变革性的经验和知情同意以迷幻辅助心理治疗为辅助心理治疗
1Department of Psychiatry, Medical Sciences Division, University of Oxford, Oxford, United Kingdom.
Frontiers in psychology
|June 12, 2023
概括
迷幻药辅助心理治疗 (PAP) 提出了独特的伦理挑战. 患者可能无法完全理解PAPP.
科学领域:
- 临床伦理学 临床伦理学
- 心理治疗研究 心理治疗研究
- 思想的哲学 思想的哲学
背景情况:
- 迷幻辅助心理治疗 (PAP) 是一种新的临床治疗方法.
- 现有的道德框架和知情同意实践可能无法充分解决PAP的独特特点.
- "变革性经验"的概念强调了某些结果在发生之前无法获得的难度.
研究的目的:
- 检查PAP中变革性经验的伦理含义.
- 评估潜在患者是否能够提供真正的知情同意.
- 探索PAP对决策过程和道德标准的影响.
主要方法:
- 基于洛杉矶保罗的转化经验理论的哲学分析.
- 考察心理迷幻药物效应的认识系统不可触及性的研究.
- 在PAP的背景下分析知情同意的功能.
主要成果:
- 在治疗前,PAP的深刻和持久的影响对患者在认识系统上是无法获得的.
- 这种不可访问性挑战了对知情同意至关重要的"理解"组成部分.
- 虽然同意不侵犯可能是可以实现的,但同意价值观一致的决策是有问题的.
结论:
- 标准的知情同意程序对于PAP是不够的,因为变革性效应无法获得.
- 对PAP的道德准备需要新的方法来解决患者理解的局限性.
- 需要进一步考虑适应临床伦理,以适应PAP的独特性质.
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