The public's view of the competence, dangerousness, and need for legal coercion of persons with mental health problems

The public's view of the competence, dangerousness, and need for legal coercion of persons with mental health problems
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DOI:
10.2105/ajph.89.9.1339
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发表时间:
1999-09-01
影响因子:
12.7
通讯作者:
Kikuzawa, S
Kikuzawa, S
中科院分区:
医学2区
文献类型:
--
作者:
Pescosolido, BA;Monahan, J;Kikuzawa, S

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目标.作者研究了美国人的意见,财政和治疗能力的人与精神健康问题,潜在的伤害自己或他人,并使用法律的手段,以强制treatment.Methods的1996年一般社会调查提供了一个全国代表性的样本(n = 1444)的访谈数据。根据精神分裂症、重性抑郁症、酒精依赖的诊断标准,向受访者提供了一个小插曲。或药物依赖,或“控制”的情况下。这个问题的具体性质是影响公众反应的最重要因素。受访者认为那些有“麻烦”、酒精依赖或抑郁症的人能够做出治疗决定。大多数人报告说,酒精或药物问题或精神分裂症的人不能管理金钱,并可能对他人暴力。受访者表示愿意强迫个人接受治疗。受访者和其他情况下的特点很少影响opinions.Conclusions,美国人报告更关心的个人谁有药物或酒精的问题比人谁有其他心理健康问题。对暴力和胁迫的评估表明,继续需要进行公共教育。
Objectives. The authors examined Americans' opinions about financial and treatment competence of people with mental health problems, potential for harm to self or others, and the use of legal means to force treatment.Methods The 1996 General Social Survey provided interview data with a nationally representative sample (n = 1444). Respondents were given a vignette based on diagnostic criteria for schizophrenia, major depression, alcohol dependence. or drug dependence, or a "control" case.Results. The specific nature bf the problem was the most important factor shaping public reaction. Respondents viewed those with "troubles," alcohol dependence, or depression as able to make treatment decisions. Most reported that persons with alcohol or drug problems or schizophrenia cannot manage money and are likely to be violent toward others. Respondents indicated a willingness to coerce individuals into treatment. Respondent and other case characteristics rarely affected opinions.Conclusions, Americans report greater concern with individuals who have drug or alcohol problems than with persons who have other mental health problems. Evaluations of dangerousness and coercion indicate a continuing need for public education.