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Since its creation two centuries ago, modern psychiatry has been torn between two main trends and two philosophies: on the one hand a medical and compassionate tendency of diagnosis and treatment, and on the other hand, a contribution to maintaining law and social order, and ensuring security for people and goods. The police and justice system provides prison or asylum for delinquents and deviants, and alienation or psychiatric confinement for the dangerously mentally sick. A whole philosophical and moralistic trend would like current psychiatry to be solely compassionate, empathic and therapeutic and to be unburdened of maintaining law and social order. It is not the role of psychiatrist to ensure security by detecting criminal dangerousness. But then whose responsibility would it be? Social workers, sociologists, police officers? The dividing line is vague. The so-called experts must decide what comes within the competency of the justice system, sentences and prisons and what comes within the abilities of psychiatry and psychiatric hospitals. 相似文献
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谢斌 《神经疾病与精神卫生》2011,11(6):541-543
除了对患者的危险性和住院等行使同意的"决策能力"评估外,精神卫生法对未来司法精神病学领域的重要影响还包括对医疗决定争议的鉴定,以及监狱精神卫生服务.我们以目前全国人大审议中的《精神卫生法(草案)》(以下简称《草案》)[1]相关规定为例加以梳理. 相似文献
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Over the last few years, a growing number of mentally ill offenders has been involved in New York City criminal justice system (NY, USA). The effects of de-institutionalization and the enforcement of a “zero tolerance” policing, are among other reasons, responsible for the criminalization of this population, leading to a massive incarceration of mentally ill offenders in New York city jails and state prisons. The importance attached to health and social care within the correctionnal facilities show the attention heeded to “mentally ill” offenders in general. The lack of discharge planning in the city jails and the persistence of the “revolving door” phenomenon have yet given rise to innovative approaches, making the New York experience a place worthy of serious study. 相似文献
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J.L. Senon 《Annales médico-psychologiques》2004,162(8):646-652
The relationship between psychiatry and prison is always in the field of the topicality in all the industrialized countries. All knew a psychiatric deinstitutionalization and a disengagement of social lodging, all know a rise of violence and often face there by the recourse to sorrows of detention often longer because of the development of the movement of “tolerance zero” aiming at repressing any delinquency, even minor. The increase often advanced in the number of the prisoners presenting of the mental disorders was studied little, apart from recent work. It can be put in connection with the located population more than one century ago by the French mental specialists, population of subjects which are not recognized irresponsible but present nevertheless mental disorders. In France, since 1994, health is carried out in prison by the teams of the hospitals. The Services Médico-Psychologiques Regional (SMPR) were consolidated. However, as much a many mental sick prisoners still do not have the care worthy of our republican company. Ten years after the law of January 18, any evaluation and any assessment is not carried out. However, it is a question well of thinking together the articulation of the care and the sorrow in our democratic company. 相似文献
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M. Renneville 《Annales médico-psychologiques》2004,162(8):653-656
Psychiatry and prison have a complex parallel history. It starts at the end of eighteenth century with a radical distinction between crime and mental illness. Since that time, one can see an evolution more and more clearly. Insanity and criminality are brought together in a same study by criminological theories (phrenology, criminal anthropology…). Despite the fact that the criticism of asylums and prisons has taken an unexpected level during the twentieth century, the more recent evolution in France is to punish the criminal mentally defective. It's hard to for see the future of this gradual acculturation. 相似文献
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J.-L. Senon 《Annales médico-psychologiques》2004,162(8):682-684
France is one of the only industrialized countries where health is ensured in the prisons by the hospitals. Since 1994, it is the hospital psychiatry which intervenes to meet the needs for prisoners mental health. The limits of this intervention of the psychiatric teams are studied with the problems of medical demography in public psychiatry. The danger of a psychiatrization of all the situations of violence is underlined. 相似文献
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E. Archer 《Annales médico-psychologiques》2004,162(8):668-671
The author describes the various aspects of psychiatric care in prisons. 相似文献
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X. Lameyre 《Annales médico-psychologiques》2004,162(8):657-661
For one half-century in France, the practice of the penally ordered care has not ceased extending its applicability, before the lawsuit (therapeutic injunction, obligation of a legal control) as well as after, whether freely (obligation of care of a probatory deferment or an adjustment of sentence) or in detention (injunction of care of a socio-legal follow-up). Concerning several tens of thousands of justiciable each year, this practice is delicate to implement because it forces the experts of various disciplinary fields (legal, medical, social) to work in partnership. So that the dialectical aspect of remain is humanly fertile, so that it is not transformed into a new panoptical monitoring or a disrespectful sanitaro-penal technique of the rights of the person, it is appropriate to be particularly attentive to the deontologic limits of each professional exercise. This practical-limit must be guided by an ethics of the limits which, only, makes it possible to adopt a right position to with regard to justiciable as well or with the other partners. 相似文献
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C. Manzanera 《Annales médico-psychologiques》2004,162(8):686-699
The rise of the psychiatry practice in prison is recent. It corresponds to the setting places, since the law of January 18, 1994, of interventions by teams of sector psychiatry in the penal establishments, to supplement the action of the SMPR established two or three per region. The practice of psychiatry in prison must take account of a particular private clinic where acting out and psychopathology of deprivation dominates. The model of the consultation-liaison psychiatry such as it was developed in general care is completely appropriate to these working conditions. It allows not only one rewriting necessary of the psychiatric private clinic, but also a taking into account of the specific difficulties to this work environment (monitoring, insulation, risk of cleavage…). Lastly, an adaptation of the therapeutic assumption of responsibility is necessary not only according to pathologies present, but also according to the framework and to the limited duration of the assumptions of responsibility. The role of the maintenance of reception is of primary importance on this level. 相似文献
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