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["巴克斯特伦事件”。美国对精神病学批评的一个例子(作者译)]

[The "Baxström Affair". An example of criticism on psychiatry in the USA (author's transl)].

作者信息

Möllhoff G

出版信息

Z Rechtsmed. 1982;88(3):213-9. doi: 10.1007/BF00200726.

DOI:10.1007/BF00200726
PMID:7102115
Abstract

UNLABELLED

Until the year 1966 the prison administration of New York, supported by relevant laws, transferred prisoners who showed symptoms of psychic disorder during execution of a sentence to the Dannemora Clinic which belonged to the prison. The treatment was carried out by house physicians (general practitioners) who were subject to special directions. J. K. Baxström initiated a lawsuit against this procedure and was finally proven right by the Supreme Court of the USA; the necessity of a thorough medical examination of facts, a hearing in front of a judge, and the approval of the transfer were confirmed to apply also to mentally ill prisoners. The sociologists Streatman and Cocozza carried out an investigation of 967 ex-convicts of the Dannemora Clinic (1966-1974).

RESULT

Psychiatrists had shown an arbitrary and comtemptuous behavior in these cases. Diagnostic, therapy, and prognosis had been insufficient or mistaken in this marginal group. Further examination showed, however, that no psychiatrist had been involved in the transfer to the Dannemora Clinic either in planning, consultation, or execution of the transfer. Is so far the reproaches lack any factual grounds. The "Baxström affair", which is frequently taken up by the media, turned out to be an example of ideologically determined "criticism on psychiatry" with doubtful methods.

摘要

无标签

直到1966年,纽约监狱管理部门在相关法律的支持下,将在服刑期间出现精神障碍症状的囚犯转移到属于该监狱的丹内莫拉诊所。治疗由接受特殊指示的住院医生(全科医生)进行。J.K.巴克斯特罗姆对这一程序提起诉讼,最终美国最高法院证明他是正确的;对事实进行全面医学检查、在法官面前进行听证以及转移的批准的必要性也被确认为同样适用于精神病囚犯。社会学家斯特里特曼和科科扎对丹内莫拉诊所的967名前科犯进行了调查(1966 - 1974年)。

结果

在这些案例中,精神病医生表现出了武断和轻蔑的行为。在这个边缘群体中,诊断、治疗和预后都不足或有误。然而,进一步调查显示,在将囚犯转移到丹内莫拉诊所的计划、咨询或执行过程中,没有精神病医生参与其中。到目前为止,这些指责缺乏任何事实依据。媒体经常提及的“巴克斯特罗姆事件”,原来是一个用可疑方法进行意识形态决定的“对精神病学的批评”的例子。

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本文引用的文献

1
Psychiatric morbidity and treatment of prison inmates.监狱服刑人员的精神疾病发病率及治疗
J Forensic Sci. 1973 Jan;18(1):53-9.
2
The Baxstrom affair and psychiatry.巴克斯特伦事件与精神病学。
J Forensic Sci. 1979 Jul;24(3):663-72.