Stone A A
Hosp Community Psychiatry. 1979 Dec;30(12):819-22. doi: 10.1176/ps.30.12.819.
In an era in which advocacy has become a buzzword, both psychiatry and the legal profession have climbed aboard the advocacy bandwagon. Yet the American Psychiatric Association's notion of advocacy--championing the medical needs of patients--is often in direct conflict with the lawyers' notion of advocacy--championing the legal rights of their clients. The author observes that psychiatry has proved to be a weak adversary for patients' legal advocates; the result has been a one-sided advocacy system that has advanced patients' rights at the expense of their needs. He believes that if the APA is to become an effective advocate for patients, it must hire lawyers and work with them to reverse the trend of turning rights into needs.
在一个倡导已成为流行语的时代，精神病学和法律行业都搭上了倡导的潮流。然而，美国精神病学协会的倡导理念——捍卫患者的医疗需求——往往与律师的倡导理念——捍卫其客户的合法权利——直接冲突。作者指出，事实证明，精神病学在患者的法律辩护人面前是一个软弱的对手；结果导致了一个片面的倡导体系，该体系以牺牲患者需求为代价推进了患者权利。他认为，如果美国精神病学协会要成为患者的有效倡导者，就必须聘请律师并与他们合作，以扭转将权利转化为需求的趋势。
