错误诊断,错误管理,错误对待:人格障碍和心理健康法案
Ruslan Zinchenko1, Hosam Elhamoui2
1Psychotherapy Service, Lancashire and South Cumbria NHS Foundation Trust, Preston, UK.
BJPsych bulletin
|July 2, 2025
概括
根据"心理健康法"对个性障碍患者的强制拘留是不道德的,有害的. 目前的立法未能保护患者,需要转向以权利为基础,创伤为基础的护理.
科学领域:
- 精神病学是一个精神病学.
- 心理健康法 心理健康法
- 人权 人权 人权 人权 人权.
背景情况:
- 心理健康法案对个性障碍患者的拘留被批评为不道德的,法律上是不合理的,临床上是不合理的.
- 拘留实践往往导致强迫被误认为是护理,导致患者的痛苦增加,再创伤和自杀风险增加.
研究的目的:
- 根据目前的心理健康立法,批判性地评估对人格障碍的强制拘留的持续使用.
- 倡导对管理该人口心理健康护理的法律和临床框架进行范式转变.
主要方法:
- 对"心理健康法"的批判性分析和拟议的立法改革.
- 审查强制拘留的伦理,法律和临床理由.
- 检查拘留对患者结果的影响.
主要成果:
- 当前的心理健康法和拟议的改革通过持续风险驱动的防御性精神病学来延续系统性失败.
- 拘留加剧了患者的痛苦,增加了自杀风险,缺乏道德,法律或临床理由.
结论:
- 放弃对个性障碍患者的强制拘留.
- 将资源重定向到以证据为基础的,关系式干预.
- 实施以能力为基础的,以创伤为基础的法律框架,与当代精神病学理解和人权保持一致.
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