全球心理健康政治经济中的机构腐败:变革性人权实践的挑战
Alicia Ely Yamin1, Camila Gianella Malca2
1Lecturer on law and director of the Global Health and Rights Project at the Petrie-Flom Center, Harvard Law School, and adjunct senior lecturer on health policy and management at Harvard T.H. Chan School of Public Health, Boston, United States.
Health and human rights
|January 15, 2026
概括
由金融和专业利益驱动的机构腐败破坏了全球心理健康领域的人权. 解决权力结构对于全球公平,变革性的精神卫生保健系统至关重要.
科学领域:
- 全球心理健康全球心理健康
- 人权法 人权法 人权法
- 卫生治理 卫生治理
背景情况:
- 基于人权的健康方法需要解决系统性权力结构.
- 生物医学范式和精神病学权威可以限制变革性的心理健康实践.
- 机构腐败对公平的精神卫生保健构成了重大障碍.
研究的目的:
- 探索机构腐败对全球心理健康的影响.
- 倡导基于人权的方法,挑战现有的权力动态.
- 分析财务和专业利益在精神卫生保健中的作用.
主要方法:
- 探索全球心理健康中的机构腐败.
- 对生物医学范式和精神病专业知识的分析.
- 考察新自由主义政策对精神卫生服务的影响.
- 批评全球健康指标及其对治理的影响.
主要成果:
- 制药业和精神病专业的金融影响推动了机构腐败.
- 新自由主义政策加剧了心理健康服务机构的腐败,特别是在中低收入和中等收入国家.
- 现有的全球卫生指标,如覆盖率,可以使制度化腐败延续下去.
结论:
- 在心理健康领域的变革性人权方法需要挑战生物医学模型和精神病学权威.
- 解决机构腐败问题是实现公平获取和有效心理健康护理的关键.
- 全球心理健康改革需要新的健康治理形式,与人权实践保持一致.
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