在军事临床环境中使用迷幻药辅助疗法的伦理考虑
Scott Hoener1, Aaron Wolfgang2,3,4, David Nissan5,4
1Department of Psychiatry, Naval Medical Center San Diego, San Diego, CA, USA shoener20@gmail.com.
Journal of medical ethics
|May 30, 2023
概括
像MDMA辅助疗法这样的迷幻疗法在治疗军事服务人员的心理健康状况方面表现有前途. 在广泛采用之前,需要进一步的研究来解决军事方面的具体考虑.
科学领域:
- 精神病学是一个精神病学.
- 神经科学是一个神经科学.
- 临床心理学 临床心理学
背景情况:
- 迷幻疗法,包括3,4-甲基二氧化甲胺 (MDMA) 辅助和西辅助疗法,正因其在心理健康方面的潜力而引起人们的注意.
- 临床试验表明,这些疗法在治疗创伤后应激障碍和严重抑郁症方面具有很高的疗效.
研究的目的:
- 探索心理辅助疗法 (PAT) 对现役军人有治疗耐药精神健康状况的潜力.
- 确定和解决在军事人口中实施PAT的军事特定的伦理和实际考虑.
主要方法:
- 对MDMA辅助疗法和psilocybin辅助疗法的最新临床试验数据的审查.
- 分析PAT的资源密集性,作用速度,耐用性和成本效益.
- 确定与现役军人PAT相关的潜在挑战和伦理问题.
主要成果:
- PAT是资源密集型的,但表现出快速起作用,持久且具有成本效益的效应.
- 用MDMA辅助治疗被强调为一个有前途的治疗方法,以进一步调查服务人员.
- 新的伦理考虑和军事特定问题,如部署能力和返回职务,需要仔细检查.
结论:
- 用MDMA辅助疗法对军人服务人员进行更快速的调查是有必要的.
- 在PAT的广泛临床使用之前,需要采取衡量方法来解决军事特定的不确定性.
- 监管部门的批准正在等待,对访问,同意,保密性和心理风险的仔细考虑对于军事应用至关重要.
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