把有边缘性人格的人关起来是解决办法吗?
不幸的是,我以前的一篇文章可以被回收。在科罗拉多州奥罗拉事件之后,我写了一篇关于患有严重精神疾病的人是否应该拥有枪支权利的文章(精神疾病患者应该拥有持枪权利吗).现在又发生了一起杀人案,精神疾病可能是其中一个因素。如果艾略特·罗杰被诊断为边缘性人格障碍(BPD),我不会感到惊讶——他在人际关系中有困难,而且不适当的愤怒这种障碍有两个症状吗.它提出了一个问题,“把有边缘性人格的人关起来是解决办法吗?”
为什么法律上的答案是“不”
罗杰在横冲直撞之前不久被警察拜访过。他忧心忡忡的父母因为他在互联网上发布的威胁暴力的视频而报警。然而,警方从未看过这些视频。他们也没有搜查他的公寓,寻找他后来使用的枪支。由于没有足够的证据证明他对自己或他人有危险,警方断定他是安全的,然后离开了。不管你喜不喜欢,自从最高法院裁定违背精神疾病患者的意愿扣留他们是违宪的,如果他们对自己或他人没有危险,这就是法律。结果,成千上万的精神病患者被从精神病院释放出来。他们中的许多人最终无家可归或被监禁,导致了我们现在拥有的支离破碎的精神卫生系统。有一次我向警察威胁要自杀。我立即被紧急拘留72小时,并通知了当局。 That's what should have happened to Rodger. It may not have been legal, but it would have been moral.
为什么答案在道德上是有问题的
有句话是这样说的:“合法的并不总是正确的。正确的事情并不总是合法的。”强制治疗就是一个很好的例子。患有BPD等精神疾病的人有权利,但伴随着这些权利的是责任。例如,我们有权利在社区生活,但随之而来的是遵守治疗的责任。可悲的是,BPD患者并不总是能接受治疗。在我被送进养老院之前,我很难记得吃药。我还酗酒。这让我变得不稳定,有时还很危险。所以我才被关起来。 But I was allowed to deteriorate for years before I was involuntarily committed to the borderline unit at Larue D. Carter Memorial Hospital in Indianapolis. I just wasn't sick enough. And that's morally questionable. There are thousands of people who would benefit from hospitalization, but they don't meet the criteria of dangerous or gravely disabled. So they end up in our prison system or on the streets. The largest provider for mental health services in Indianapolis is the Marion County Jail; the largest provider should be a hospital. Locking up people who可能危险也许不是法律上的答案但它是道德上的答案吗?
被关起来的感想
承认这很尴尬,但我不知道我去过多少次住院.十后我就不数了。我需要密集的住院治疗,但在很长一段时间里,我的病情还不够严重。直到我平均每两个月住院一次,我才终于得到了我需要的治疗。这是不由自主的——但它奏效了。有时法律的伤害大于帮助。现在的情况就是这样。除非我们愿意重新评估住院治疗的标准,否则我们会有更多像加州那样的大规模杀戮。在我们愿意全面调查威胁之前,我们会有更多的大规模杀戮。我们最不需要的就是另一场大屠杀。
APA的参考
(2014年5月27日)。把有边缘性人格的人关起来是解决办法吗?, HealthyPlace。检索时间为2022年6月9日,网址为//www.lharmeroult.com/blogs/borderline/2014/05/is-locking-up-people-with-bpd-the-answer
作者:Becky Oberg
你的博客只会增加BPD患者的耻辱…我很难过,你甚至会提出你博客中提到的问题……想想负面影响吧……谁把名字加到名单上?谁保管着这份清单?公众的观点呢?谁会雇这种名单上的人?如果你的名字在这个名单上是错误的,或者是错误的诊断呢?在你把博客发布给公众之前,请问问你自己,你是否可能会加剧这个问题……有时,仅仅是暗示所有的边界都有杀人的潜力就可以被完全错误地理解。我想你会同意,被诊断为“边缘人”的人远远多于被杀害的数百人。
我有一个非常非常精神病的妈妈。我需要帮助&只是不知道该做什么。我甚至不确定她的疾病到底是什么,我从1982年开始就一直和她在一起!她需要去医院,非常需要!如果有谁能给我一些方向,我将接受它并逃跑。她告诉她的心理。医生告诉我她在做什么,不打算做什么,现在已经停药了!她疯了。我的继父年纪大了很多,身体健康状况也很差,我的妈妈身体健康状况很好,只是她的大脑检查出来了。我所熟知的母亲已经完全消失了。 She can't get out of a chair for days & she has been diagnosed as bi-polar but she has voices in her head she has names for & she's humming & talking to herself to drown out the voices. She says there is a "tape" playing in her head all the time. What does any of this mean? Her doc just writes a script & out the door & now had decided to take the summer off of meds! She came up the coast of FL to visit, we are 5 hr. drive apart, she was here a week & was taping things together with surgical tape, random objects & putting odd things in the fridge & collecting glass jars & doing just bazaar things. I told my dad help me or get out of my way! She has great insurance since he is retired military, she will get full Medicare health benefits this Nov. as well. There is always an excuse why she can't go to the hosputal. If I could get her on a psyc. hold, any doc after speaking with her for 2 minutes would know, this lady is extremely ill. I need & beg for help. I am an only child & have noone but my dad, mom & husband. Please please help. She lives in Key Largo where docs are few but there is Miami. Anyone know anything about services there? I'm almost paralized because this is so much & landing all on me or I can watch her slip away, just like her grandmother did & she went totally catatonic. I'm desperate, afraid & lost. I want to save my mom & this is wayyy bigger then me. Thank you so much for reading. God Bless.
我赞赏你愿意变通规则做正确的事情,但遗憾的是,我不同意。
宪法规定的平等保护保护所有公民不受不公正的法律适用。精神病人有权利,和其他人一样的权利。
你可以提议立法,强制对伤害自己或他人的行为进行评估。所以这种限制是在威胁程度较低的情况下强制实施的。
我就像国父一样,我不相信政府会滥用它的权力。从理论上讲,政府可以说违反法律是精神疾病的表现,并把99%这样的政治团体关起来,因为他们睡在城市公园里。
50年前,我们的政府对人民负责,现在我不知道他们对谁负责。