Xenakis Stephen N
Dr. Xenakis is a retired Army Brigadier General and Adjunct Professor, Uniformed Services University of Health Sciences, Arlington, VA.
J Am Acad Psychiatry Law. 2017 Sep;45(3):311-315.
There is no agreement on how to manage hunger strikers. The health professionals called to intervene in a hunger strike are faced with a dilemma: commit themselves to good order and discipline or comply with best practices for providing healthcare. Handling cases of hunger strikers confronts practitioners with the ethics dilemma of managing apparent intentional behavior that carries serious morbidity or mortality, but recognizing that hunger striking is a military and political tactic, and not a medical condition. The study by Reeves, published in the enhances our understanding of the motives and psychology of hunger strikers. Their analysis indicates that improving communication with custody administration and mitigating unnecessarily aversive housing environments can likely reduce the incidence of hunger strikes.
对于如何管理绝食抗议者尚无共识。被要求介入绝食抗议的医护人员面临两难境地：是致力于维护良好秩序和纪律，还是遵循提供医疗保健的最佳做法。处理绝食抗议者的情况使从业者面临伦理困境，即要应对明显的故意行为，这种行为会带来严重的发病或死亡风险，但同时要认识到绝食抗议是一种军事和政治策略，而非一种医疗状况。里夫斯发表的研究增进了我们对绝食抗议者动机和心理的理解。他们的分析表明，改善与拘留管理部门的沟通以及减轻不必要的恶劣居住环境可能会降低绝食抗议的发生率。
