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精神病学与人权:关系艰难,但潜力日增。

Psychiatry and human rights: a difficult relationship, but with a growing potential.

作者信息

Jarab Jan

出版信息

Neuropsychiatr. 2015;29(3):106-11. doi: 10.1007/s40211-015-0157-7.

DOI:10.1007/s40211-015-0157-7
PMID:26464182
Abstract

Persons with psychosocial disabilities (mental health problems) are under the protection of the new United Nations Convention on Rights of Persons with Disabilities (CRPD). The CRPD brings a human rights-based approach to disability: it challenges paternalistic views by emphasizing the person as a rights-holder, an active subject, and not just a passive object of care. It also represents a challenge to mainstream human rights movements and mechanisms who have long paid insufficient attention to human rights of persons with (psychosocial) disabilities. It is increasingly understood that human rights of persons with psychosocial disabilities (mental health problems) should not be seen in the narrow perspective, as if the only issue was the most controversial one, that is, deprivation of liberty. In many areas, reform-minded psychiatrists have themselves initiated human rights-friendly reforms. For instance, efforts to implement article 19 of the CRPD—independent living and inclusion in the community—are increasingly becoming part of the mainstream in mental health care. There is potential for further synergy between mental health professionals and human rights activists in looking at the whole range of civil, political, economic, and social rights listed in the Universal Declaration of Human Rights—realizing that all these rights apply also to persons with psychosocial disabilities, and working together towards removing real-life obstacles to their enjoyment.The building of bridges between the two different types of expertise should be encouraged. In this regard, psychiatry would benefit from more cooperation across borders as well as with international human rights bodies, non-governmental organizations and persons with psychosocial disabilities themselves

摘要

患有心理社会残疾(心理健康问题)的人受到新的联合国《残疾人权利公约》(CRPD)的保护。《残疾人权利公约》带来了一种基于人权的残疾观:它通过强调个人作为权利持有者、积极主体,而非仅仅是被动的受照顾对象,对家长式观点提出了挑战。它也对长期以来对(心理社会)残疾人人权关注不足的主流人权运动和机制构成了挑战。人们越来越认识到,不应狭隘地看待患有心理社会残疾(心理健康问题)的人的人权,仿佛唯一的问题是最具争议性的问题,即剥夺自由。在许多领域,有改革意识的精神科医生自己发起了有利于人权的改革。例如,努力实施《残疾人权利公约》第19条——独立生活和融入社区——正日益成为精神卫生保健主流的一部分。在审视《世界人权宣言》所列的一系列公民、政治、经济和社会权利方面,精神卫生专业人员与人权活动家之间有进一步协同合作的潜力——认识到所有这些权利也适用于患有心理社会残疾的人,并共同努力消除他们在享有这些权利方面的现实障碍。应鼓励在这两种不同专业知识之间搭建桥梁。在这方面,精神病学将受益于更多的跨境合作以及与国际人权机构、非政府组织和患有心理社会残疾的人本身的合作。

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本文引用的文献

1
Challenges for psychiatry: delivering the Mental Health Declaration for Europe.精神医学面临的挑战:落实《欧洲精神卫生宣言》
World Psychiatry. 2006 Jun;5(2):113-7.