Department of Psychiatry, Jubilee Mission Medical College, Thrissur, Kerala, India.
Indian J Psychiatry. 2012 Jul;54(3):266-8. doi: 10.4103/0019-5545.102428.
Exhorting psychiatrists to use covert medication is not right. Unlike in pediatrics and geriatrics, a small section of schizophrenics and mood disorder patients with full awareness of their legal rights, vehemently refuse medications. In such cases "rules" are required to regulate covert medication, forced medication etc. Only that way both patients' right for autonomy and the professionals duty to administer treatment could be simultaneously taken care of. Section 19 of the Mental Health Act 1987 provides the required legal provision for this. Civil society expects psychiatrists too to function within the boundaries set by a legal framework.
劝导精神科医生使用隐蔽药物是不正确的。与儿科和老年科不同,一小部分精神分裂症和情绪障碍患者充分意识到自己的合法权利,强烈拒绝药物治疗。在这种情况下,需要“规则”来规范隐蔽药物、强制药物等。只有这样,才能同时兼顾患者的自主权和专业人员的治疗责任。1987 年《精神卫生法》第 19 条为此提供了必要的法律规定。民间社会也期望精神科医生在法律框架内开展工作。