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尊严得以恢复:治疗优先的力量。

Dignity restored: the power of treatment first.

作者信息

Biswas Jhilam

机构信息

Department of Psychiatry, Mass General Hospital and Brigham and Women's Hospital, Boston, MA, USA.

出版信息

CNS Spectr. 2024 Dec 23;30(1):e11. doi: 10.1017/S109285292400052X.

Abstract

The perspective article explores systemic issues in psychiatric care, particularly the barriers to timely treatment and the ethical dilemmas involved in involuntary interventions. It further examines the impact of anosognosia-lack of disease insight-on treatment, noting the difficulties in managing care for those unaware of their illness, and scrutinizes training materials from international organizations that might mislabel necessary psychiatric practices as human rights violations, thereby complicating the care landscape. The discussion extends to the legal and societal implications of psychiatric interventions, using Massachusetts' Rogers Guardianship as a case study to highlight the consequences of legalistic approaches to mental health treatment.The article calls for destigmatizing psychiatric treatment and integrating robust, evidence-based practices to improve patient outcomes and healthcare equity. The global mental health policy landscape is urged to recognize the critical role of psychiatric care in restoring health and dignity to individuals with serious mental illnesses, advocating for a more nuanced understanding and application of human rights in mental health.

摘要

这篇观点文章探讨了精神科护理中的系统性问题,特别是及时治疗的障碍以及非自愿干预中涉及的伦理困境。它进一步研究了疾病失认症(即缺乏疾病洞察力)对治疗的影响,指出了为那些未意识到自己患病的人提供护理的困难,并审查了国际组织的培训材料,这些材料可能会将必要的精神科治疗错误地贴上侵犯人权的标签,从而使护理局面变得复杂。讨论延伸到精神科干预的法律和社会影响,以马萨诸塞州的罗杰斯监护权案为例,强调法律主义方法对心理健康治疗的后果。文章呼吁消除精神科治疗的污名化,并整合强大的、基于证据的做法,以改善患者的治疗效果和医疗公平性。全球心理健康政策格局应认识到精神科护理在恢复严重精神疾病患者的健康和尊严方面的关键作用,倡导在心理健康中对人权有更细致入微的理解和应用。

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