身体完整性障碍症和道德责任:对按需截肢的怀疑的解释
1Medical Ethics, Masaryk University, Brno, Czech Republic leandro.loriga@gmail.com.
Medical humanities
|January 9, 2024
概括
要求截肢的身体完整性障碍症 (BID) 患者不应该自动被认为缺乏决策能力. 必须尊重他们的自主权,挑战关于他们的意志和理解的医学假设.
科学领域:
- 医学伦理 医学伦理
- 精神病学是一个精神病学.
- 神经学 神经学
背景情况:
- 身体完整性障碍症 (BID) 是一种已知的疾病,导致强烈的痛苦和切断的愿望.
- 当前的医疗实践往往会使要求截肢的双关节炎患者失去决策能力.
- 这可能会导致治疗固执和自我伤害,因为缺乏治疗选择.
研究的目的:
- 检查BID要求截肢的个体的决策能力.
- 探索在这些情况下尊重患者自主权的伦理含义.
- 挑战基于截肢请求的容量默认取消资格.
主要方法:
- 对患者自主权和医疗决策的伦理分析.
- 审查关于身体完整性失调症及其治疗的现有文献.
- 讨论国际疾病分类 (ICD-11) 的影响,包括BID.
主要成果:
- 要求截肢的患者缺乏能力的假设往往基于有缺陷的偏见.
- 在一些BID病例中成功截肢改善了生活质量.
- 目前对于双侧创伤没有医学疗法,增加了自残的风险.
结论:
- 由于BID.中的截肢请求,患者的自主性不应该被默认取消资格.
- 医生怀疑可能源于对患者意图的误解,导致一种责备的态度.
- 伦理框架必须适应BID和患者自主性所带来的独特挑战.
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