商品描述
The book describes the ethical lines of conflict, shows why coercion can no longer be justified and analyzes the consequences and dilemmas of a possible abolition of coercive measures in psychiatric care. The use of coercion in mental health care is one of the most controversial topics in psychiatric nursing and psychiatry. The conflict line centers around the UN-Convention in the Rights of People with Disabilities (CRPD). Advocates of the CRPD are pushing for the complete abolition of coercion while opponents see central medical and legal aspects of care for people with mental health problems at risk. Clinicians in conventional psychiatry, including many mental health nurses, primarily justify these measures because of the assumed benefits of coercion-associated care and with the argument that many people affected are unable to make appropriate decisions for their own health in a crisis situation. This argument also applies to human rights, for example by basing coercive measures in the event of suicidality on the right to life. Three central topics are developed in the book. First, it is shown that psychiatric coercion can no longer be justified because the current practice of psychiatric care does not meet the ethico-legal requirements for the use of coercion. Second, a human rights-based approach of psychiatric care is outlined, which is fundamentally based on the will and preferences of people with mental health problems. Third, the consequences and dilemmas are indicated, e.g., the issue of how to deal with suicidality or dementia without the use of coercion. This book is aimed to receive a specific attention from the psychiatric nursing community.
商品描述(中文翻譯)
本書描述了倫理衝突的界線，顯示出強制措施不再能夠被合理化的原因，並分析了在精神醫療中可能廢除強制措施的後果和困境。在精神健康護理中，強制措施的使用是精神護理和精神醫學中最具爭議的主題之一。
衝突的焦點圍繞著《聯合國殘疾人權利公約》（CRPD）。CRPD的倡導者推動完全廢除強制措施，而反對者則認為這會危及精神健康問題患者的醫療和法律的核心方面。
傳統精神醫學中的臨床醫生，包括許多精神健康護理人員，主要基於強制性護理的假定好處來為這些措施辯護，並以許多受影響者在危機情況下無法為自己的健康做出適當決策的論點作為支持。這一論點同樣適用於人權，例如在自殺傾向的情況下，基於生命權來支持強制措施。
本書發展了三個核心主題。首先，顯示出精神強制措施不再能夠被合理化，因為當前的精神護理實踐並不符合使用強制措施的倫理法律要求。其次，概述了一種基於人權的精神護理方法，該方法根本上基於精神健康問題患者的意願和偏好。第三，指出了後果和困境，例如如何在不使用強制措施的情況下處理自殺傾向或癡呆症的問題。
本書旨在引起精神護理社群的特別關注。
作者簡介
Dirk Richter trained as a psychiatric nurse and studied sociology, psychology and philosophy at the University of Muenster, Germany. He holds a Dr. phil.-doctorate in sociology and a PhD (habilitation). He has many years of experience in clinical practice, research and the management of psychiatric services. The author is currently professor and head of a research group on psychiatric nursing and care at the Bern University of Applied Sciences, Bern, Switzerland. Dirk Richter is also senior researcher at Bern University's psychiatric services and visiting professor at the School of Nursing and Public Health, Manchester Metropolitan University, Manchester, UK. His research focuses on mental health nursing, violence and coercion in healthcare, psychiatric rehabilitation, psychiatric epidemiology and psychiatric epistemology. Dirk Richter has published more than 100 peer-reviewed papers and 10 books as co-editor, sole author and co-author.
作者簡介(中文翻譯)
Dirk Richter 受過精神科護理訓練，並在德國明斯特大學學習社會學、心理學和哲學。他擁有社會學的博士學位（Dr. phil.）及博士後資格（habilitation）。他在臨床實踐、研究及精神科服務管理方面擁有多年經驗。該作者目前是瑞士伯恩應用科技大學精神科護理與照護研究小組的教授及負責人。Dirk Richter 同時也是伯恩大學精神科服務的高級研究員，以及英國曼徹斯特城市大學護理與公共衛生學院的客座教授。他的研究重點包括心理健康護理、醫療中的暴力與強制、精神科康復、精神病流行病學及精神病認識論。
Dirk Richter 已發表超過100篇經過同行評審的論文，並作為共同編輯、獨立作者及共同作者出版了10本書。
