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严重精神疾病的社会史

A social history of serious mental illness.

机构信息

School of Psychiatry, University of New South Wales, Sydney, New South Wales, Australia.

Justice Health and Forensic Mental Health Network, New South Wales, Australia.

出版信息

CNS Spectr. 2020 Oct;25(5):584-592. doi: 10.1017/S1092852920001364. Epub 2020 Jul 9.

Abstract

Despite medical, technological, and humanitarian advances, the criminalization of those with serious mental illness continues. This is not an isolated phenomenon. The benefits of treatment reform and innovation are difficult to maintain or sometimes outright harmful. Across time and geography, the care of those with serious mental illness tends towards maltreatment, be it criminalization or other forms of harm. We present a social history of serious mental illness, along with the idea that the treatment of serious mental illness is a Sisyphean task-perpetually pushing a boulder up a hill, only for it to roll down and start again. The history is provided as a basis for deeper reflection of treatment, and treatment reform, of those with serious mental illnesses.

摘要

尽管在医学、技术和人道主义方面取得了进步,但严重精神疾病患者仍被定罪。这并非孤立现象。治疗改革和创新的好处难以维持,有时甚至会造成伤害。在时间和地域上,严重精神疾病患者的护理往往倾向于虐待,无论是定罪还是其他形式的伤害。我们呈现了严重精神疾病的社会历史,并提出了这样一种观点,即严重精神疾病的治疗是一项西西弗斯式的任务——不断地将一块巨石推向山顶,却只见它滚下来,一切又重新开始。这段历史为深入思考严重精神疾病患者的治疗和治疗改革提供了基础。

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