Thỏa thuận về cơ thể và quyền lực trong chăm sóc sức khỏe tâm thần pháp y
Tóm tắt
Kể từ đầu những năm 2000, việc giảm thiểu các phương pháp cưỡng chế đã trở thành một xu hướng trong chăm sóc sức khỏe tâm thần ở Phần Lan. Kết hợp với những ý tưởng đang chuyển mình về quá trình chữa lành, sự giảm thiểu này đã thay đổi các phương thức hoạt động trong các cơ sở chăm sóc sức khỏe tâm thần pháp y, khuyến khích những nỗ lực nhằm tăng cường tự quyết và trách nhiệm cá nhân. Bài báo này đề cập đến sự đồng tồn tại của các chế độ thân thể trước đây và hiện tại, cùng với những sắp đặt không gian và thân thể phức tạp và tranh chấp phát sinh. Chúng tôi kết hợp các thảo luận về quyền lực sinh học và các chế độ thân thể trong phân tích của mình về các thực hành và thương thảo liên quan đến các phương pháp thay thế cưỡng chế (quan sát đặc biệt và trang phục hạn chế), các thực hành hàng ngày (ăn uống và tập thể dục), và các thương thảo liên quan đến sự chạm và tình dục. Như nghiên cứu của chúng tôi chỉ ra, các chế độ thân thể và thực hành chăm sóc luôn trong tình trạng thương thảo, trong đó có thể có sự không thống nhất trong việc cái gì là cho phép và cái gì là không được phép. Hơn nữa, điều mà có vẻ như là một xu hướng tích cực hướng tới việc tăng cường tự quyết đã dẫn đến những hình thức áp lực mới, xuất phát từ khả năng gia tăng để phản đối bằng cách sử dụng chính cơ thể của mình (ví dụ: bằng cách bỏ qua vệ sinh), hoặc từ sự giảm sút tự quyết của các y tá (ví dụ: trong quá trình quan sát đặc biệt).
Từ khóa
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