Hassan Tariq, Nizami Asad Tamizuddin, Asmer M Selim
Department of Psychiatry, Division of Forensic Psychiatry, Queen's University, Kingston, Ontario, Canada, email
Institute of Psychiatry, WHO Collaborating Centre for Mental Health, Rawalpindi Medical College, Rawalpindi, Pakistan.
BJPsych Int. 2017 May 1;14(2):40-44. doi: 10.1192/s205647400000177x. eCollection 2017 May.
In the Islamic Republic of Pakistan the law relating to people who are mentally ill, until 2001, was set out by the Lunacy Act of 1912, which was inherited from the British colonial occupiers. In 2001 the Mental Health Ordinance 2001 took its place but only for this federal law to be superseded in April 2010 with the 18th constitutional amendment. As part of that amendment, provinces have become responsible for (psychiatric) healthcare, including mental health legislation. Forensic psychiatry is practised in Pakistan but is very much in its infancy; it needs to develop and learn from more experienced countries in Europe and North America. Cultural factors and misconceptions arising from religion can at times contribute to, or create, barriers to the implementation of forensic psychiatric services in Pakistan. This paper reviews the current state of forensic psychiatric services in Pakistan and is intended to open the debate on the challenges ahead.
在巴基斯坦伊斯兰共和国，直至2001年，与精神疾病患者相关的法律一直由1912年的《疯人法》规定，该法是从英国殖民占领者那里继承而来的。2001年《2001年精神健康条例》取而代之，但这部联邦法律在2010年4月随着第18次宪法修正案被取代。作为该修正案的一部分，各省开始负责（精神科）医疗保健，包括精神健康立法。法医精神病学在巴基斯坦有实践，但尚处于起步阶段；它需要发展并向欧洲和北美的更有经验的国家学习。文化因素以及宗教产生的误解有时会对巴基斯坦法医精神病服务的实施造成障碍或形成阻碍。本文回顾了巴基斯坦法医精神病服务的现状，旨在开启关于未来挑战的辩论。
