Falicki Z, Rutkiewicz W
Kliniki Chorób Psychicznych AM w Bialymstoku.
Psychiatr Pol. 1996 Jul-Aug;30(4):561-7.
On the basis of their experience as psychiatrists, and observations of Mental Health Act influence on mutual relationships between psychiatrists, their patients and patients family members, the authors analyze situations in which strict, appliance of the law may be harmful, or, for other reasons, ethically doubtful. They suggest that the Mental Health Act is too meticulous in regulating the procedures regarding mentally disturbed persons. According to the law indications, motives for treatment without consent are more often social or behavioral rather than strictly medical. It limits the ability to help a lot of people who really require psychiatric care. Authors indirectly suggest that it is impossible to replace ethics and doctors' conscience by the law.
基于他们作为精神科医生的经验,以及对《精神健康法》对精神科医生、患者及其家庭成员之间相互关系影响的观察,作者分析了严格执行法律可能有害或因其他原因在伦理上存疑的情况。他们认为,《精神健康法》在规范涉及精神障碍者的程序方面过于细致。根据法律规定,未经同意进行治疗的动机更多是社会或行为方面的,而非严格意义上的医学动机。这限制了帮助许多真正需要精神科护理的人的能力。作者间接表明,法律无法取代伦理和医生的良知。