对外主义的反驳
1Department of Politics Philosophy and Religion, Lancaster University, Lancaster, UK h.maung1@lancaster.ac.uk.
Journal of medical ethics
|May 14, 2024
概括
外向主义哲学通过强调社会因素,在精神疾病中提出了医疗协助死亡 (MAiD) 的伦理问题. 这份回复澄清了MAiD并不是否认,而是强调社会和临床责任.
科学领域:
- 精神病学哲学 精神病学哲学
- 生物伦理学生物伦理学
- 医学伦理 医学伦理
背景情况:
- 对心理障碍的外部主义观点表明,痛苦是由环境因素持续的,包括社会不公正.
- 这种观点对精神疾病的医疗协助死亡 (MAiD) 构成道德挑战.
- 最近的一篇回复质疑了社会不平等与精神病学MAiD的允许性相关性.
研究的目的:
- 为了解决对先前关于外向主义和精神疾病的论点的误解.
- 澄清与为精神疾病提供MAiD相关的伦理责任.
- 声称重点不应仅仅是立即的允许性,还应关注更广泛的社会和临床职责.
主要方法:
- 哲学论证和概念分析.
- 对一个关于社会因素在精神疾病中所扮演的角色的反论点的批评.
- 重复和澄清关于外部主义和MAiD的原始论文.
主要成果:
- 最初的论点并不主张拒绝MAiD给处于困境中的个人.
- 该回应澄清了外部主义观点意味着国家和临床医生的社会责任.
- 有人认为,忽视的心理和社会干预应该与MAiD一起考虑.
结论:
- 精神病治疗的道德规定需要解决精神疾病的社会决定因素.
- 临床医生有责任探索所有可用的干预措施,包括社会和心理干预措施.
- 综合外部因素的细微理解对于精神病学中道德MAiD实践至关重要.
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