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从患者视角看精神疾病的心理伦理学(完整PDF)

English | 2022 | ISBN: 0262544318 | 309 pages | True PDF | 1.33 MB

A philosopher who has experienced psychosis argues that recovery requires regaining agency and autonomy within a therapeutic relationship based on mutual trust.

In Mental Patient, philosopher Abigail Gosselin uses her personal experiences with psychosis and the process of recovery to explore often overlooked psychiatric ethics. For many people who struggle with psychosis, she argues, psychosis impairs agency and autonomy. She shows how clinicians can help psychiatric patients regain agency and autonomy through a positive therapeutic relationship characterized by mutual trust. Patients, she says, need to take an active role in regaining their agency and autonomy—specifically, by giving testimony, constructing a narrative of their experience to instill meaning, making choices about treatment, and deciding to show up and participate in life activities.


一位经历过精神病理学的哲学家认为,康复需要在建立于相互信任的治疗关系中重新获得主体性和自主性。 在《精神病人》一书中,哲学家阿比盖尔·古塞林利用她与精神病理学相关的个人经历和恢复过程来探讨常常被忽视的心理医学伦理。对于许多挣扎于精神病理学的人而言,她认为,精神病理学会损害他们的主体性和自主性。她展示了临床医生可以通过一种以相互信任为基础的积极治疗关系帮助精神病人重新获得主体性和自主性的方法。她说,患者需要主动参与到这一过程中来——具体来说,通过作证、构建他们经历的故事以赋予其意义、选择治疗方法,并决定是否现身参与生活活动。
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