Verhoef M, van Dartel J N, van Vliet I M
Tijdschr Psychiatr. 2016;58(1):11-9.
In the Netherlands patients are increasingly being required to take responsibility for their own their health. However, an important problem not yet resolved is whether psychiatric patients are able or well enough to shoulder this responsibility.
To explore the normative views of psychiatrists concerning their responsibility of their patients' health.
We performed a qualitative research in which 15 psychiatrists were interviewed with the help of a list of topics. The verbatim accounts of the interviews were analysed and interpreted by two researchers.
Psychiatrists differed in their views on the responsibility of patients for their own health. Some psychiatrists defined patient responsibility as a personal quality or disposition and regarded patients as being in principle responsible; others considered patient responsibility to be a construct or result of the therapeutic relationship. These two groups had different views about the moments and the ways in which patient responsibility becomes problematical. In addition, they had opposing views on current developments in government policies.
Psychiatrists differ in their interpretation of patient responsibility. This means they differ not only in their views on government policy but also probably in the attitudes they adopt in their daily practice. These differing attitudes to patient responsibility need to be looked at critically because they have a bearing on the observance of ethical norms and on the need to respect patients' autonomy.
在荷兰，患者越来越需要对自己的健康负责。然而，一个尚未解决的重要问题是，精神科患者是否有能力或是否足够健康来承担这一责任。
探讨精神科医生对患者健康责任的规范性观点。
我们进行了一项定性研究，借助一系列主题清单对15名精神科医生进行了访谈。两位研究人员对访谈的逐字记录进行了分析和解读。
精神科医生对患者自身健康责任的看法存在差异。一些精神科医生将患者责任定义为一种个人品质或性情，并认为患者原则上应承担责任；另一些人则认为患者责任是治疗关系的一种构建或结果。这两组人对患者责任成为问题的时刻和方式有不同看法。此外，他们对政府政策的当前发展持相反观点。
精神科医生对患者责任的解释存在差异。这意味着他们不仅在对政府政策的看法上存在差异，而且在日常实践中可能采取的态度也存在差异。需要审慎看待这些对患者责任的不同态度，因为它们关系到道德规范的遵守以及尊重患者自主权的必要性。
