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当共同决策崩时:在抗精神病药物处方中解决道德困境
Helene Speyer1, Ju Zhang, John Lysaker
1From Copenhagen Research Center for Mental Health-CORE, Copenhagen, DK (Dr. Speyer); Center for Ethics, Emory University, Atlanta, GA (Drs. Zhang and Lysaker); Department of Community Mental Health, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, IL (Dr. Roe).
Harvard review of psychiatry
|May 9, 2025
概括
当精神病患者和提供者不同意抗精神病药物时,共享决策 (SDM) 通常会失败. 共享审议提供了一种通过相互价值共享来解决这些冲突的新模式.
科学领域:
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
- 哲学 哲学 是一个哲学.
背景情况:
- 许多精神病患者试图停止服用抗精神病药物.
- 服务用户和医疗保健提供者之间的分歧可能会阻碍治疗的坚持.
- 共享决策 (SDM) 是以患者为中心的护理的关键组成部分.
研究的目的:
- 检查在抗精神病药物停用期间SDM中断的情况.
- 探索关于医疗保健分歧的哲学,心理和精神病学观点.
- 提出共享审议作为解决SDM失败的模式.
主要方法:
- 分析了三个临床病例快照,说明了SDM的细分.
- 应用哲学,心理学和精神病学框架来理解分歧.
- 概念化共享审议作为一种替代模式.
主要成果:
- 药物停用中的SDM失败是常见的.
- 意见分歧源于不同的价值观和观点.
- 共享审议提供了一种结构化的方法来解决这些冲突.
结论:
- 在SDM失败时,共同审议可以促进解决方案.
- 相互价值共享的代过程至关重要.
- 这种模式超越了精神病治疗中的二元决策.
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