Wullschleger Alexandre, Mielau Juliane, Mahler Lieselotte, Vandamme Angelika, Montag Christiane
Fortschr Neurol Psychiatr. 2018 Aug;86(8):500-508. doi: 10.1055/a-0604-2714. Epub 2018 Aug 20.
Reduction in coercion in psychiatric treatment requires successful interaction between changes in structural preconditions and therapeutic processes, as well as in individual therapeutic skills and attitudes. The article gives an overview of current approaches and possibilities to minimize the use of coercive interventions and to create non-violent and participative therapeutic settings. These opportunities are discussed against the background of structural and staff resources, social and legal aspects, as well as subjective experience of patients and their right to protection and treatment in phases when freedom of will and self- determination are compromised.
减少精神科治疗中的强制手段需要在结构前提条件、治疗过程以及个人治疗技能和态度等方面的变化之间成功互动。本文概述了当前的方法和可能性，以尽量减少强制干预措施的使用，并营造非暴力和参与性的治疗环境。这些机会是在结构和人员资源、社会和法律层面以及患者的主观体验及其在意志自由和自决权受到损害阶段获得保护和治疗的权利等背景下进行讨论的。
