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雷卡帕奇塔项目:纽约公约对严重精神障碍患者能力修改判断的影响:使用混合方法的比较研究
Silvia Marcó-García1,2,3, Natalia Ribas-Muñoz1, Georgina Guilera3,4
1Parc Sanitari Sant Joan de Déu, Barcelona, Spain.
Medicine, science, and the law
|October 11, 2023
概括
西班牙西班牙西班牙西班牙西班牙
科学领域:
- 法律心理学 法律心理学
- 关于残疾人的法律.
- 心理健康政策 心理健康政策
背景情况:
- 西班牙在2013年改革了能力修改 (CM) 立法,以与联合国残疾人权利公约保持一致.
- 改革从失能判决转移到支持严重精神障碍 (SMD) 患者的支持.
- 改革后的社会影响和法律术语变化仍未得到充分研究.
研究的目的:
- 调查西班牙严重精神障碍 (SMD) 患者的能力修改 (CM) 句子和相关术语的修改情况.
- 分析法律语言的变化,并在2013年立法改革之前和之后关注CM句子中的重点领域.
- 评估法律实践与国际残疾人权利标准的协调程度.
主要方法:
- 从SMD患者的56个CM句子的定性-定量内容分析.
- 在19个句子中分析术语,以达到信息和.
- 使用ANOVA和Bonferroni测试对2013年之前和2014年之后的句子进行比较分析.
主要成果:
- 句子经常提到精神疾病,其演变,自治和经济管理,没有发现任何显著的相关性.
- 2013年之前的句子更多地引用了自治,而2013年后的句子更多地关注了物质使用,洞察力,坚持和日常支持需求.
- "无能人"一词在所有分析的句子中仍然被一致使用.
结论:
- 当前能力修改 (CM) 句子越来越个性化,详细说明严重精神障碍 (SMD) 患者的具体支持需求.
- 尽管立法调整,但"无能人"等术语仍然存在,这表明法律改革和一致的语言使用之间存在差距.
- 建议包括将神经科学纳入SMD法律评估,并根据"加强法律程序的联合国公约指导方针"修订术语.
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