反思精神障碍强制医疗的“危险性”原则

很多国家精神卫生立法在强制医疗人院标准方面都适用了“危险性”原则,我国《精神卫生法》也在其列。然而,“危险性”原则是基于三个错误的假设,因此实际上“危险性”原则可能会增加精神疾病对患者的伤害和较大程度增加社区危险的风险。本文呼吁参考Large及Richardson的观点及美国部分州与苏格兰精神卫生立法的实证经验,在“危险性”原则基础上补充“拒绝治疗的能力”评定作为精神障碍者强制医疗入院标准。     

论基本医疗卫生法的立法定位及其主要内容

基本医疗就是要让国民小病看得起、医保广覆盖、医疗服务质量有保障的满足患者基本医疗需求的医疗模式。基本医疗卫生法就是围绕这一核心予以规制和保障的法律。基本医疗卫生法是公民健康保障的基本法律,是跨领域跨专业的综合性法律,是各具体职能部门共同保障基本医疗服务的法律。基本医疗卫生法的立法基本原则是理论与实践相结合的原则、平衡各方利益的原则、厘清争议问题的原则。基本医疗卫生法立法的核心内容包括：基本医疗卫生法的基本原则、政府的基本医疗保障责任、医疗保险付费为主的多渠道医疗费用筹措机制、基层医疗机构担负国民健康守门员的职责、弱势群体医疗救助制度等。     

各利益相关者在医院与社区双向转诊合作中的责任与机制简

针对目前双向转诊中信息不能共享、药品获得和费用报销障碍、社区人力服务水平相对较差等问题,从双向转诊中各利益相关者角度分析在双向转诊实施过程中政府、医疗机构（医院与社区卫生服务机构）、患者与家属各自应当承担的责任,提出相应的措施及改进机制。     

论强制医疗启动程序决定主体

强制医疗制度是国家医疗保健制度的有机组成部分,强制医疗有广义与狭义之分。狭义的强制医疗,如实施危害行为的精神病患者、甲类传染病患者等;广义的强制医疗,包括预防接种、指定医保单位就医等。强制医疗程序启动的决定主体必须是国家赋予相应权力的机关,其他任何单位不具有这样的权力,因而无权决定强制医疗程序启动。强制医疗主体的确定取决于强制医疗对象的危害程度、广度及时间等因素。     

试论民族古籍的特征

我国是一个多民族国家 ,除汉文古籍外 ,少数民族文字的古籍和借用其他文字书写少数民族内容的古籍也是宝贵的文化遗产。民族古籍是中国古籍的一个重要部分和特殊部分。目前 ,有关民族古籍图书的分类和馆藏 ,未形成规范统一。造成这一原因主要是 :民族古籍没有形成一个权威概念 ;《中图法》没有具有的类目。为此 ,本文就民族古籍馆藏概况和民族古籍的特征进行介绍和讨论 ,意在解决民族古籍馆藏的认识问题。     

Bringing the Revolution to the Countryside: Rural Health Programmes as State‐Building in Post‐1952 Bolivia

Bolivia's Movimiento Nacionalista Revolucionario (Revolutionary Nationalist Movement, MNR) took power in April 1952 via a popular social revolution. After 1952, the party implemented state‐sponsored modernisation projects, including extending rural public health programmes. The MNR used health programmes to change rural practices, cultivate political loyalty, and expand the state's political power. Yet rural indigenous communities were hardly passive recipients of these programmes. These communities often requested government services, and they borrowed the MNR's own political rhetoric to position themselves as worthy of state attention. Public health programmes increased access to rural health care, but they also allowed state officials and rural communities to negotiate the MNR's authority.     

‘A Sick,Weak, and Ignorant People’: Public Health Education and Prevention in Rural Colombia, 1930–1940

This article analyses Salud y Sanidad (Health and Sanitation), a government journal edited in 1930s Colombia. It examines the state's model of public health, which proposed education and prevention as strategies to guarantee the success of its programmes. It argues that despite the journal's more progressive approaches, editors and contributors reproduced stereotypes about Colombia's rural inhabitants that contradicted state rhetoric and showed the limits of public health models that do not address the underlying social inequities that drive the propagation of poverty and disease in rural areas, and that ultimately continued to blame victims for their illness and misfortune     

‘Monsters don’t bother me anymore’ forensic mental health service users’ experiences of acceptance and commitment therapy for psychosis

Acceptance and Commitment Therapy for psychosis (ACTp) is an approach that aims to change the relationship an individual with psychosis has with difficult thoughts, emotions and experiences. It promotes the use of acceptance, defusion, mindfulness and focussing on valued outcomes as opposed to struggling with psychotic experiences. This service evaluation project explored service users’ experiences and meanings of ACTp within a medium secure mental health service. Thematic analysis was used to analyse interviews with 10 male service users. Four main themes emerged from the data: ‘Recovery’, ‘Insight’, ‘Developing Skills’ and ‘Accessibility’. Overall, service users viewed their experience of ACTp positively and identified encouraging therapeutic outcomes. These findings suggest that ACTp is an approach that should be considered a therapeutic option within forensic mental health contexts. These outcomes were compared with previous research findings. Limitations of the study, clinical implications and ideas for future research have been discussed.     

论英国的犯罪信息公开制度——以加拉格尔案为切入点

在英国,犯罪信息公开制度一直是一个备受争议的话题。《欧洲人权公约》第8条规定,每个人都享有隐私权,任何侵犯隐私权的行为必须以“合法”和“必要”为前提。2019年初,在加拉格尔系列案的上诉程序中,犯罪记录披露措施是否违反《公约》第8条规定成为英国社会关注的焦点。在该案判决中,英国最高法院虽然支持了前科被披露人员的请求,驳回了上诉,但是,法官们对于犯罪信息公开制度是否符合合法性和必要性标准却存在明显的分歧。通过对该案的基本案情、主要争议点、英国最高法院法官的不同意见的分析,可以为发展和完善我国犯罪记录登记和查询机制提供参考依据。     

Tarasoff in Missouri: The jurisprudence of a mental health provider's duty to warn and protect non-patients of potential risks from patients

In 1976, the Supreme Court of California issued its well-known Tarasoff Principle. From this principle, other courts found a duty to warn, and some found more than just a duty to warn, a duty to protect. As courts in other states adopted a version of the Tarasoff Principle, they issued a wide variety of third-party liability rules. In light of the dynamic, everchanging Tarasoff jurisprudence in the United States and recent relevant appellate court opinion in Missouri, a timely updated summary and update of Tarasoff-related jurisprudence in Missouri is warranted. In the present analysis, we compiled the four appellate court decisions that pertained to the questions of Tarasoff-like third-party liability in the State of Missouri: Sherrill v. Wilson (1983), Matt v. Burrell (1995), Bradley v. Ray (1995), and Virgin v. Hopewell (2001). We reviewed all legal measures for clinicians to protect nonpatients in Missouri, not just those that relate to protecting nonpatients from violence as in a Tarasof-like scenario. Thus, this paper concisely provides a compendium of such options and allows for a meaningful comparison of which legal, protective measures are mandatory and which are permissive, thereby evoking the question of whether measures of protecting nonpatients from a patient's violent acts ought to be mandatory duties or permissive application of professional judgment.