科研之友
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摘要
Definition of the problem Several medically indicated therapies, including coercive treatments, in psychiatric practice have been justified not only on the basis of relieving symptoms and therapeutic necessity but also on the basis-at least implicitly-of mitigating deficiencies in or even restoring autonomy. Since the new judgment of the German Federal Constitutional Court and the German Federal Supreme Court as well as a new law on coercive treatment in psychiatry passed by the German Bundestag 2013, an ethical debate has ensued concerning the manner with which psychiatric patients should be treated, who do not wish to undergo therapy even though they pose a threat to themselves and others. Argumentation This debate would profit from taking into account a differentiated account of the philosophical concept of autonomy in order to provide a comprehensive investigation of the question of justifying psychiatric coercion. To make some advance in this direction this article will present three different concepts of self-determination and their constitutive criteria. Conclusions The different concepts of autonomy and self-determination will be related to different psychiatric disorders in order to elucidate possible justifications of coercive therapies thereof.
- 出版日期2014-12
