Ruben H L
Hosp Community Psychiatry. 1986 May;37(5):501-4. doi: 10.1176/ps.37.5.501.
As long as psychiatrists are human, there will be episodes of unethical psychiatric practice and ineffective, sometimes damaging psychiatric treatment. The author argues that these incidents do not detract from the overall integrity of the profession, the reality of mental illness, or the increasing sophistication of psychiatric treatment and knowledge. Rather than being oppressive, as a minority of former patients have charged, the policies of the American Psychiatric Association related to patient care are broadly worded ethical principles intended to foster the patient's good. The author defends the need for involuntary treatment and suggests that controversies surrounding involuntary treatment, the insanity defense, and the homeless mentally ill are essentially social, legal, and legislative issues in which psychiatry has found itself in the middle.
只要精神科医生还是人，就会存在不道德的精神科医疗行为以及无效、有时甚至有害的精神科治疗案例。作者认为，这些事件并不会减损该专业的整体诚信、精神疾病的现实情况，或者精神科治疗与知识日益复杂的程度。美国精神病学协会有关患者护理的政策，并非如少数 former patients 所指控的那样具有压迫性，而是措辞宽泛的道德原则，旨在促进患者的福祉。作者为非自愿治疗的必要性进行辩护，并指出围绕非自愿治疗、精神错乱辩护以及无家可归的精神病患者的争议，本质上是社会、法律和立法问题，而精神病学处于这些问题的中间位置。
