Autonomy and compulsory care in the Netherlands.

IF 4.1 3区医学 Q2 CLINICAL NEUROLOGY

CNS Spectrums Pub Date : 2025-09-19 DOI:10.1017/S1092852925100370

Esther Nauta, Gerben Meynen

引用次数: 0

Abstract

This chapter discusses the Dutch Law on Compulsory Mental Healthcare (Wvggz), which aims to strengthen the autonomy of patients with severe mental disorders by recognizing that coercive measures can be used not only to prevent harm, but also to restore autonomy. This approach challenges the traditional notion that coercive measures inherently undermine autonomy. The chapter also explores the unintended consequences of the law, such as increased bureaucracy. We argue that while the Wvggz introduces valuable ideas, its practical implementation has highlighted the challenges of translating legislative goals into effective practices.

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荷兰的自治和义务医疗。

本章讨论《荷兰强制性精神保健法》，该法律旨在加强严重精神障碍患者的自主权，承认强制措施不仅可用于防止伤害，而且可用于恢复自主权。这种方法挑战了强制性措施本质上破坏自治的传统观念。本章还探讨了该法的意想不到的后果，如官僚主义的增加。我们认为，虽然Wvggz引入了有价值的想法，但其实际实施突出了将立法目标转化为有效实践的挑战。

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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来源期刊

CNS Spectrums 医学-精神病学

CiteScore

6.20

自引率

6.10%

发文量

239

审稿时长

>12 weeks

期刊介绍： CNS Spectrums covers all aspects of the clinical neurosciences, neurotherapeutics, and neuropsychopharmacology, particularly those pertinent to the clinician and clinical investigator. The journal features focused, in-depth reviews, perspectives, and original research articles. New therapeutics of all types in psychiatry, mental health, and neurology are emphasized, especially first in man studies, proof of concept studies, and translational basic neuroscience studies. Subject coverage spans the full spectrum of neuropsychiatry, focusing on those crossing traditional boundaries between neurology and psychiatry.