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澳大利亚精神卫生法改革中的能力概念:是否走错了方向?

The concept of capacity in Australian mental health law reform: Going in the wrong direction?

作者信息

McSherry Bernadette, Wilson Kay

机构信息

Monash University, Australia; Melbourne Law School, University of Melbourne, Australia.

Melbourne Law School, University of Melbourne, Australia.

出版信息

Int J Law Psychiatry. 2015 May-Jun;40:60-9. doi: 10.1016/j.ijlp.2015.04.006. Epub 2015 May 6.

Abstract

The six Australian states and two territories each have legislation that enables the involuntary detention and treatment of individuals diagnosed with mental illness who are considered in need of treatment and where there is evidence of a risk of harm to self or others. A number of governments have undertaken or are currently undertaking reviews of mental health laws in light of the Australian Government's ratification of the Convention on the Rights of Persons with Disabilities. While United Nations bodies have made it clear that laws which enable the detention of and substituted decision-making for persons with disabilities should be abolished, debates in Australia about the reform of mental health legislation have largely focused on Article 12 of the CRPD and what is meant by the right of persons with disabilities to enjoy legal capacity on an equal basis with others. It is argued that a more holistic view of the CRPD rather than the current narrow focus on Article 12 would best serve the needs of persons with mental impairments.

摘要

澳大利亚的六个州和两个领地都有相关立法,允许对被诊断患有精神疾病、被认为需要治疗且有证据表明对自己或他人有伤害风险的个人进行非自愿拘留和治疗。鉴于澳大利亚政府批准了《残疾人权利公约》,一些政府已经或正在对心理健康法律进行审查。虽然联合国机构明确表示,允许对残疾人进行拘留和替代决策的法律应该废除,但澳大利亚关于心理健康立法改革的辩论主要集中在《残疾人权利公约》第十二条以及残疾人与他人平等享有法律行为能力的权利意味着什么。有人认为,对《残疾人权利公约》采取更全面的看法,而不是目前对第十二条的狭隘关注,将最能满足精神障碍者的需求。

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