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激越性谵妄综合征:一种政治性诊断?

Excited delirium syndrome: a political diagnosis?

作者信息

Ranson David

机构信息

Victorian Institute of Forensic Medicine, Department of Forensic Medicine, Monash University.

出版信息

J Law Med. 2012 Jun;19(4):667-72.

Abstract

"Excited delirium" has become increasingly recognised as a medical entity that is typically associated with individuals suffering from a mental illness and/or affected by a variety of stimulant-type drugs. Because the diagnostic label has been used in association with situations of violence on the part of the person affected, and this has included circumstances where chemical and electrical as well as physical restraint has been applied by law enforcement personnel, the diagnostic entity has come to be reviewed by a variety of courts and tribunals. There is considerable debate in medical circles as to the scientific validity of such a "diagnosis" but there appears to be some medical and therapeutic value in clustering the relevant signs and symptoms under such a label. At the same time, using such a term in relation to deaths associated with circumstances where individuals are restrained could be seen as a way of deflecting the investigation of such deaths away from the actions of law enforcement personnel.

摘要

“激动性谵妄”已越来越被视为一种医学实体,通常与患有精神疾病和/或受多种兴奋剂类药物影响的个体相关。由于该诊断标签一直与受影响者的暴力行为情况相关联,其中包括执法人员使用化学、电击以及身体约束的情况,该诊断实体已受到各种法院和法庭的审查。医学界对于这种“诊断”的科学有效性存在相当大的争议,但将相关体征和症状归在这样一个标签下似乎具有一定的医学和治疗价值。与此同时,在与个体受到约束的情况相关的死亡事件中使用这样一个术语,可能被视为将对此类死亡事件的调查从执法人员的行为上转移开的一种方式。

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