Gutheil T G, Shapiro R, St Clair R L
Am J Psychiatry. 1980 Mar;137(3):347-52. doi: 10.1176/ajp.137.3.347.
The use of legal guardianship appears to offer a ready resolution to the complex forensic issue of involuntary medication for psychiatric inpatients. The authors, with the aid of clinical examples, show that the gap between theory and practice may render this solution illusory and illustrate the profound complications for treatment introduced by the guardianship process itself. After examining the complexities of this problem, they consider alternative methods for preserving the patient's rights both to receive and to refuse medication.
使用法定监护似乎为解决精神病住院患者非自愿用药这一复杂的法医问题提供了一个现成的办法。作者借助临床实例表明，理论与实践之间的差距可能使这一解决办法变得虚幻，并说明了监护程序本身给治疗带来的严重并发症。在审视了这一问题的复杂性之后，他们考虑了维护患者接受和拒绝用药权利的替代方法。
