Scheyett Anna M, Kim Mimi M, Swanson Jeffrey W, Swartz Marvin S
University of North Carolina--Chapel Hill, School of Social Work, 27599-3550, USA.
Psychiatr Rehabil J. 2007 Summer;31(1):70-5. doi: 10.2975/31.1.2007.70.75.
Individuals with psychiatric disabilities identify choice and self-direction as central elements of recovery. During times of psychiatric crisis people may experience a frightening loss of choice and self-direction, which can be damaging and traumatic. Psychiatric advance directives (PADs) are legal documents created to address this loss of autonomy and choice during crises by allowing individuals to communicate in the present wishes for care during a future crisis. This paper examines the ways in which PADs support and can be a tool for recovery and discusses future recovery-oriented directions for PAD research and intervention.
患有精神疾病的人将选择和自我导向视为康复的核心要素。在精神疾病危机期间,人们可能会经历令人恐惧的选择和自我导向的丧失,这可能具有破坏性和创伤性。精神疾病预先指示(PADs)是一种法律文件,旨在通过允许个人在当前表达对未来危机期间护理的愿望,来解决危机期间自主权和选择的丧失问题。本文探讨了PADs支持康复的方式以及如何成为康复的工具,并讨论了PADs研究和干预未来以康复为导向的方向。