Consent to voluntary antipsychotic drug treatment-Is it free and informed?

IF 1.8 3区 医学 Q3 PSYCHIATRY
Refael Yonatan-Leus, Nili Karako-Eyal
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引用次数: 0

Abstract

Objective: The present research investigates the dynamics of consent in the context of antipsychotic drug therapy, with a particular emphasis on the essential attributes that constitute free and informed consent within medical treatment scenarios.

Method: Twenty individuals treated with antipsychotic drugs with consent underwent semistructured interviews.

Results: The following major themes were identified: (a) lack or total absence of information regarding the treatment, emphasizing side effects, risks, chances of success, and treatment alternatives. (b) A subjective experience of the lack of free choice that was sometimes also accompanied by the conditioning of psychiatric rehabilitation services or receiving treatment in an open ward by taking antipsychotic medication.

Conclusions and implications for practice: The research findings may indicate a problem in obtaining informed consent for antipsychotic treatment that should be addressed. The themes highlight the need to examine the interface between rehabilitation services and psychiatric treatment from the legal and ethical perspective of the autonomy of individuals receiving care. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

对自愿接受抗精神病药物治疗的同意--是自由和知情的同意吗?
研究目的本研究调查了抗精神病药物治疗中同意的动态变化,特别强调了在医疗场景中构成自由和知情同意的基本属性:方法:在征得同意的情况下,对 20 名接受抗精神病药物治疗的患者进行了半结构化访谈:结果:确定了以下主要专题:(a) 缺乏或完全缺乏有关治疗的信息,强调副作用、风险、成功机会和替代治疗方法。(b) 缺乏自由选择的主观体验,有时还伴随着精神康复服务的条件限制,或在开放式病房接受治疗,服用抗精神病药物:研究结果可能表明,在获得抗精神病治疗的知情同意方面存在问题,应予以解决。这些主题突出表明,有必要从法律和伦理的角度来审视康复服务与精神病治疗之间的衔接问题,即接受治疗者的自主权问题。(PsycInfo Database Record (c) 2024 APA, 版权所有)。
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来源期刊
CiteScore
3.80
自引率
5.30%
发文量
40
期刊介绍: The Psychiatric Rehabilitation Journal is sponsored by the Center for Psychiatric Rehabilitation, at Boston University"s Sargent College of Health and Rehabilitation Sciences and by the US Psychiatric Rehabilitation Association (USPRA) . The mission of the Psychiatric Rehabilitation Journal is to promote the development of new knowledge related to psychiatric rehabilitation and recovery of persons with serious mental illnesses.
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