家庭伦理观念在精神病伦理学中不可或缺——《当代医疗与儒家思想》一书中“精神病伦理学”观点评介  

The concept of family ethics is indispensable in psychiatric ethics:a review of the viewpoint of“psychiatric ethics”in book Contemporary Medicine and Confucian Thought

作　　者：那佳 边林 柳云[1,2] NA Jia;BIAN Lin;LIU Yun(Medical Education Collaboration and Medical Education Research Center,Hebei Medical University,Shijiazhuang 050010,China;Institute of Marxism,Hebei Medical University,Shijiazhuang 050010,China)

机构地区：[1]河北医科大学医教协同与医学教育研究中心,河北石家庄050010 [2]河北医科大学马克思主义学院,河北石家庄050010

出　　处：《中国医学伦理学》2024年第12期1406-1411,共6页Chinese Medical Ethics

基　　金：2023年河北医科大学人文社科创新人才支持计划项目“新时代中国特色医学伦理原则及演进研究”(ydskrcjhzp202301);2021年河北省教育厅人文社科重大攻关项目“医学人文胜任力视域下河北省医学人文教育历史与现状研究”(ZD202111);2018年河北省教育厅人文社科重大攻关项目“医学人文要素在高等医学教育“内涵式发展”中的价值与实践向度研究”(ZD201805)。

摘　　要：精神病伦理学是范瑞平《当代医疗与儒家思想》一书中具有独特学术观点的构成部分。范瑞平站在儒家生命伦理立场上,对《中华人民共和国精神卫生法》的第三十条有关精神障碍住院治疗的自愿原则所体现出的医疗个人主义立场,进行了分析和批评;在比较东西方生命伦理认识路径和实践方式的基础上,通过对多个案例的深度剖析,对儒家精神病伦理学在当代应该如何发展,儒家以家庭本位的伦理实践改善的必要性等进行反思。借助范瑞平的认识结论,对《精神卫生法》第三十条法理的道德依据质疑;对精神疾病患者“自主权”的特殊伦理规定性问题进行了讨论;并就儒家家庭伦理回应国际精神病伦理所面临的多方面问题就教于范瑞平。Psychiatric ethics is a component of Fan Ruiping’s book Contemporary Medicine and Confucian Thought with unique academic perspectives.Fan Ruiping stood from the Confucian bioethical standpoint,analyzing and criticizing the medical individualism stance reflected in Article 30 of the Mental Health Law.of People’s Republic of china on the voluntariness principle of in-patient therapy for mental disorders.Based on the comparison of cognitive paths and practical methods of bioethics in Eastern and Western,through in-depth analysis of multiple cases,he reflected on how Confucian psychiatric ethics should develop in the contemporary era and the necessity of improving Confucian family-oriented ethical practices.With the help of Fan Ruiping’s cognitive conclusions,this paper questioned the moral basis of Article 30 of the Mental Health Law,discussed the special ethical regulations of the“autonomy”of patients with mental disorders,and advised Fan Ruiping’s on the multifaceted issues confronting Confucian family ethics in response to international psychiatric ethics.

关 键 词：精神卫生 精神病伦理学 儒家生命伦理立场 

分 类 号：R-052[医药卫生]