在瑞典心理健康法程序中，缺乏洞察力作为一个包罗万象的法外因素。
Absence of insight as a catch-all extra-legislative factor in Swedish mental health law proceedings.
作者信息
Radovic Susanna, Eriksson Lena, Dahlin Moa Kindström
机构信息
Department of Philosophy, Linguistics and Theory of Science, University of Gothenburg, Gothenburg, Sweden.
Centre for Ethics, Law and Mental Health, University of Gothenburg, Gothenburg, Sweden.
出版信息
Psychiatr Psychol Law. 2020 Apr 20;27(4):601-619. doi: 10.1080/13218719.2020.1739577. eCollection 2020.
Previous research indicates that insight is frequently used but rarely defined in mental health proceedings. This article examines how participants in Swedish administrative court proceedings use the concept of insight when discussing decisions regarding involuntary psychiatric care. Open-ended qualitative interviews were conducted with professional mental health court participants. The results show that lack of insight is used by the informants as an argument for all three legal criteria for involuntary psychiatric care in Sweden, as well as the criterion for release from forensic psychiatric care. It is concluded that there are troublesome legal and ethical implications of courts relying on a poorly defined concept such as insight in their rulings.
先前的研究表明，洞察力在心理健康程序中经常被使用，但很少被定义。本文探讨了瑞典行政法庭程序中的参与者在讨论关于非自愿精神科护理的决定时如何使用洞察力这一概念。对精神健康法庭的专业参与者进行了开放式定性访谈。结果表明，信息提供者将缺乏洞察力作为瑞典非自愿精神科护理的所有三个法律标准以及法医精神科护理出院标准的论据。得出的结论是，法院在裁决中依赖于洞察力这样一个定义不明确的概念存在棘手的法律和伦理问题。
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