Psychiatry is More Than Therapy
Psychiatrie má nejen léčebné funkce*
V přednášce se popisuje vztah psychiatrie a společnosti a jejich vzájemné ovlivňování. Je charakterizováno zvláštní postavení psychiatrie mezi lékařskými obory. Uvedeny indikace a způsoby restriktivních opatření v psychiatrii. Kromě léčitelské i regulativní funkce má psychiatrie i povinnost ochraňovat jednak pacienty a jednak společnost. Jsou probrány omezovací prostředky (hospitalizace bez souhlasu nemocného, uzavřená oddělení, omezení fyzické i medikamentózní, izolace, ochranné psychiatrické léčení aj.). Je upozorněno na lékařsko-právní dilemata v psychiatrické praxi. Jsou popsány oficiální i neoficiální způsoby regulace chování nemocného a nutnost tyto zásahy si uvědomovat, ovládat a kultivovat.
Klíčová slova:
psychiatrie a společnost, lékařsko-právní dilema.
Authors:
P. Baudiš
Authors‘ workplace:
Psychiatrické centrum Praha
Published in:
Čas. Lék. čes. 2005; 144: 131-133
Category:
Special Articles
Overview
Presentation describes the relation between psychiatry and society and their mutual interplay. The special status of psychiatry among the medical disciplines is characterized. Indications and methods of restriction in psychiatry are given. Beside its curative and regulative function, psychiatry has to protect both the patients and the society. The means of restriction are presented (hospitalisation without the patient’s consent, locked departments, physical and pharmacological restrictions, protective psychiatric treatment and other). Problems of medical-juristic dilemma in psychiatric praxis are discussed. Official and unofficial methods of the regulation of patient’s behaviour are described together with the necessity to develop and cultivate them.
Key words:
psychiatry and societies, medical-juristic dilemma.
Labels
Addictology Allergology and clinical immunology Angiology Audiology Clinical biochemistry Dermatology & STDs Paediatric gastroenterology Paediatric surgery Paediatric cardiology Paediatric neurology Paediatric ENT Paediatric psychiatry Paediatric rheumatology Diabetology Pharmacy Vascular surgery Pain management Dental HygienistArticle was published in
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