The third people's livelihood is asked - OK prevent " Psychosis" ?
It is said the intersection of our country and spiritual number, patient of disease, all kinds of in 100 million the above-mentioned people. This seems to have distances with the daily experience - -Does the mental patient have so much (the people's livelihood three is asked) Talk with people: Edit to staff reporter Ding Ting and Wang Jun on ordinary days, go through " law of mental hygiene " (draft) issued after fermenting for many years Solicit the work of the social opinion and lower the curtain. The discussion correlated to spiritual disease, temperature is not reduced all the time. According to relevant data, the intersection of our country and spiritual number, patient of disease, all kinds of in 100 million the above-mentioned people. The daily experience of this and us does not seem identical. Really are it so many to have? How to understand this data? In addition, in the past few years, " psychosis " The problem becomes the new difficult point that the society pays close attention to focus and social management too. How to appraise, how to accept psychosis for medical treatment? The mental patient has any rights, what guarantee is it? How to prevent psychosis to accept for medical treatment the improper infringement that utilizes to that citizen's personal security and just rights bring? Ask: How to judge spiritual disease? Editor: It is said of our country spiritual the intersection of disease and number in 100 million the above-mentioned people. Ten Chinese that there is one to suffer from spiritual disease? Really are it so many to have? Reporter: This is the data which the centre of mental hygiene of Center for Disease Prevention and Control of China announces at the beginning of 2009. It describe spiritual the intersection of disease and patient all kinds of as spiritual the intersection of disease and number already exceed 16 million in 100 million getting serious above people. The ill rate of the spiritual disease crowd is above 10%, the figure is surprising. Why is so many? Because including sleep disorder, material are abused(including tobacco, alcohol etc.) ,This is put in it. Director of Beijing Huilongguan Professor Yang FuDe says, ones that presents baffledly are terrified and worrying too much and anxious and fretful for example, lasting disposition thread is low, melancholy, the mental state is abominable, this is depression and typical symptom. Depression is often known as " Soul cold " ,It is a kind of common spiritual disease. Perhaps in daily us not one " Soul cold " The patient acts as the patient. Then, what is a serious spiritual disease? Yang FuDe says, refers to the serious psychological obstacle, the lasting obvious abnormal state appears in psychological activities such as the patient's understanding, emotion, will, movement behavior,etc.; Can't study, work and live normally, it is difficult for the movement behavior to be understood by common people; Under the domination of the morbid psychology, commit suicide or injure the movement behavior of others. Light spiritual disease, the patient has insight. When being slight, can only be regarded as the psychological obstacle; When being serious, could be regarded as spiritual disease. 30% of the serious venereal disease persons in our country can be cured effectively at present, but about 70% of patients have not accepted the effective treatment. Some do not know oneself is ill, some do not know therapeutic method, some have no money to cure simply. Editor: For the mental patient, there are strict procedures to judge individual? How concrete? Reporter: If suspect a personal spirit is unusual, are usually required in the company of its guardian or relative, the clinic of getting to the medical organization of the mental hygiene goes to a doctor, the guardian or relative introduces the condition, time, clinical manifestation, spirit inspection and relevant auxiliary examination of the disease that the doctor gets up according to the patient, make diagnosis according to the domestic and international spiritual disease diagnostic standard. It is it mainly to say by diagnosis of disease is it spiritual FuDe Yang by to not checking and be assessed of states spiritual, through being spoken face to face and checked to the patient by the specialist of professional training, find out about his thinking, emotion, behavior,etc.. Assess certain subjectivity in such diagnosis. If relevant personnel offer one-sided or false information, make up the medical history of the past, it is apt to let the doctor offset the judgement of the condition. Editor: Deserve it in hospital, how to judge? Reporter: The hospital treatment of the mental patient is divided into an voluntary in hospital and unvoluntary treatment. Whether the mental patient should be in hospital, the doctor carries on the assessment according to the patient's situation, make sick diagnosis deserving in hospital within fixed time. Vice President of Beijing Anding Hospital Zheng Yi says whether the mental patient should be in hospital, should follow medical science, science and law three respect procedure. It is determined that it must be that two medical practitioners diagnose, the patient could receive treatment in hospital at the same time that a patient is in hospital. Except doctor, other people have no right to confirm whether a patient should be in hospital. As to the thing that dispute most large most tough to in hospital question by force, the expert proposes, must strictly observe two procedures in accepting the target for medical treatment, it is the doctor that appraises at first, then it is finally a mental patient to check and is accepted the target for medical treatment by the third independent organization. This third party must be independent and and the hospital does not have any interests relation, is not under the jurisdiction of any organ, the expert panel should produce at random. Two asks: How to ensure patient's right? Editor: What rights does the seriously ill disease patient of spirit have? How to ensure their right? Reporter: What right citizen of the People's Republic of China enjoys, what right is the mental patient on enjoying likewise. This " law of mental hygiene " (draft) China stipulates, " the fundamental right of the citizen that constitutions such as the dignity of human personality, personal security of the patient with