在神经性厌食症干预中，应如何将同情表达为首要的临床和伦理价值？

How Should Compassion Be Expressed as a Primary Clinical and Ethical Value in Anorexia Nervosa Intervention?

机构信息

Second-year resident in psychiatry at the Johns Hopkins University School of Medicine in Baltimore, Maryland.

Stephen and Jean Robinson Associate Professor of Psychiatry and Behavioral Sciences at the Johns Hopkins University School of Medicine and director of the Eating Disorders Program at Johns Hopkins Hospital in Baltimore, Maryland.

出版信息

AMA J Ethics. 2021 Apr 1;23(4):E298-304. doi: 10.1001/amajethics.2021.298.

DOI:10.1001/amajethics.2021.298

PMID:33950824

Abstract

Use of force in the care of patients with severe anorexia nervosa is controversial but can be justified when the disorder becomes life-threatening. This commentary examines the role of force in compassionate care of an adolescent patient hospitalized with extreme anorexia nervosa and suggests strategies for reaching consensus, minimizing harm, and maximizing the chance of a therapeutic outcome when forced intervention is a compassionate thing to do.

摘要

在严重的神经性厌食症患者的护理中使用武力是有争议的，但当疾病危及生命时，这种做法是合理的。本评论探讨了在同情性护理一名患有极端神经性厌食症住院的青少年患者时使用武力的作用，并提出了在强制干预是一种有同情心的做法时达成共识、将伤害最小化和最大限度提高治疗效果的机会的策略。