David Michel
Fédération française de psychiatrie, 26 boulevard Brune, 75014 Paris, France.
Soins Psychiatr. 2021 Mar-Apr;42(333):16-19. doi: 10.1016/j.spsy.2021.03.004. Epub 2021 Mar 23.
Consent and discernment are two important notions, constantly present in the daily life of psychiatric caregivers. The Haute Autorité de santé sheds valuable light on discernment by defining it in terms of five characteristics. As for consent, it is based on the fundamental principle of an agreement given on a proposal with a perception of the stakes by the different parties. The consequences within the multidisciplinary team are multiple, between the information recorded in the shared medical record, the care decisions according to the clinic and the impact on the patients' group. These are all serious ethical and practical difficulties.
同意和辨别力是两个重要概念，在精神科护理人员的日常生活中经常出现。法国卫生总署通过从五个特征方面对辨别力进行定义，为其提供了有价值的阐释。至于同意，它基于一项基本原则，即就一项提议达成的协议，且各方都能认识到其中的利害关系。在多学科团队内部，其后果是多方面的，涉及共享病历中记录的信息、根据临床情况做出的护理决策以及对患者群体的影响。这些都是严重的伦理和实际难题。
