Jochem Anne
Grand hôpital de l'Est francilien, Psychiatrie de l'enfant et de l'adolescent, 8 rue Saint-Fiacre, BP 218, 77104 Meaux cedex, France.
Soins Psychiatr. 2021 Mar-Apr;42(333):20-22. doi: 10.1016/j.spsy.2021.03.005. Epub 2021 Mar 23.
Consent must be sought by the doctor and caregivers on the basis of clinical insight. The argumentation must be coherent and well thought out, in order to facilitate the patient's choice. The question of consent is more important in psychiatry because of the different pathologies. The example of schizophrenia with the expression of delirium, hallucinations or disorganization reflects the difficulties encountered in the search for consent. This can then be apprehended as a therapeutic tool promoting meeting and trust.
医生和护理人员必须基于临床洞察来寻求同意。论证必须连贯且经过深思熟虑，以便于患者做出选择。由于存在不同的病症，同意问题在精神病学中更为重要。以伴有谵妄、幻觉或紊乱表现的精神分裂症为例，这反映了在寻求同意过程中遇到的困难。然后，这可以被理解为一种促进交流和信任的治疗工具。
