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关于因“过于疯狂”而无法入住精神病院:精神科住院治疗的同意问题。

On being 'too crazy' to sign into a mental hospital: the issue of consent to psychiatric hospitalization.

作者信息

Hoge S K

机构信息

School of Law, University of Virginia, Charlottesville 22903.

出版信息

Bull Am Acad Psychiatry Law. 1994;22(3):431-50.

PMID:7841515
Abstract

This article examines the notion of informed consent to psychiatric hospitalization. While dicta in a recent U.S. Supreme Court decision, Zinermon v. Burch, has stimulated considerable interest in applying informed consent to psychiatric hospitalization decisions, there are no extant cases that define the contours of the doctrine in the hospitalization context. The potential scope of disclosure and the level of decision-making capacity sufficient for valid consent are examined. A model of consent to admission recommended by the American Psychiatric Association Task Force on Consent to Voluntary Hospitalization is critiqued.

摘要

本文探讨了精神科住院治疗的知情同意概念。尽管美国最高法院近期在“津纳蒙诉伯奇案”中的判决意见引发了人们对将知情同意应用于精神科住院治疗决策的浓厚兴趣,但目前尚无明确界定住院治疗背景下该原则范围的案例。本文将研究披露的潜在范围以及足以作出有效同意的决策能力水平。同时,对美国精神病学协会自愿住院治疗同意问题特别工作组推荐的入院同意模式进行了批判。

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