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解决精神病学中的"徒劳性":一个共识声明
Brent Michael Kious1, Sarah Levitt2, Sisco van Veen3
1Department of Psychiatry, https://ror.org/03r0ha626University of Utah, Salt Lake City, USA.
Psychological medicine
|January 14, 2026
概括
精神病学徒劳,特别是定性徒劳,可能为精神卫生保健中的道德决策提供一个有用的框架. 这个概念需要仔细考虑患者的价值和潜在的风险和益处.
科学领域:
- 精神病学是一个精神病学.
- 医学伦理 医学伦理
- 医学哲学 医学哲学
背景情况:
- 虚无是一种在体内医学中广泛使用的概念,但在精神病学中未被充分探索.
- 有限的伦理准则存在,用于在精神卫生保健中做出徒劳判断.
研究的目的:
- 描述精神病学中的徒劳性,并为徒劳性判断制定道德准则.
- 检查体医学虚无概念对精神病治疗的适用性.
主要方法:
- 国际,多学科研讨会与临床医生,伦理学家,哲学家,患者倡导者和有实践经验的人员.
- 对生理学,定量和定性无用概念的分析.
- 在徒劳性评估中讨论权威,流程和以患者为中心.
主要成果:
- 质的无用性似乎最适用于精神病治疗.
- 需要考虑与绝症精神疾病和康复有关的精神病学徒劳性.
- 关键的考虑因素包括谁做出判断,评估过程,以及与患者目标的协调.
结论:
- 精神病的徒劳是心理健康护理的一个潜在有用的概念.
- 潜在的好处包括减少有害治疗和重新评估护理目标.
- 必须解决道德限制和潜在的风险,如心理伤害.
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