phychological problems,etc. stipulate is not infringed " ," whether receive an education, work that enjoy, medical treatment, personal secrets, and society obtain the intersection of material and the intersection of person who help and legitimate rights and interests protect by law from country " . Yang FuDe says, as to the serious disease mental patient, the health is protected, but the behavior is restricted. This is not only a medical question, also a knowledge question in France, need to weigh the pros and cons in hospital. Should protect the mental patient's individual freedom rights and interests well, as well as protect normal people from behavioral danger such as mental patient's violence, attacking, also make the patient in need of medical treatment get appropriate making a diagnosis and giving treatment, want these good interests with potential conflict of equilibrium. Besides reason of medical science, can't regard other reasons as diagnosing and accept the basis of the mental patient for medical treatment, this is to the best guarantee of mental patient's right. The mental patient is a citizen protected by law too, must pass the strict procedure to accept to it for medical treatment by force too. Zheng Yi thinks, can not totally recognize one's own behavioral mental patient while having illness coming on the legal liability of criminal offence will be reduced or remitted. Before there is not full restoration in capacity, should accept the corresponding restriction. Unvoluntary in hospital, unvoluntary treatment is that the essence to citizen's legal right is limited, it is decided and forced that to whom want, the objection and question of channel,etc. relieved carry on the clear regulation, could protect the mental patient's right. Editor: How in hospital to prevent being infringed unvoluntary? Reporter: The draft has stipulated objection procedure and error-correcting mechanism of fruiting of the diagnosis to the doctor, have further protected the mental patient's right. To implementing the unvoluntary behavior in hospital the medical measure, draft regulation illegally, violate others' will and confirm whether it suffers from the physique with psychological block Check and not send into the medical organization as the patient with phychological problems by patients with phychological problems on purpose, bear criminal liability and civil liability in accordance with the law. The medical organization diagnoses as the client the patient with phychological problems basing on reason of the spiritual health status, and because or neglect it will not be that the patient with phychological problems diagnoses as the patient with phychological problems on purpose, the relevant person liable will be suspended the operation and will move about, dismiss, revoke the administrative penalty of practising certificate,etc.; If the case constitutes a crime, will investigate its criminal liability in accordance with the law. Appraisal organization and surveyor provided the false probation report, will be cancelled the administrative penalty of registration; Because the calculated crime or unintentional crime of the post receives the criminal judicial surveyor who punishes and is cancelleds registration by the judicial administrative department, can't be engaged in judicial expertise all the life. Zheng Yi says, the mental patient's lawful right is protected by law. In addition, the guarantee of mental patient's right, need its relative to fulfil the corresponding obligation. Often when the patient should leave hospital, the relative does not have people who connect, the patient is thrown away in the hospital nobody manages. In this respect, " the the intersection of mental hygiene and law " make, should make corresponding regulation, protect the patient's lawful right. Three asks: How to prevent " Psychosis" ? Editor: To government bodies especially public security organ, what is the power border that accepts the respect for medical treatment at psychosis? Reporter: The concern is in the society " Unvoluntary hospital treatment " ,The essence is " Who is qualified to send off " . The accepting for medical treatment of mental patient, it is by the patient's close relatives and guardians to have priority. Zheng Yi says, the mental patient accepts for medical treatment, administration of justice and administrative organ can't surmount or take precedence over the patient's relatives and guardians. Patient take place behavior of endangering the society only, when being abandonment, relative or guardian its for the moment unable find, the judicial administrative department could deal with as the social guardian. Yang FuDe emphasizes, generally speaking, the patient with phychological problems will happen or injure oneself, public security of danger or his everybody's body security, behavior that upsets public order, it is prerequisite and border that the administration of justice, administrative organ carry out. If the patient has no guardians, close relative around, the unit, village committee or residents committee, local public security organ should prevent immediately, and should send the medical organization to diagnose psychonosema. The medical organization should appoint more than 2 medical practitioners of psychiatric department to diagnose, and diagnose the conclusion in writing within 72 hours. Editor: How prevent psychosis from accept for medical treatment improper to utilize, bring to the intersection of citizen and personal security and infringement of just rights? Reporter: As to the qualification of psychosis, should get back to medically first. Only if through due course of law, no individual or unit may deprive others of freedom of person, the accepting by force for medical treatment, following the legal procedure of psychosis, respect the legitimate rights and interests of party and relative to the greatest extent. " law of mental hygiene " should be to making the clear, strict regulation because of applicable terms of implementation, procedure and responsibility of unvoluntary hospital treatment in this respect, and is introduced to the intervention, supervision of the society, administration of justice. It is out of ulterior motives to prevent spirit from pathologically changing into " Imprison people's tool " ,Define first " Public and safe " . " public and safe " Border divide,ought to in <
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