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《残疾人权利公约》的实施:不仅仅是另一次精神医学改革。

The Implementation of the Convention on the Rights of Persons with Disabilities: More Than Just Another Reform of Psychiatry.

机构信息

Deputy Professor of Gender Studies in Rehabilitation and Education at the Faculty of Rehabilitation at Technical University Dortmund, Germany.

Deputy Board Member of the European Network of (Ex-)Users and Survivors of Psychiatry and Board Member of Advocacy-France.

出版信息

Health Hum Rights. 2020 Jun;22(1):151-161.

Abstract

The social model of disability-which is grounded in the lived realities of disabled people, as well as their activism, research, and theoretical work-has enabled a historic turn in the understanding of disability. This model also facilitates the transition to the rights-based approach that is at the core of the United Nations Convention on the Rights of Persons with Disabilities (CRPD). However, the social model of disability does not straightforwardly translate to the lives of people who end up being detained and forcibly treated in psychiatric facilities. This paper examines the implications of the lack of an equivalent theoretical framework to counteract the hegemony of the biomedical model of "mental illness" and to underpin and guide the implementation of the CRPD for people with psychiatric diagnoses. Critically engaging with some recent attempts to make the CRPD provisions integral to psychiatry, we expose fundamental contradictions inherent in such projects. Our discussion seeks to extend the task of implementation of the CRPD beyond reforming psychiatry, suggesting a much broader agenda for change. We argue for the indispensability of first-person knowledge in developing and owning this agenda and point to the dangers of merely remaking former treatment objects into objects of human rights.

摘要

残疾的社会模式——基于残疾人的现实生活,以及他们的行动主义、研究和理论工作——使人们对残疾的理解发生了历史性的转变。这种模式也促进了向以权利为基础的方法的转变,而这种方法是《联合国残疾人权利公约》(CRPD)的核心。然而,残疾的社会模式并没有直接转化为最终被监禁和强制在精神病院接受治疗的人的生活。本文探讨了缺乏等效的理论框架来对抗“精神疾病”的生物医学模式的霸权,以及为有精神科诊断的人实施《残疾人权利公约》提供支持和指导的意义。我们批判性地探讨了一些最近试图将《残疾人权利公约》的规定纳入精神病学的尝试,揭示了这些项目所固有的根本矛盾。我们的讨论旨在将《残疾人权利公约》的实施任务扩展到改革精神病学之外,为变革提出一个更广泛的议程。我们认为,在制定和拥有这一议程时,第一人称知识是不可或缺的,并指出将前治疗对象仅仅重新制造成人权对象的危险。

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