Fennell Phil
Cardiff Law School, Cardiff University, Museum Avenue, Cardiff CF10 3AX, UK.
Health Care Anal. 2008 Sep;16(3):255-67. doi: 10.1007/s10728-008-0088-6. Epub 2008 Aug 2.
This paper considers the role of the concept of best interests in the treatment of mental disorder. It considers the Mental Capacity Act 2005 where treatment of an incapacitated person's mental disorder is authorized if treatment is in the patient's own best interests. It also examines the Mental Health Act 1983 as amended by the Mental Health Act 2007 where treatment without consent of a detained patient is allowed where necessary for the patient's health or safety or for the protection of others. Under both statutory regimes treatment must be in the best interests of the patient. This paper argues that 'best interests' is open to interpretation to include treatment interventions carried out primarily to protect other people.
本文探讨了“最佳利益”概念在精神障碍治疗中的作用。文中考虑了2005年《精神能力法案》,即如果对无行为能力者的精神障碍治疗符合患者自身的最佳利益,那么该治疗是被授权的。本文还审视了经2007年《精神健康法案》修订的1983年《精神健康法案》,即对于被拘留患者,在为了患者的健康或安全或为了保护他人而有必要时,可以未经其同意进行治疗。在这两种法定制度下,治疗都必须符合患者的最佳利益。本文认为,“最佳利益”容易被解释为包括主要为保护他人而实施的治疗干预措施。