of these interventions. This paper coincides with a move to reform outdated Scottish Law with the Adults with Incapacity (Scotland) Act 2000. This legislation proposes a more integrated and flexible approach to the legal management of the affairs of people with reduced decision-making capability. The paper reviews of the recent literature on the use of legal interventions for people with dementia and their families, and discusses the empowering or disempowering nature of the interventions.

摘要

痴呆症与推理和判断能力的下降有关,从而影响一个人做出明智决策的能力。在被赋予法律管辖权之前,其他人在法律上无权做出这些决定。然而,目前尚不清楚痴呆症患者在多大程度上依赖现有的法律干预措施。对痴呆症患者早期诊断的日益重视为人们提供了一个机会,来规划和控制有关财务管理和福利的决策,并且很可能会导致这些干预措施的采用率上升。本文恰逢《2000年苏格兰无行为能力成年人法案》对过时的苏格兰法律进行改革之际。这项立法提议采用一种更加综合和灵活的方法来对决策能力下降者的事务进行法律管理。本文回顾了近期关于痴呆症患者及其家庭使用法律干预措施的文献,并讨论了这些干预措施的赋权或剥夺权力的性质。

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