Online comments about psychiatric neurosurgery and psychopharmacological interventions: Public perceptions and concerns

Online comments about psychiatric neurosurgery and psychopharmacological interventions: Public perceptions and concerns
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DOI:
10.1016/j.socscimed.2018.11.021
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发表时间:
2019-01-01
影响因子:
5.4
通讯作者:
Bluhm,Robyn
Bluhm,Robyn
中科院分区:
医学2区
文献类型:
--
作者:
Cabrera,Laura Y.;Brandt,Marisa;Bluhm,Robyn

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生物精神病学领域是有争议的,学术界和公众都质疑精神病学技术干预的有效性和负责任的使用。神经伦理学领域通过研究人们用来评估大脑和心灵干预措施的特定主题、态度和推理工具的关键主题来深入了解这些争议。这项研究提供了新的经验神经伦理学的见解,公众如何响应精神科技术干预的使用和发展,通过比较公众如何评价药理学和神经外科精神科干预措施,在新闻媒体关于这些主题的文章的在线评论的背景下。我们分析了2005年至2015年期间美国主要发行报纸和杂志网站上发表的108篇关于精神药理学和精神神经外科干预的文章的1142条评论。个人轶事,医疗专业问题,医疗化,社会问题,缺点,科学问题和谨慎的现实主义是评论者提出的主要主题。从评论中得出的见解有助于改善专业人员和公众之间的沟通,并将公众的意见纳入有关精神病干预措施的政策决定。
The field of biological psychiatry is controversial, with both academics and members of the public questioning the validity and the responsible use of psychiatric technological interventions. The field of neuroethics provides insight into these controversies by examining key themes that characterize specific topics, attitudes, and reasoning tools that people use to evaluate interventions in the brain and mind. This study offers new empirical neuroethical insights into how the public responds to the use and development of psychiatric technological interventions by comparing how the public evaluates pharmacological and neurosurgical psychiatric interventions, in the context of online comments on news media articles about these topics. We analyzed 1142 comments from 108 articles dealing with psychopharmacological and psychiatric neurosurgery interventions on websites of major circulation USA newspapers and magazines published between 2005 and 2015. Personal anecdote, medical professional issues, medicalization, social issues, disadvantages, scientific issues and cautionary realism were among the main themes raised by commenters. The insights derived from the comments can contribute to improving communication between professionals and the public as well as to incorporating the public's views in policy decisions about psychiatric interventions.