University of Chile and Bioethics Program, Pan American Health Organization, Santiago, Chile.
Int Rev Psychiatry. 2010;22(4):325-9. doi: 10.3109/09540261.2010.500864.
This paper addresses the context in which ethical and human right issues as they pertain to psychiatry are discussed in Latin America. Dependency and institutional instability are singled out as pervading characteristics influencing the analysis of issues and the design of mental health policies. According to the landmark 1990 Declaration of Caracas all countries in the region have progressed towards implementing measures designed to improve the condition of the populations regarding mental health care and research. Several principles are now universally accepted and, while there is still room for improvement, provision of services and better contexts for scientific development make it possible to expect advances in the future.
本文探讨了拉丁美洲精神病学领域中涉及的伦理和人权问题的背景。依赖性和制度不稳定被挑出来作为影响问题分析和心理健康政策设计的普遍特征。根据具有里程碑意义的 1990 年《加拉加斯宣言》，该地区所有国家都在朝着实施旨在改善人口精神保健和研究条件的措施的方向取得进展。现在已经普遍接受了若干原则，尽管还有改进的空间，但服务的提供和科学发展的更好环境使得未来取得进展成为可能。
