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精神卫生立法与实践中的一些伦理权衡。

Some ethical tradeoffs in mental health legislation and practice.

作者信息

Govind Nikhil

机构信息

Manipal Centre for Philosophy and the Humanities, Manipal University, Manipal, India.

出版信息

Indian J Med Ethics. 2012 Jul-Sep;9(3):196-9. doi: 10.20529/IJME.2012.064.

DOI:10.20529/IJME.2012.064
PMID:22864081
Abstract

An examination of the intersection of legal and medical discourses, particularly in the realm of mental health legislation, provides a rich opportunity to clarify fundamental ethical conflicts. This essay studies one such legal discourse, the draft amendments to the Mental Health Act (1987), to demonstrate that the realm of ethical decision-making is constrained not only by pragmatic administrative, training and financial issues but also by the very contradictions that are necessarily at the heart of any ethically conducted project, however well intentioned and reasoned.

摘要

对法律与医学话语的交叉领域进行审视,尤其是在心理健康立法领域,为厘清基本的伦理冲突提供了丰富的契机。本文研究了这样一种法律话语,即《精神卫生法》(1987年)修正案草案,以表明伦理决策领域不仅受到务实的行政、培训和财务问题的限制,还受到任何道德行为项目核心必然存在的矛盾的限制,无论其意图多么良好、推理多么合理。

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