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WPA 关于如何消除精神医学和精神科医生污名化的指导意见。

WPA guidance on how to combat stigmatization of psychiatry and psychiatrists.

机构信息

Association for the Improvement of Mental Health Programmes, Geneva, Switzerland.

出版信息

World Psychiatry. 2010 Oct;9(3):131-44. doi: 10.1002/j.2051-5545.2010.tb00296.x.

Abstract

In 2009 the WPA President established a Task Force that was to examine available evidence about the stigmatization of psychiatry and psychiatrists and to make recommendations about action that national psychiatric societies and psychiatrists as professionals could do to reduce or prevent the stigmatization of their discipline as well as to prevent its nefarious consequences. This paper presents a summary of the Task Force's findings and recommendations. The Task Force reviewed the literature concerning the image of psychiatry and psychiatrists in the media and the opinions about psychiatry and psychiatrists of the general public, of students of medicine, of health professionals other than psychiatrists and of persons with mental illness and their families. It also reviewed the evidence about the interventions that have been undertaken to combat stigma and consequent discrimination and made a series of recommendations to the national psychiatric societies and to individual psychiatrists. The Task Force laid emphasis on the formulation of best practices of psychiatry and their application in health services and on the revision of curricula for the training of health personnel. It also recommended that national psychiatric societies establish links with other professional associations, with organizations of patients and their relatives and with the media in order to approach the problems of stigma on a broad front. The Task Force also underlined the role that psychiatrists can play in the prevention of stigmatization of psychiatry, stressing the need to develop a respectful relationship with patients, to strictly observe ethical rules in the practice of psychiatry and to maintain professional competence.

摘要

2009 年,世界精神病学协会主席成立了一个工作组,旨在审查关于精神病学和精神科医生污名化的现有证据,并就国家精神病学协会和精神科医生作为专业人员可以采取哪些行动来减少或预防其学科的污名化以及预防其邪恶后果提出建议。本文介绍了工作组的调查结果和建议摘要。工作组审查了有关媒体对精神病学和精神科医生形象的看法,以及普通公众、医学生、非精神科卫生专业人员以及精神病患者及其家属对精神病学的看法的文献。它还审查了为消除污名化和随之而来的歧视而采取的干预措施的证据,并向各国精神病学协会和个别精神科医生提出了一系列建议。工作组强调制定精神病学最佳实践并将其应用于卫生服务以及修订卫生人员培训课程的重要性。它还建议各国精神病学协会与其他专业协会、患者及其亲属的组织以及媒体建立联系,以便在更广泛的层面上解决污名化问题。工作组还强调了精神科医生在预防精神病学污名化方面可以发挥的作用,强调需要与患者建立尊重关系,在精神病学实践中严格遵守伦理规则,并保持专业能力。

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