Gravier Bruno, Eytan Ariel
Service de Médecine et Psychiatrie Pénitentarie, Département de Psychiatrie, CHUV, 1011 Lausanne.
Rev Med Suisse. 2011 Sep 21;7(309):1806, 1808-11.
Psychiatry is now subject to two apparently contradictory movements. On the one hand, the need to respect the autonomy and rights of patients is reinforced and coercive measures are strictly defined and limited. On the other hand, security concerns in our society leads to prosecution of psychiatric disorders, especially when accompanied by behavioral problems or criminal acts. In these situations of compulsory treatment or care provided in prisons, a number of dilemmas emerge. The place of the healthcare professional in treatments ordered by the Judge and problems related to administrative detention are discussed in more detail.
精神病学目前面临两种明显相互矛盾的趋势。一方面，尊重患者自主权和权利的必要性得到强化，强制措施得到严格界定和限制。另一方面，我们社会中的安全担忧导致对精神疾病的起诉，尤其是当伴有行为问题或犯罪行为时。在监狱中提供强制治疗或护理的这些情况下，出现了一些困境。将更详细地讨论医疗专业人员在法官下令的治疗中的地位以及与行政拘留相关的问题。
