Achatz Johannes, Knoepffler Nikolaus
Friedrich-Schiller-Universität Jena, Ethikzentrum Jena/Lehrstuhl für Angewandte Ethik.
Psychiatr Prax. 2014 Jul;41 Suppl 1:S81-5. doi: 10.1055/s-0034-1370005. Epub 2014 Jul 1.
Psychiatry is distinguished from other fields of medical expertise and bears a particular kind of responsibility, namely the treatment of persons incapable of informed consent per se. The History of psychiatry shows that much too often inhuman abuse was happening in psychiatric facilities. An ethics of psychiatry therefore requires a reliable and stable foundation for values that allow justifying normative claims embracing both characteristics. Such a basic foundation already exists in form of the pluralistic and international recognition of human dignity. We argue that human dignity does and has to go beyond "respect for autonomy" and by that it can function as highest authority on questions concerning value judgments on critical cases in psychiatric bioethics.
精神病学与其他医学专业领域有所不同,且承担着一种特殊的责任,即治疗本身无能力给予知情同意的患者。精神病学的历史表明,在精神病治疗机构中,非人道的虐待行为屡见不鲜。因此,精神病学伦理需要一个可靠且稳定的价值基础,以便为包含上述两种特征的规范性主张提供正当理由。这样一个基本基础已经以对人类尊严的多元和国际认可的形式存在。我们认为,人类尊严确实并且必须超越“尊重自主性”,因此它可以作为精神病生物伦理学中关键案例价值判断问题的最高权威。