权利反对废除:法律和权利如何延续精神科强迫
1Canada Research Chair in Mental Health and Access to Justice, Civil Law Section, Faculty of Law, University of Ottawa, 57, Louis-Pasteur, Ottawa, K1N 6N5, Canada.
Social science & medicine (1982)
|September 17, 2025
概括
精神病学中的法律权利,虽然旨在保护,但越来越多地框架和证明强制性做法是合理的. 这项分析揭示了权利如何悖论地阻碍了对精神卫生保健结构问题的挑战.
科学领域:
- 法律与精神病学 法律与精神病学
- 心理健康法 心理健康法
- 医疗保健中的人权.
背景情况:
- 在全球北方国家,精神病学中的强制性实践正在增加.
- 精神卫生立法历来将心理健康与风险或失能联系在一起.
- 现有的法律框架往往正式化而不是改变强制性做法.
研究的目的:
- 批判性地分析法律和权利在精神强迫中的作用.
- 检查权利如何作为胁迫的框架和理由发挥作用.
- 调查权利作为动员障碍,反对精神卫生保健中的结构性问题.
主要方法:
- 对心理健康立法和司法倡议进行批判性法律分析.
- 检查精神病学背景下权利话语的演变.
- 在司法系统内分析个人,集体和政治动员的障碍.
主要成果:
- 心理健康权利,特别是获得治疗的权利,已经取代了同意和程序权利.
- 法律和司法行动,以同情的方式构建,促进"同意"精神病强迫.
- 基于权利的方法为断言违反结构性权利和集体化索赔创造了障碍.
结论:
- 通过权利,法律框架维持了精神病强迫的现状.
- 基于权利的斗争无意中掩盖了胁迫背后的结构性问题.
- 重新思考法律和基于权利的方法是必要的,以解决精神病治疗中的系统性问题.
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