Psychiatric advance directives.

Psychiatric advance directives.
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DOI:
10.1097/00131746-200307000-00005
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发表时间:
2003-07-01
影响因子:
1.9
通讯作者:
Joshi, Kaustubh G
Joshi, Kaustubh G
中科院分区:
医学4区
文献类型:
--
作者:
Joshi, Kaustubh G

文献摘要

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随着寻求金属健康服务的消费者数量的增加,精神病学先行指令受到了越来越多的关注。尽管医学先行指令已经存在多年,但精神病学先行指令还处于初级阶段。这些指令的目标是增加患者的自主性,减少强制治疗。尽管这个概念听起来很简单,但提前指令引发了围绕伦理、法律和医学的激烈辩论。精神病学先行指令也没有被普遍接受--目前只有14个州承认这种指令。这篇综述文章讨论了精神病学先行指令背后的前提,并探索了使用这种指令的可能好处和障碍。
Psychiatric advance directives are gaining attention as the number of consumers seeking metal health services increases. Even though medical advance directives have existed for years, psychiatric advance directives are in their infancy. The goal of these directives is to increase patient autonomy and decrease coercive treatment. Although this concept sounds simple, advance directives have generated heated debates that encompass ethics, law, and medicine. Psychiatric advance directives are also not universally accepted--only 14 states currently recognize such directives. This review article discusses the premise behind psychiatric advance directives and explores possible benefits and obstacles to the use of such directives.