在紧急临床情况下使用电休克疗法(ECT)对病人的自主性:个案研究分析。

IF 1.7 2区 哲学 Q2 ETHICS
Bioethics Pub Date : 2025-03-24 DOI:10.1111/bioe.13413
Ekain Payán Ellacuria, Aníbal M. Astobiza
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引用次数: 0

摘要

在本文中,我们对圣地亚哥德孔波斯特拉第6一审法院于2023年3月21日发布的一项具体法律命令进行了全面的案例分析。该案例研究的重点是在紧急临床情况下使用电休克疗法(ECT),这是一种特定的神经技术。本文的目的是研究围绕ECT使用的法律和生物伦理层面,揭示此类案例中涉及的伦理影响和决策过程。分析深入到法律方面的情况下,考虑到相关的法律法规管理ECT的使用。审查工作包括探讨法院在紧急情况下对法律框架的解释,突出法院判决中提出的具体法律论据。此外,本文还提供了深入的生物伦理分析,探讨了在紧急临床情况下决定电痉挛治疗时所涉及的伦理原则。检查考虑了尊重患者自主权和促进慈善之间的微妙平衡,同时也解决了与ECT相关的潜在危害和不良影响。我们还考虑了法院判决产生的道德问题,特别是那些涉及患者自主权和过程的侵入性的问题,特别是在精神疾病的情况下。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Using Electroconvulsive Therapy (ECT) in emergency clinical situations against patient's autonomy: A case study analysis

In this paper, we present a comprehensive case study analysis of a specific legal order issued by the Court of First Instance Number 6 of Santiago de Compostela on March 21, 2023. The focal point of the case study is the utilization of Electroconvulsive Therapy (ECT), a specific neurotechnology, in an emergency clinical situation. The objective of this article is to examine the legal and bioethical dimensions surrounding the use of ECT, shedding light on the ethical implications and decision-making processes involved in such cases. The analysis delves into the legal aspects of the case, considering relevant laws and regulations governing the use of ECT. The examination includes an exploration of the court's interpretation of the legal framework within the context of emergency situations, highlighting the specific legal arguments presented in the court judgment. Additionally, the article provides an in-depth bioethical analysis, exploring the ethical principles that come into play when making decisions about ECT in emergency clinical scenarios. The examination considers the delicate balance between respecting patient autonomy and promoting beneficence, while also addressing potential harms and adverse effects associated with ECT. We also consider the moral issues created by the court judgment, specifically those involving patient autonomy and the invasive nature of the process, particularly in cases of mental illness.

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来源期刊
Bioethics
Bioethics 医学-医学:伦理
CiteScore
4.20
自引率
9.10%
发文量
127
审稿时长
6-12 weeks
期刊介绍: As medical technology continues to develop, the subject of bioethics has an ever increasing practical relevance for all those working in philosophy, medicine, law, sociology, public policy, education and related fields. Bioethics provides a forum for well-argued articles on the ethical questions raised by current issues such as: international collaborative clinical research in developing countries; public health; infectious disease; AIDS; managed care; genomics and stem cell research. These questions are considered in relation to concrete ethical, legal and policy problems, or in terms of the fundamental concepts, principles and theories used in discussions of such problems. Bioethics also features regular Background Briefings on important current debates in the field. These feature articles provide excellent material for bioethics scholars, teachers and students alike.
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