精神病学中的共同决策:解决责任问题。

IF 1.8 3区哲学 Q2 ETHICS Health Care Analysis Pub Date : 2023-06-01 DOI:10.1007/s10728-022-00451-7

Leila El-Alti

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引用次数: 0

摘要

以人为本的护理(PCC)邀请分担责任的想法，作为其共同决策(SDM)过程的直接结果。PCC和精神病学情境的交集带来了我所说的责任问题，这似乎是SDM在精神病学情境中应用时出现的问题，因为(1)患者潜在的责任能力下降，(2)由职业原因引起的紧张，支持或反对与患者分担责任，以及(3)责任/责备困境。本文旨在通过论证精神疾病的功能性方法，对精神疾病患者的无可指责的责任，以及对SDM作为以解放为导向的PCC模式的一部分的细致理解，来消除责任问题。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Shared Decision Making in Psychiatry: Dissolving the Responsibility Problem.

Person centered care (PCC) invites ideas of shared responsibility as a direct result of its shared decision making (SDM) process. The intersection of PCC and psychiatric contexts brings about what I refer to as the responsibility problem, which seemingly arises when SDM is applied in psychiatric settings due to (1) patients' potentially diminished capacities for responsibility, (2) tension prompted by professional reasons for and against sharing responsibility with patients, as well as (3) the responsibility/blame dilemma. This paper aims to do away with the responsibility problem through arguing for a functional approach to mental illness, a blameless responsibility ascription to the person with mental illness, as well as a nuanced understanding of SDM as part of an emancipation-oriented PCC model.

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来源期刊

Health Care Analysis Multiple-

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4.20

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0.00%

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期刊介绍： Health Care Analysis is a journal that promotes dialogue and debate about conceptual and normative issues related to health and health care, including health systems, healthcare provision, health law, public policy and health, professional health practice, health services organization and decision-making, and health-related education at all levels of clinical medicine, public health and global health. Health Care Analysis seeks to support the conversation between philosophy and policy, in particular illustrating the importance of conceptual and normative analysis to health policy, practice and research. As such, papers accepted for publication are likely to analyse philosophical questions related to health, health care or health policy that focus on one or more of the following: aims or ends, theories, frameworks, concepts, principles, values or ideology. All styles of theoretical analysis are welcome providing that they illuminate conceptual or normative issues and encourage debate between those interested in health, philosophy and policy. Papers must be rigorous, but should strive for accessibility – with care being taken to ensure that their arguments and implications are plain to a broad academic and international audience. In addition to purely theoretical papers, papers grounded in empirical research or case-studies are very welcome so long as they explore the conceptual or normative implications of such work. Authors are encouraged, where possible, to have regard to the social contexts of the issues they are discussing, and all authors should ensure that they indicate the ‘real world’ implications of their work. Health Care Analysis publishes contributions from philosophers, lawyers, social scientists, healthcare educators, healthcare professionals and administrators, and other health-related academics and policy analysts.