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首页> 外文期刊>International journal of law and psychiatry >The experiences of the legal processes of involuntary treatment orders: Tension between the legal and medical frameworks
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The experiences of the legal processes of involuntary treatment orders: Tension between the legal and medical frameworks

机译：非自愿待遇订单法律程序的经验：法律和医学框架之间的紧张关系

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An involuntary treatment order (ITO) allows a person to be treated for a mental illness without consent under some circumstances. While the treatment and assessment of mental illness are essentially clinical decisions, involuntary mental health admissions are governed by a framework of legal principles, safeguards and procedures. The underlying philosophy of these laws is based on therapeutic jurisprudence. This approach focuses on the importance of the legal process as a social force and suggests that this can either protect or empower people. The legal processes can however adversely impact upon people's states of mind. This study reports on 25 qualitative interviews with involuntary inpatients of a major teaching hospital. The interviews were analysed thematically using a general inductive approach. The analysis focused on the patients' general experience of being placed under an ITO and their understanding of the ITO process. Generally, those who described the experience of an ITO in more positive terms, also experienced the ITO as a positive right. In addition to providing them with the treatment needed, they also felt that the ITO gave them protection and guidance. Conversely, those who experienced being placed under an ITO in more negative or mixed ways, described feeling powerless in the process, as they felt that the ITO took away their rights. By and large the ITO process was experienced as arbitrary when patients did not understand the reasons for their admission. In addition, these patients had limited or no information about their involuntary treatment order and they did not know what was expected of them to have the ITO revoked. Most importantly, they did not feel that there were any meaningful legal protections in place. These experiences highlight the importance of the legal processes and how these can be used as clinical tools. (C) 2015 Published by Elsevier Ltd.
机译：无意识的治疗订单（ITO）允许在某些情况下不同意治疗精神疾病的人。虽然精神疾病的治疗和评估基本上是临床决策，但不自主的心理健康招生受法律原则，保障和程序的框架。这些法律的基本哲学是基于治疗法的判例。这种方法侧重于法律程序作为社会力量的重要性，并表明这可以保护或赋予人们。然而，法律程序对人们的心态产生不利影响。本研究报告了25种与主要教学医院的非自愿住院患者的定性访谈。使用一般的归纳方法对面试进行专题方式进行了分析。分析专注于患者在ITO下被置于ITO的一般经验及其对ITO过程的理解。一般来说，那些以更积极的方式描述了ITO的经验，也经历了ITO作为积极的权利。除了为他们提供所需的治疗外，他们还认为ITO给了他们保护和指导。相反，那些经历的人以更负面或混合方式被置于ITO之下，在此过程中描述了无能为力的感觉，因为他们认为ITO带走了他们的权利。当患者不了解入院的原因时，ITO过程的艾略进程经历了任意。此外，这些患者还有有限或没有关于他们的非自愿待遇秩序的信息，并且他们不知道他们对他们拥有ITO撤销的预期。最重要的是，他们没有觉得有任何有意义的法律保护。这些经验突出了法律程序的重要性以及如何用作临床工具。 （c）2015由elestvier有限公司出版

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