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[精神卫生保健中的困境。一种定量方法]

[Dilemmas in mental health care. A quantitative approach].

作者信息

Veening E P

机构信息

UMC Groningen, afdeling Psychiatrie, Postbus 30001, 9700 RB Groningen.

出版信息

Tijdschr Psychiatr. 2006;48(11):867-72.

Abstract

An imaginary but realistic scenario is presented in order to stimulate thought and discussion about ethical dilemmas faced by those responsiblefor psychiatric cases. The method is designed to achieve greater consistency in two areas: in professional discussions of ethical problems and in public accountability for these problems. It is proposed in this paper that arguments for and against intervention can be evaluated by attributing to each argument a 'telo' and/or 'delo' value, depending on the possible consequences of intervention and the degree to which intervention would infringe or safeguard the rights of the individual concerned. The main purpose of the proposed method is to 'objectify' existing intuitive ideas and personal viewsfor the purpose of arriving at a balanced quantitative and qualitative evaluation of the decisions that are often required in psychiatric care.

摘要

为激发对负责精神科病例者所面临的伦理困境的思考与讨论,呈现了一个虚构但现实的场景。该方法旨在实现两个方面的更大一致性:在伦理问题的专业讨论中以及在对这些问题的公共问责方面。本文提出,根据干预的可能后果以及干预侵犯或保障相关个人权利的程度,通过赋予每个论点一个“目的”和/或“手段”价值,可以评估支持和反对干预的论点。所提议方法的主要目的是将现有的直观想法和个人观点“客观化”,以便对精神科护理中经常需要做出的决策进行平衡的定量和定性评估。

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