Baudis P
Psychiatrické centrum Praha.
Cas Lek Cesk. 2005;144(2):131-3.
Presentation describes the relation between psychiatry and society and their mutual interplay. The special status of psychiatry among the medical disciplines is characterized. Indications and methods of restriction in psychiatry are given. Beside its curative and regulative function, psychiatry has to protect both the patients and the society. The means of restriction are presented (hospitalisation without the patient's consent, locked departments, physical and pharmacological restrictions, protective psychiatric treatment and other). Problems of medical-juristic dilemma in psychiatric praxis are discussed. Official and unofficial methods of the regulation of patient's behaviour are described together with the necessity to develop and cultivate them.
报告阐述了精神病学与社会之间的关系及其相互作用。描述了精神病学在医学学科中的特殊地位。给出了精神病学中限制的指征和方法。除了其治疗和调节功能外,精神病学还必须保护患者和社会。介绍了限制手段(未经患者同意的住院治疗、封闭科室、身体和药物限制、保护性精神治疗等)。讨论了精神病学实践中医疗-法律困境的问题。描述了规范患者行为的官方和非官方方法以及发展和培养这些方法的必要性。