Appelbaum P S, Jackson A H, Shader R I
Am J Psychiatry. 1983 Mar;140(3):301-4. doi: 10.1176/ajp.140.3.301.
Court decisions setting limits on the use of medication in psychiatric hospitals often assume that psychiatrists use medications inappropriately in response to patients' violent acts. No empirical data have existed to support or refute this assumption. The authors examined the types and doses of antipsychotic medications received by 45 violent patients and 48 control subjects. They found no significant differences in type and dose of medication before the violent act and no significant changes afterward. Violent patients tended to be on somewhat higher doses at discharge than control patients. The judicial concern that psychotropic medications will automatically be abused or overused is not supported by these results.
法院关于限制精神病院用药的判决往往假定，精神科医生会针对患者的暴力行为不恰当地使用药物。但一直没有实证数据来支持或反驳这一假设。作者研究了45名暴力患者和48名对照受试者所接受的抗精神病药物的类型和剂量。他们发现，在暴力行为发生前，药物的类型和剂量没有显著差异，之后也没有显著变化。暴力患者出院时的用药剂量往往比对照患者略高。这些结果并不支持司法部门所担心的精神药物会被自动滥用或过度使用的观点。
