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Enregistrement W3005743861

Mental Health Law: Abolish or Reform?

2021· book· en· W3005743861 sur OpenAlexaboutno aff
Kay Wilson

Notice bibliographique

RevueMinerva Access (University of Melbourne) · 2021
Typebook
Langueen
DomainePsychology
ThématiqueHealthcare Decision-Making and Restraints
Établissements canadiensnon disponible
Organismes subventionnairesnon disponible
Mots-clésConvention on the Rights of Persons with DisabilitiesMental health lawPolitical scienceMental healthCoercion (linguistics)Human rightsLawBest interestsInvoluntary commitmentHealth carePsychologyPsychiatry
DOInon disponible

Résumé

récupéré en direct d'OpenAlex

As mental health law involves state-sanctioned coercion, and mental health care has a history of neglect and abuse, it has always been controversial. But, it is only since the entry into force of the Convention on the Rights of Persons with Disabilities (CRPD) in 2008 that the call for the abolition of mental health law, particularly involuntary detention in hospital and psychiatric treatment, has started to gain real momentum. Since then certain scholars, international human rights bodies and disability and human rights advocates (whom I call abolitionists) have been increasingly critical of mental health law on the grounds that it is discriminatory and an unjustified deprivation of liberty and bodily integrity. Instead, abolitionists argue that persons with mental impairment should be offered support to make their own decisions and where that is not possible, after substantial efforts have been made, decisions should be made by a supporter or facilitator based on the best interpretation of the persons will and preferences, rather than in a person’s objective medical best interests. However, the text of the CRPD does not explicitly ban mental health law or substitute decision-making because States Parties would not agree to this during the CRPD negotiations, and many States Parties, such as Australia and Canada have given interpretive declarations to that effect. Abolitionists nonetheless insist that the CRPD ought to be interpreted in a way that requires the abolition of mental health law and continue to criticise States Parties for retaining mental health law, even though many States Parties have reviewed and reformed, or are in the process of reviewing or reforming their mental health law. Against this contentious background, my thesis explores the question of whether mental health law should be abolished or reformed. I do so by using the CRPD and international human rights law as my conceptual framework, including the interactive social model of disability. Rather than take a purely doctrinal approach, I have also adopted a socio-legal methodology which aims to understand the development of mental health law and the call for the abolition of mental health law within its socio-historical context drawing on theoretical and empirical research. As part of my analysis, I have developed what I call the ‘interpretive compass’ which explores the scope and meaning of inherent dignity, equality, and participation which are core human rights concepts underpinning the CRPD. I then present a more moderate interpretation of the CRPD which supports significant legal, systemic and social reform, rather than the abolition of mental health law. Specifically, it is my thesis that mental health law should not be abolished but be reformed by decreasing coercion and increasing social support to persons with mental impairments to maximise their dignity (including autonomy), equality and participation in accordance with the overall object and purpose of the CRPD. I also use the ‘interpretive compass’ to analyse three models of mental health law reform: (1) the Abolition with Support, (2) Mental Capacity with Support, and (3) Support Except Where there is Harm models. Of these, I argue that the Mental Capacity with Support model is presently the most consistent with the interpretive compass of the CRPD.

Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.

Comment cette classification a été obtenuedéplier

Prédiction distillée sur la base complète

Imitation des enseignants

Ni prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.

score de la tête « metaresearch » (Codex)0,001
score de la tête « metaresearch » (Gemma)0,000
Version: codex-gemma-dda1882f352aStatut de validation: machine_predicted_unvalidated
Catégories candidatesMéta-épidémiologie (sens strict), Charge utile insuffisante (le modèle a refusé de juger)
Catégories consensuellesaucune
DomaineSignal candidat: aucune · Signal consensuel: aucune
Devis d'étudeSignal candidat: Sans objet · Signal consensuel: Sans objet
GenreSignal candidat: Autre · Signal consensuel: Autre
Score de désaccord entre enseignants0,214
Score d'incertitude au seuil1,000

Scores Codex et Gemma par catégorie

CatégorieCodexGemma
Métarecherche0,0010,000
Méta-épidémiologie (sens strict)0,0000,000
Méta-épidémiologie (sens large)0,0010,000
Bibliométrie0,0000,000
Études des sciences et des technologies0,0010,000
Communication savante0,0000,000
Science ouverte0,0020,001
Intégrité de la recherche0,0010,001
Charge utile insuffisante (le modèle a refusé de juger)0,0100,000

Scores machine (provisoires)

Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.

Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.

Tête enseignante Opus0,078
Tête enseignante GPT0,372
Écart entre enseignants0,294 · la distance entre les deux têtes enseignantes sur ce seul travail
Statut de validationscore_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découle

Classification

machine, non validée

Prédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.

Devis d'étudeSans objet
Domainenon disponible
GenreAutre

Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».

En bref

Citations7
Publié2021
Routes d'admission1
Résumé présentoui

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