"他们不得不像抓动物一样抓我":探索南非社会心理疾病患者非自愿护理的经历。

IF 2.5 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Health and Human Rights Pub Date : 2024-06-01
Alex Freeman, Leslie Swartz
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引用次数: 0

摘要

保护社会心理疾病患者的权利是一个重要而又有争议的全球性目标,尤其是考虑到联合国残疾人权利委员会第 1 号一般性意见催化了减少胁迫的多种呼吁,该意见规定用支持性护理取代替代性护理。在发展中国家,资源短缺和环境障碍有时是导致精神疾病患者经历非自愿护理和自主权受限的重要因素。为了更好地理解这些复杂性,我们的研究探讨了南非社会心理疾病患者的非自愿治疗经历。参与者描述了非自愿护理中不同程度的胁迫,并发现当他们处于危机中时,专业人员采取的不同方法极大地影响了他们的疾病体验,包括他们做出决定和感受尊严的能力。参与者的报告包括对不同形式和程度的胁迫的不同感受和具体体验、在违背自己意愿的情况下对顺从和反抗的矛盾心理,以及介于传统的自主权和家长式管理之间的灰色地带。总体而言,我们的分析对使用或不使用非自愿护理的二元论提出了质疑,并说明了参与者的经历和对强制干预的看法的复杂性,这可能为护理和自主提供了多种可能性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
"They Had to Catch Me Like an Animal": Exploring Experiences of Involuntary Care for People with Psychosocial Conditions in South Africa.

Protecting the rights of people with psychosocial conditions is an important and controversial global aim, particularly in light of multiple calls for reduced coercion catalyzed by General Comment 1 of the United Nations Committee on the Rights of Persons with Disabilities, which stipulates the replacement of substituted care with supported care. Responding to this and other global calls for reduced coercion is complex globally but can entail particular challenges in developing countries, where resource shortages and environmental barriers are sometimes a significant factor in how people with mental conditions experience involuntary care and encounter limitations to their autonomy. To better understand these complexities, our study explored experiences of involuntary care among people with psychosocial conditions in South Africa. Participants described varying degrees of coercion within involuntary care and found that different approaches from professionals when they were in crisis significantly impacted their illness experience, including their ability to make decisions and feel dignified. Participants' reports include variable feelings and embodied experiences of coercion in different forms and degrees, ambivalence about compliance and resistance while being treated against their will, and gray areas between conventional separations of autonomy and paternalism. On the whole, our analysis troubles binaries about the use or disuse of involuntary care and illustrates the complexity of participants' experiences and views of coercive intervention, which could hold multiple possibilities for both care and autonomy.

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来源期刊
Health and Human Rights
Health and Human Rights PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
5.50
自引率
5.40%
发文量
22
审稿时长
24 weeks
期刊介绍: Health and Human Rights began publication in 1994 under the editorship of Jonathan Mann, who was succeeded in 1997 by Sofia Gruskin. Paul Farmer, co-founder of Partners In Health, assumed the editorship in 2007. After more than a decade as a leading forum of debate on global health and rights concerns, Health and Human Rights made a significant new transition to an online, open access publication with Volume 10, Issue Number 1, in the summer of 2008. While continuing the journal’s print-only tradition of critical scholarship, Health and Human Rights, now available as both print and online text, provides an inclusive forum for action-oriented dialogue among human rights practitioners.
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