首页
登录
职称英语
Labour is often accused of rushing through ill-considered laws whenever its
Labour is often accused of rushing through ill-considered laws whenever its
游客
2025-01-12
8
管理
问题
Labour is often accused of rushing through ill-considered laws whenever its appearance of competence is cracking. The mental-health bill, which came back to the House of Commons from the Lords this week, hardly fits this pattern. Discussions about a new law began nine years ago, not long after Michael Stone, who suffered from a personality disorder, killed a mother and her daughter with a hammer while they were walking down a lane in Kent. Since then the bill has been introduced, thrown out, brought back, re-worded and tinkered with. And yet it still sets the Mental Health Alliance, which represents 80 organisations that think the bill represents a sinister grab at civil liberties, against the government, which says that those who oppose it are guaranteeing a "right to suicide" by allowing patients of precarious stability to go untreated.
Two questions are at the root of the conflict. The first is whether patients who are able to make decisions about their own treatment should sometimes be compelled to take medication. The second is whether people with illnesses that may not respond to treatment should be forced to try anyway. The answer to the question of how far the state should deprive people of their liberty for their own sake and for the sake of everyone else is likely to affect mental-health care not just in England (Scotland and Wales have different systems), but in the rest of Europe too, where England is seen as a model of how to look after the mentally ill.
Sick people can be treated either in hospitals or outside them. Britain decided earlier than elsewhere that outside was better. Care in the community, as this is known, has meant a reduction in the number of beds in grim psychiatric hospitals from 150,000 in 1950 to 30,000 now. It was underfunded to begin with, and "the community" sometimes meant a flat next to a motorway rather than a cosy family home.
But things have improved over the past ten years. Whereas other west European countries tend to have a single community mental-health team, England has three: one to go out and look for people who have a history of illness; another that concentrates on young people who have become ill for the first time; and a third to treat people at home. Matt Muijen, who studies different systems from his vantage point at the World Health Organisation, reckons that "England is ten years ahead of the rest of Europe".
There are still plenty of problems. Lots of mentally-ill people end up behind bars: they constitute some 80% of female prisoners, according to the Howard League, a charity. And patients being cared for at home frequently fail to take their medicines, some of which can have unpleasant side effects. This often leads to a crisis, or worse: some 1,200 patients kill themselves each year. There is also a risk to others as schizophrenics, for example, account for 1% of the population and 5% of murders. When care at home breaks down,, the mentally ill go back to hospital and the cycle begins again.
One of the bill’s proposals, the introduction of Community Treatment Orders, aims at breaking it. A patient who is deprived of his liberty and taken into hospital, regains it on release. Under the government’s plan, a psychiatrist would then assess the patient and decide if nurses should be given the power to try to make sure he takes the pills prescribed, sending him back to hospital if he does not. Each order would be reviewed by a tribunal each year. Doctors in most states in America and in Australia already have this power. Psychiatrists in Scotland gained it in 2005.
But compelling patients to take medicines when they may be well enough to decide they do not want to makes doctors nervous. Some patients may prefer the ups and downs of their ill selves to their humdrum medicated versions. The provision in the bill for psychiatrists to supervise people with personality disorders that, unlike schizophrenia or depression, may not respond to treatment, is controversial too. Most psychiatrists are aware that the history of their profession includes a spell as gaolers to the awkward and the extraordinary and do not want to reprise that role.
Yet the case for the bill is strong enough to sway some libertarians. For the choice is not between treating patients in institutions and allowing them to roam free, but between treating them in hospital or outside. If the latter is to be made to work, some of the compulsory features of hospitals may have to come into the home. [br] What is the focus of the discussion?
选项
A、Whether or not labour rushes through in-considered laws whenever its appearance of competence is cracking.
B、Whether or not Michael Stone should be ruled guilty.
C、Whether or not the Mental Health Alliance should be passed.
D、Whether or not people have the right to suicide.
答案
C
解析
转载请注明原文地址:https://tihaiku.com/zcyy/3909093.html
相关试题推荐
Nomatterifyou’releafingthroughthoseglossyadmissionsbrochures,attend
Nomatterifyou’releafingthroughthoseglossyadmissionsbrochures,attend
Nomatterifyou’releafingthroughthoseglossyadmissionsbrochures,attend
Throughoutthenation’smorethan15,000schooldistricts,widelydiffering
Throughoutthenation’smorethan15,000schooldistricts,widelydiffering
Throughoutthenation’smorethan15,000schooldistricts,widelydiffering
Travelingthroughthecountryacoupleofweeksagoonbusiness,Iwaslisten
Travelingthroughthecountryacoupleofweeksagoonbusiness,Iwaslisten
Travelingthroughthecountryacoupleofweeksagoonbusiness,Iwaslisten
[originaltext]1.Bullying,forcingunacceptabledemandsontheotherthroughco
随机试题
MoviesarethemostpopularformofentertainmentformillionsofAmericans
[originaltext]Inthepastindustrieshadmorefreedomthantheyhavenow,a
多尿是指每昼夜排出的尿量长期保持在( )A.100mL以下 B.100~
郭某,女,30岁。呕吐反复发作2年。每因饮食不慎即发呕吐,或劳倦之后,困惫乏力,
患者,男,50岁。高血压病史10年,今日剧烈头痛,眩晕,恶心,呕吐。查体:无肢体
磺基水杨酸法测定尿蛋白最大优点是()A.灵敏度高B.无假阳性C.是定性试验确诊
患者女性,29岁,诊断为白血病,行化疗过程中致口腔溃烂需做咽拭子培养。护士为其采
某变电站于2016年9月新投运了一组阀控密封蓄电池组,请问其投运后第一次核对性放
初中生小明因期末考试成绩差被父亲责打,一气之下离家出走。他的父母向社会工作者求助
甲投资公司(以下简称甲公司)与乙国有企业(以下简称乙企业)以甲公司出资金、乙企业
最新回复
(
0
)