Bhugra Dinesh, Pathare Soumitra, Nardodkar Renuka, Gosavi Chetna, Ng Roger, Torales Julio, Ventriglio Antonio
a World Psychiatric Association , Geneva , Switzerland ;
b Centre for Mental Health Law and Policy, Indian Law Society , Pune , India ;
Int Rev Psychiatry. 2016 Aug;28(4):386-92. doi: 10.1080/09540261.2016.1210577. Epub 2016 Aug 8.
Realization of right to marry by a person is an exercise of personal liberty, even if concepts of marriage and expectations from such commitment vary across cultures and societies. Once married, if an individual develops mental illness the legal system often starts to discriminate against the individual. There is no doubt that every individual's right to marry or remain married is regulated by their country's family codes, civil codes, marriage laws, or divorce laws. Historically mental health condition of a spouse or intending spouse has been of interest to lawmakers in a number of ways from facilitating divorce to helping the individual with mental illness. There is no doubt that there are deeply ingrained stereotypes that persons with mental health problems lack capacity to consent and, therefore, cannot enter into a marital contract of their own free will. These assumptions lead to discrimination both in practice and in law. Furthermore, the probability of mental illness being genetically transmitted and passed on to offspring adds yet another dimension of discrimination. Thus, the system may also raise questions about the ability of persons with mental health problems to care, nurture, and support a family and children. Internationally, rights to marry, the right to remain married, and dissolution of marriage have been enshrined in several human rights instruments. Domestic laws were studied in 193 countries to explore whether laws affected the rights of people with mental illness with respect to marriage; it was found that 37% of countries explicitly prohibit marriage by persons with mental health problems. In 11% (21 countries) the presence of mental health problems can render a marriage void or can be considered grounds for nullity of marriage. Thus, in many countries basic human rights related to marriage are being flouted.
一个人实现结婚的权利是对个人自由的一种行使,即便婚姻观念以及对这种承诺的期望在不同文化和社会中存在差异。一旦结婚,如果个人患上精神疾病,法律制度往往就会开始歧视这个人。毫无疑问,每个人结婚或维持婚姻的权利都受其国家的家庭法典、民法典、婚姻法或离婚法的规范。从历史上看,配偶或准配偶的心理健康状况在许多方面一直是立法者所关注的,从便利离婚到帮助患有精神疾病的个人。毫无疑问,存在着根深蒂固的刻板印象,即有心理健康问题的人缺乏同意的能力,因此不能出于自己的自由意志订立婚姻契约。这些假设在实践和法律中都导致了歧视。此外,精神疾病通过基因传播并遗传给后代的可能性又增加了另一层面的歧视。因此,该制度可能还会引发关于有心理健康问题的人照顾、养育和支持家庭及子女能力的质疑。在国际上,结婚权及维持婚姻的权利以及婚姻的解除已在若干人权文书中得到规定。对193个国家的国内法进行了研究,以探讨法律是否影响患有精神疾病的人的婚姻权利;结果发现,37%的国家明确禁止有心理健康问题的人结婚。在11%(21个国家)的国家,存在心理健康问题可使婚姻无效或可被视为婚姻无效的理由。因此,在许多国家,与婚姻相关的基本人权正在受到践踏。