Environmental Cognitive Remediation in Schizophrenia: Ethical Implications of “Smart Home” Technology

Environmental Cognitive Remediation in Schizophrenia: Ethical Implications of “Smart Home” Technology
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精神分裂症的环境认知矫正:“智能家居”技术的伦理意义

DOI:
10.1177/070674370505000509
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发表时间:
2005
期刊:
The Canadian Journal of Psychiatry
影响因子:
--
通讯作者:
V. Rialle
V. Rialle
中科院分区:
--
文献类型:
--
作者:
E. Stip;V. Rialle

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目的:鉴于新技术的出现,我们建议重新审视严重和持续性精神障碍患者的认知矫正和社会重新融入(即去机构化)所带来的某些挑战。方法:我们利用医学和计算机科学电子图书馆和互联网搜索,回顾了有关认知、补救、智能家居以及物体和实用程序的文献。结果:这些技术为残疾人提供护理、减少工作量和社交方面的解决方案。示例包括家庭支持、视频会议、通过传感器远程监控医疗参数、危急情况(例如跌倒或不适)的远程检测、日常生活活动测量以及帮助完成日常生活任务。统一所有这些技术的关键概念之一是健康智能家居。我们一般性地介绍健康智能家居的概念,然后更具体地研究它与精神分裂症的关系。结论:通过技术的运用,可以改善社区康复中认知缺陷精神分裂症患者的管理;然而,此类技术具有伦理影响。
Objective: In light of the advent of new technologies, we proposed to reexamine certain challenges posed by cognitive remediation and social reintegration (that is, deinstitutionalization) of patients with severe and persistent mental disorders. Method: We reviewed literature on cognition, remediation, smart homes, as well as on objects and utilities, using medical and computer science electronic library and Internet searches. Results: These technologies provide solutions for disabled persons with respect to care delivery, workload reduction, and socialization. Examples include home support, video conferencing, remote monitoring of medical parameters through sensors, teledetection of critical situations (for example, a fall or malaise), measures of daily living activities, and help with tasks of daily living. One of the key concepts unifying all these technologies is the health-smart home. We present the notion of the health-smart home in general and then examine it more specifically in relation to schizophrenia. Conclusion: Management of people with schizophrenia with cognitive deficits who are being rehabilitated in the community can be improved with the use of technology; however, such technology has ethical ramifications.
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