Bournemouth University, Bournemouth, UK.
J Psychiatr Ment Health Nurs. 2010 Oct;17(8):700-5. doi: 10.1111/j.1365-2850.2010.01584.x. Epub 2010 Jun 15.
The main constructions in Nietzsche's On the Genealogy of Morality (1994) are employed in order to explore the changes in mental health care that have been recently taking place. Characterized by boundaries that define the objectivity of scientific method, the biological stratum or the area of concern (disease and the disembodied being) and the professional distance that is maintained in the healthcare encounter, the noble morality of contemporary allopathic (Western) mental health care practice appears to be being challenged, in an act of ressentiment, by the slave morality of society, inverting values and beliefs that have previously been held. Mental health care paternalism may be in the process of giving way to consumer sovereignty, patient participation in decision making and the re-discovery of the embodied being at the centre of the healthcare encounter. Nietzsche warns that the dominance of slave morality and the inversion of moral values (what was a quality that was held by the nobles and regarded as good) - that is, objectivity and mental health care paternalism - becomes bad; and what was a quality held by the slaves and regarded as bad - subjectivity - becomes good, may ultimately be detrimental to the advancement of society.
为了探索最近发生的心理健康照护方面的变化，本文运用了尼采的《道德的谱系》（1994）中的主要结构。以界定科学方法的客观性、生物层面或关注领域（疾病和非实体存在）以及在医疗保健中保持的专业距离的界限为特征，当代对抗疗法（西方）心理健康照护实践的高贵道德似乎正在受到社会奴隶道德的反抗，颠覆了以前持有的价值观和信仰。心理健康照护家长式作风可能正在让位于消费者主权、患者参与决策以及重新发现医疗保健中处于中心地位的实体存在。尼采警告说，奴隶道德的主导地位和道德价值观的颠倒（以前被贵族所拥有并被视为好的品质）——即客观性和心理健康照护家长式作风——会变得恶劣；而以前被奴隶所拥有并被视为坏的品质——主观性——会变得美好，这最终可能对社会的进步有害。
