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全球精神卫生与神经伦理学。

Global mental health and neuroethics.

作者信息

Stein Dan J, Giordano James

出版信息

BMC Med. 2015 Mar 4;13:44. doi: 10.1186/s12916-015-0274-y.

DOI:10.1186/s12916-015-0274-y
PMID:25858581
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4349616/
Abstract

BACKGROUND

Global mental health is a relatively new field that has focused on disparities in mental health services across different settings, and on innovative ways to provide feasible, acceptable, and effective services in poorly-resourced settings. Neuroethics, too, is a relatively new field, lying at the intersection of bioethics and neuroscience; it has studied the implications of neuroscientific findings for age-old questions in philosophy, as well as questions about the ethics of novel neuroscientific methods and interventions.

DISCUSSION

In this essay, we address a number of issues that lie at the intersection of these two fields: an emphasis on a naturalist and empirical position, a concern with both disease and wellness, the importance of human rights in neuropsychiatric care, and the value of social inclusion and patient empowerment.

SUMMARY

These different disciplines share a number of perspectives, and future dialogue between the two should be encouraged.

摘要

背景

全球精神卫生是一个相对较新的领域,它关注不同环境下精神卫生服务的差异,以及在资源匮乏地区提供可行、可接受且有效的服务的创新方法。神经伦理学也是一个相对较新的领域,处于生物伦理学和神经科学的交叉点;它研究了神经科学研究结果对哲学中古老问题的影响,以及关于新型神经科学方法和干预措施的伦理问题。

讨论

在本文中,我们探讨了这两个领域交叉点上的一些问题:强调自然主义和实证立场、对疾病和健康的关注、人权在神经精神科护理中的重要性,以及社会包容和患者赋权的价值。

总结

这些不同学科有许多共同的观点,应该鼓励两者之间未来的对话。

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本文引用的文献

1
Global mental health and neuroscience: potential synergies.全球精神卫生与神经科学:潜在协同效应
Lancet Psychiatry. 2015 Feb;2(2):178-85. doi: 10.1016/S2215-0366(15)00014-0. Epub 2015 Jan 28.
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Convergence of advances in genomics, team science, and repositories as drivers of progress in psychiatric genomics.基因组学、团队科学和存储库的进步融合推动精神遗传学的发展。
Biol Psychiatry. 2015 Jan 1;77(1):6-14. doi: 10.1016/j.biopsych.2014.01.003. Epub 2014 Jan 15.
3
A principled and cosmopolitan neuroethics: considerations for international relevance.一种有原则的全球神经伦理学:对国际相关性的考量
Philos Ethics Humanit Med. 2014 Jan 3;9:1. doi: 10.1186/1747-5341-9-1.
4
Classification systems in psychiatry: diagnosis and global mental health in the era of DSM-5 and ICD-11.精神病学分类系统:DSM-5 和 ICD-11 时代的诊断和全球精神卫生。
Curr Opin Psychiatry. 2013 Sep;26(5):493-7. doi: 10.1097/YCO.0b013e3283642dfd.
5
Mental health and the global agenda.心理健康与全球议程。
N Engl J Med. 2013 Jul 4;369(1):66-73. doi: 10.1056/NEJMra1110827.
6
Patient advocacy and DSM-5.患者倡导与 DSM-5
BMC Med. 2013 May 17;11:133. doi: 10.1186/1741-7015-11-133.
7
Ethical considerations in the globalization of medicine--an interview with James Giordano.医学全球化中的伦理考量——对詹姆斯·乔达诺的访谈
BMC Med. 2013 Mar 14;11:69. doi: 10.1186/1741-7015-11-69.
8
Neuroimaging in mental health care: voices in translation.神经影像学在精神卫生保健中的应用:转化中的声音。
Front Hum Neurosci. 2012 Oct 22;6:293. doi: 10.3389/fnhum.2012.00293. eCollection 2012.
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Afterword: against "global mental health".后记:反对“全球精神卫生”。
Transcult Psychiatry. 2012 Jul;49(3-4):519-30. doi: 10.1177/1363461512454701.
10
Positive mental health: a note of caution.积极的心理健康:一则警示
World Psychiatry. 2012 Jun;11(2):107-9. doi: 10.1016/j.wpsyc.2012.05.023.