RECAPACITA项目:《纽约公约》对严重精神障碍患者能力修正判断的影响:一项使用混合方法的比较研究。

IF 1.5 4区 医学 Q1 LAW
Medicine, Science and the Law Pub Date : 2024-10-01 Epub Date: 2023-10-11 DOI:10.1177/00258024231206863
Silvia Marcó-García, Natalia Ribas-Muñoz, Georgina Guilera, Sol Balsells-Mejía, Elena Huerta-Ramos
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引用次数: 0

摘要

2013年,西班牙将其能力修改程序立法与《联合国残疾人权利公约》相一致,特别是针对患有严重精神障碍的个人。改革用支助条款取代了丧失工作能力的判决,并引入了“CM”一词。然而,这些变化的社会影响仍然不确定。RECAPACITA项目旨在产生关于SMD和CM的知识,本研究旨在调查CM句子和相关术语的修改。采用定性定量方法,对SMD患者的56个句子进行了内容分析。术语分析使用了19个句子来达到信息饱和。通过方差分析和Bonferroni检验对2013年之前的句子和2014年至2023年的句子进行了比较(显著性水平:0.05)。分析表明,精神疾病、其演变、缺乏自我治理和经济管理是句子中经常提到的方面。然而,没有发现显著的相关性。从质量上讲,在2013年之前的句子中,提到自治更为普遍。相反,2013年之后,人们越来越关注物质的使用、缺乏洞察力和医疗依从性,以及日常生活中对支持的需求。“无能力人”一词出现在100%的句子中,表明术语没有差异。研究表明,当前的CM语句提供了越来越个性化的信息,满足了个人的特定支持需求。为了加强未来的法律程序,建议将神经科学纳入SMD个人的研究,并根据《公约》指南重新考虑术语。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
RECAPACITA PROJECT: Impact of the New York Convention on capacity modification judgments in persons with severe mental disorders: A comparative study using mixed methodology.

In 2013, Spain aligned its capacity modification processes (CM) legislation with the UN Convention on the rights of persons with disabilities, specifically for individuals with severe mental disorders (SMD). The reforms replaced incapacity verdicts with support provision and introduced the term "CM". However, the social impact of these changes remains uncertain. The RECAPACITA project was initiated to generate knowledge on SMD and CM, and this study aims to investigate modifications in CM sentences and associated terminology. Using a qualitative-quantitative methodology, content analysis was conducted on 56 sentences from individuals with SMD. Terminology analysis utilized 19 sentences to achieve information saturation. A comparison was made between sentences prior to 2013 and those spanning 2014 to 2023, analyzing the data through ANOVA and Bonferroni tests (significance level: 0.05). The analysis revealed that psychiatric illness, its evolution, lack of self-governance, and economic management were frequently mentioned aspects in the sentences. However, no significant correlations were found. Qualitatively, mentions of self-governance were more prevalent in sentences before 2013. Conversely, after 2013, there was an increased focus on substances use, lack of insight and medical adherence, and the need for support in daily life. The term "incapable person" appeared in 100% of the sentences, indicating no differences in terminology. The study suggests that current CM sentences provide increasingly individualized information, addressing the specific support needs of individuals. To enhance future legal proceedings, incorporating neuroscience in studying SMD individuals and reconsidering terminology based on Convention guidelines is recommended.

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来源期刊
Medicine, Science and the Law
Medicine, Science and the Law 医学-医学:法
CiteScore
2.90
自引率
6.70%
发文量
53
审稿时长
>12 weeks
期刊介绍: Medicine, Science and the Law is the official journal of the British Academy for Forensic Sciences (BAFS). It is a peer reviewed journal dedicated to advancing the knowledge of forensic science and medicine. The journal aims to inform its readers from a broad perspective and demonstrate the interrelated nature and scope of the forensic disciplines. Through a variety of authoritative research articles submitted from across the globe, it covers a range of topical medico-legal issues. The journal keeps its readers informed of developments and trends through reporting, discussing and debating current issues of importance in forensic practice.
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