Attitudes of Psychiatric Patients and their Relatives to Involuntary Treatment
Attitudes of Psychiatric Patients and their Relatives to Involuntary Treatment
复制标题
精神病患者及其亲属对非自愿治疗的态度
DOI：
10.1080/00048679109077739
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发表时间：
1991
影响因子：
4.6
通讯作者：
R. Hafner
中科院分区：
文献类型：
--
作者：
N. Adams;R. Hafner
1979年，一个监护委员会在南澳大利亚负责照顾那些无法照顾自己的健康或安全或管理自己事务的精神病患者或残疾人的福利。这项研究调查了从精神病院转到委员会的79名病人对监护和非自愿治疗的态度，在研究时，他们都处于监护之下。他们的47名亲属参与了该项目，其中包括测量患者的精神症状和亲属的惩罚行为。尽管近70%的患者原则上反对监护，但他们对监护的正面评价多于负面评价。近60%的人认为非自愿治疗，包括药物治疗，是有帮助的。患者报告的精神症状水平不到精神科门诊样本的一半。病人的亲属强烈支持监护制度，他们经常说，监护制度可以改善他们和病人之间的关系。那些认为自己患有精神疾病的患者相对来说更乐于接受监护，而认为自己患有精神疾病的患者与亲属之间的联系明显减少。
In 1979 a Guardianship Board assumed responsibility in South Australia for the welfare of those mentally ill or handicapped people unable to look after their own health or safety, or to manage their own affairs. This study examines the attitudes to guardianship and involuntary treatment of 79 patients referred to the Board from a psychiatric hospital, all of whom were under guardianship at the time of the study. Forty-seven of their relatives took part in the project, which included measures of patients' psychiatric symptoms and relatives' punitiveness. Although almost 70% of patients objected to Guardianship in principle, they made more positive than negative statements about it. Nearly 60% rated involuntary treatment, including medication, as helpful. Patients reported a level of psychiatric symptoms less than half of that of a psychiatric outpatient sample. Relatives were strongly in favour of Guardianship, stating frequently that it allowed an improved relationship between themselves and the patient. Patients who believed that they were suffering from a mental illness were comparatively happy about being under Guardianship, and a belief that the patient was mentally ill was significantly associated with reduced ex-trapunitiveness in relatives.