"易受伤害的怪物":在澳大利亚皇家委员会对老年护理方面的痴呆症构造
1Australian Centre for Health Law Research, School of Law, Faculty of Law and Business, Queensland University of Technology, GPO Box 2434, Brisbane, QLD 4001 Australia.
概括
老年护理的监管框架授权对脆弱的痴呆症患者进行限制,但也使控制正常化.
科学领域:
- 老年学是指老年学的学科.
- 健康和疾病的社会学
- 关于残疾人的研究.
背景情况:
- 老年护理条例允许限制痴呆症患者的安全.
- 在老年护理中的话语将痴呆症患者视为"易受伤害",并将行为视为"具有挑战性".
- 怪物理论为分析非人性化构造提供了一个镜头.
研究的目的:
- 调查澳大利亚皇家委员会关于老年护理质量和安全 (RCAC) 如何将痴呆症患者构成"易受伤害的怪物".
- 通过非人性化的框架来分析限制性做法的规范化.
主要方法:
- 来自RCAC最终报告的案例研究的叙事分析.
- 怪物理论的应用来解构话语.
主要成果:
- 该RCAC复制了痴呆症的怪异构造,特别是"流浪".
- 痴呆症行为被描述为"具有挑战性"和"非人性化",使限制合法化.
- RCAC批准了限制性做法来控制"具有挑战性的"机构.
结论:
- RCAC错过了一个批判性审查制度化限制措施使用的机会.
- 这些发现与澳大利亚正在进行的老年护理改革有关.
- 监管框架可能无意中延续了痴呆症患者的"怪异"异化.
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