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I can put the medicine in his soup Doctor!

机译:我可以把药放到他的汤里大夫!

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摘要

The practice of covertly administering medication is controversial. Although condemned by some as overly paternalistic, others have suggested that it may be acceptable if patients have permanent mental incapacity and refuse needed treatment. Ethical, legal, and clinical considerations become more complex when the mental incapacity is temporary and when the medication actually serves to restore autonomy. We discuss these issues in the context of a young man with schizophrenia. His mother had been giving him antipsychotic medication covertly in his soup. Should the doctor continue to provide a prescription, thus allowing this to continue? We discuss this case based on the "four principles" ethical framework, addressing the conflict between autonomy and beneficenceon-maleficence, the role of antipsychotics as an autonomy restoring agent, truth telling and the balance between individual versus family autonomy.
机译:秘密使用药物的做法引起争议。尽管有些人谴责这种做法过于家长化,但另一些人则建议,如果患者患有永久性精神上无行为能力并拒绝接受治疗,这可能是可以接受的。当精神上无行为能力是暂时性的并且药物实际上可以恢复自主性时,道德,法律和临床考虑会变得更加复杂。我们在一个精神分裂症的年轻人的背景下讨论这些问题。他母亲一直在他的汤里秘密地给他服用抗精神病药。医生是否应该继续提供处方,以便继续进行?我们将基于“四个原则”的道德框架讨论此案,以解决自治与慈善/非恶意之间的冲突,抗精神病药作为自治恢复剂的作用,真相讲述以及个人与家庭自治之间的平衡。

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