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[慢性精神疾病的治疗。伦理与人类学方面]

[Treatment of chronic psychiatric disorders. Ethical and anthropological aspects].

作者信息

Valdes-Stauber J

机构信息

Bezirkskrankenhaus Kaufbeuren.

出版信息

Nervenarzt. 2009 May;80(5):564, 566, 568-77. doi: 10.1007/s00115-009-2674-8.

Abstract

This paper outlines an approach to assessing chronicity in psychiatric disorders, which represents a challenge for clinical practice. We began by accepting conclusions from well accepted anthropological and clinical studies of patients with chronic psychiatric disorders. Based on such key conclusions, we formulated several assumptions centred round anthropological concepts as a comprehension tool. Such an anthropological framework might improve orientation in the clinical evaluation of chronic psychiatric disorders. Ethical implications resulting from the above approach are discussed, specifically those revolving around the concept of "problematic people". Based on these considerations, ten practical concepts concerning the recovery from chronic psychiatric illness are discussed.

摘要

本文概述了一种评估精神障碍慢性化的方法,这对临床实践来说是一项挑战。我们首先接受了关于慢性精神障碍患者的广泛认可的人类学和临床研究的结论。基于这些关键结论,我们围绕人类学概念制定了几个假设,作为一种理解工具。这样一个人类学框架可能会改善对慢性精神障碍的临床评估。讨论了上述方法产生的伦理影响,特别是那些围绕“问题人群”概念的影响。基于这些考虑,讨论了关于慢性精神疾病康复的十个实用概念。

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