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首页> 外文期刊>The International journal of social psychiatry >Correspondence: Should enforced social and vocational integration of psychiatric patients have priority over well-being in current psychiatric treatment? Psychiatrists under political and social pressure.
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Correspondence: Should enforced social and vocational integration of psychiatric patients have priority over well-being in current psychiatric treatment? Psychiatrists under political and social pressure.

机译：对应：在目前的精神病治疗中，精神病患者的加强社会和职业融合是否应优先于福祉？在政治和社会压力下的精神科医生。

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摘要

Deinstitutionalization and decentralization in psychiatry have by now been the first items of the agenda for more than 30 years (Munk-J0rgensen, 2000). A theory of social psychiatry with social rehabilitation and reintegration was the underlying basis for the activities which should make the change from mainly inpatients to community-based outpatients treatment possible. Social psychiatry is mainly concentrated on social care, network, employment and other basic rehabilitation and reintegrative social work (Munk-J0rgensen, 2000). In the USA, Australia, The Netherlands, Germany, the UK and many other European countries psychiatric treatment is in rather rigid way focused on social and vocational integration of mental disordered patients (even those who are not motivated for and/or feel that it is harmful for them) that is dictated by government policy and social pressure (Cox, 2007, World Health Organization, 2006) and which is very concerned by cost-reduction in the psychiatric care and society in general (World Health Organization, 2006) rather than on the benefits (also increase of quality of life) and well being for the patients. As a consequence participation in social/vocational integration programs for mental disordered patients in many Western countries has slowly lost its voluntary character. Patients are forced to participate with the argument that it is beneficial for the patient.
机译：三十多年来，精神病学领域的去机构化和权力下放一直是议程的首​​项内容（Munk-Jrrgensen，2000年）。具有社会康复和重返社会的社会精神病学理论是该活动的基础，该活动应使从主要住院患者到以社区为基础的门诊治疗的转变成为可能。社会精神病学主要集中在社会护理，网络，就业和其他基本康复和重返社会工作上（Munk-J0rgensen，2000年）。在美国，澳大利亚，荷兰，德国，英国和许多其他欧洲国家，精神病治疗相当严格地侧重于精神障碍患者的社会和职业融合（即使是那些没有动力和/或认为自己是精神病患者）。由政府政策和社会压力决定（对Cox，2007年，世界卫生组织，2006年），并且对降低精神病治疗和整个社会的成本（世界卫生组织，2006年）感到非常关注对患者的益处（还可以提高生活质量）和幸福感。结果，许多西方国家参加针对精神错乱患者的社会/职业融合计划逐渐失去了自愿性。患者被迫参与认为对患者有益的论点。

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