法律和道德问题 作为药物而使用psilocybin的担忧
Stephanie M Schonholz1, Jacob M Appel2, Harold J Bursztajn2
1Dr. Schonholz is a psychiatry resident, Mount Sinai Hospital, New York, NY. Dr. Appel is a Professor of Psychiatry and Medical Education, Icahn School of Medicine at Mount Sinai, New York, NY. Dr. Bursztajn is an Associate Professor of Psychiatry and cofounder, Program in Psychiatry and the Law, Beth Israel Deaconess Medical Center Psychiatry, Harvard Medical School, Boston, MA and President, American Unit of the International Chair in Bioethics, Cambridge, MA. Dr. Nair is in private practice, Clinical & Forensic Neuropsychiatry/Brain Injury Medicine, Seal Beach, CA. Dr. MacIntyre is a Health Sciences Clinical Assistant Professor, Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine at UCLA, Los Angeles, CA. Stephanie.schonholz@mountsinai.org.
псилоцибин在精神病治疗方面表现有前途,但关于其获取和监管的法律和伦理问题仍然存在. 需要进一步的研究来导航这些复杂的问题,以潜在的医学用途.
科学领域:
- 精神病学是一个精神病学.
- 神经科学是一个神经科学.
- 药理学 药理学是指药理学的学科.
背景情况:
- 初步研究表明,psilocybin作为精神病治疗的潜力.
- 联邦的非法行为与州/地方的非犯罪化努力形成鲜明对比,影响了研究获取.
- 不确定性围绕着psilocybin的未来监管和患者可访问性.
研究的目的:
- 审查目前的西的法律格局.
- 检查精神病学家对西作为药物的法律和道德考虑.
- 讨论护理标准,治疗权利和可敬的少数派教义等问题.
主要方法:
- 审查目前的美国联邦和州立法和有关西宾的政策.
- 分析与新兴医疗治疗相关的法律学说.
- 讨论心理治疗辅助疗法的伦理原则.
主要成果:
- 虽然psilocybin在联邦法律上仍然是非法的,但它面临着越来越多的州和地方的非刑事化.
- 关于监管,访问和提供者的责任,出现了关键的法律和伦理问题.
- 护理标准,获得治疗的权利和可敬的少数派教义是相关的.
结论:
- 精神病医生必须应对西在医疗用途中的法律和道德挑战.
- 伦理考虑包括提供者偏见,患者提供者动态,知情同意和公平.
- 解决这些问题对于将 псилоцибин负责任地整合到精神病治疗中至关重要.
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