Gazdag G\u00e1bor, Asztalos M\u00e1rton, Kov\u00e1cs J\u00f3zsef: Az elektrokonvulz\u00edv kezel\u00e9s klinikai alkalmaz\u00e1s\u00e1nak \u00e9s kutat\u00e1s\u00e1nak etikai k\u00e9rd\u00e9sei. Psychiatria Hungarica 2021. 36(4):536-545<\/p>\n
\u00d6sszefoglal\u00e1s: Az elektrokonvulz\u00edv kezel\u00e9s (ECT) a pszichi\u00e1tria egyik legnagyobb m\u00faltra visszatekint\u0151 \u00e9s legt\u00f6bbet kritiz\u00e1lt kezel\u00e9si m\u00f3dja. A kritik\u00e1k egy r\u00e9sze a m\u00f3dszert az etika oldal\u00e1r\u00f3l \u00e9ri. A szerz\u0151k a klinikai alkalmaz\u00e1s \u00e9s a kutat\u00e1s etikai k\u00e9rd\u00e9seit tekintik \u00e1t. Az ECT haszn\u00e1lata a pszichi\u00e1triai betegek kezel\u00e9s\u00e9ben akkor tekinthet\u0151 etikusnak, ha a bioetika n\u00e9gy f\u0151 alapelve (j\u00f3t\u00e9konys\u00e1g, \u00e1rtalmatlans\u00e1g, auton\u00f3mia \u00e9s igazs\u00e1goss\u00e1g) szerint t\u00f6rt\u00e9nik. Az ECT-vel kapcsolatos kutat\u00e1soknak meg kell felelni\u00fck egy\u00e9b nemzetk\u00f6zi ir\u00e1nyelveknek \u00e9s kutat\u00e1setikai k\u00f3dexeknek is.<\/p>\n
Az ut\u00f3bbi \u00e9vtizedekben elterjedt a t\u00e1j\u00e9kozott beleegyez\u00e9s elve a pszichi\u00e1tri\u00e1ban is, melyhez elengedhetetlen a kezel\u0151orvost\u00f3l kapott objekt\u00edv, a tudom\u00e1ny aktu\u00e1lis \u00e1ll\u00e1s\u00e1nak megfelel\u0151 t\u00e1j\u00e9koztat\u00e1s. Az ENSZ Egyezm\u00e9nye a Fogyat\u00e9koss\u00e1ggal \u00e9l\u0151 szem\u00e9lyek jogair\u00f3l a fogyat\u00e9koss\u00e1g fogalm\u00e1ba tartoz\u00f3nak tekinti a pszichi\u00e1triai zavarokat. Ezen betegek eset\u00e9ben az \u00f6nrendelkez\u00e9s gyakorl\u00e1s\u00e1nak k\u00edv\u00e1natos m\u00f3dja a t\u00e1mogatott d\u00f6nt\u00e9shozatal. Ennek sor\u00e1n fontos a d\u00f6nt\u00e9st helyettes\u00edt\u0151 mechanizmusok helyett a d\u00f6nt\u00e9s t\u00e1mogat\u00e1s\u00e1nak alkalmaz\u00e1sa, noha a bel\u00e1t\u00e1si k\u00e9pess\u00e9g hi\u00e1ny\u00e1nak egyes eseteiben a d\u00f6nt\u00e9s helyettes\u00edt\u00e9s\u00e9re szolg\u00e1l\u00f3 mechanizmusok n\u00e9lk\u00fcl\u00f6zhetetlenek.<\/p>\n
Kulcsszavak: elektrokonvulz\u00edv kezel\u00e9s; t\u00e1j\u00e9kozott beleegyez\u00e9s; kutat\u00e1s; etika<\/p>\n
<\/p>\n
Summary:<\/p>\n
Electroconvulsive therapy (ECT) is one of psychiatry\u2019s most long-standing and criticized treatments. Some of the criticisms come from the ethical aspect of ECT. The authors review the ethical issues of clinical application and research of ECT. ECT in the treatment of psychiatric patients is considered ethical, if it is conducted according to the four main principles of bioethics (beneficence, none-maleficence, autonomy and justice). ECT research should also comply with other international guidelines and research ethics codes.<\/p>\n
In recent decades, the principle of informed consent has become widespread in psychiatry, which requires objective information from the attending doctor according to the most reliable scientific information. The UN Convention on the Rights of Persons with Disabilities considers psychiatric disorders to be part of the concept of disability. For disabled psychiatric patients, assisted decision-making is a desirable way of self-determination. In doing so, it is important to use decision support instead of decision-substituting mechanisms, although for patients lacking insight, decision-substituting mechanisms are unavoidable.<\/p>\n
Keywords: electroconvulsive therapy; informed consent; research; ethics<\/p>\n
<\/p>\n","protected":false},"excerpt":{"rendered":"
Gazdag G\u00e1bor, Asztalos M\u00e1rton, Kov\u00e1cs J\u00f3zsef: Az elektrokonvulz\u00edv kezel\u00e9s klinikai alkalmaz\u00e1s\u00e1nak \u00e9s kutat\u00e1s\u00e1nak etikai k\u00e9rd\u00e9sei. Psychiatria Hungarica 2021. 36(4):536-545 \u00d6sszefoglal\u00e1s: Az elektrokonvulz\u00edv kezel\u00e9s (ECT) a pszichi\u00e1tria egyik legnagyobb m\u00faltra visszatekint\u0151 \u00e9s legt\u00f6bbet kritiz\u00e1lt kezel\u00e9si m\u00f3dja. A kritik\u00e1k egy r\u00e9sze a m\u00f3dszert az etika oldal\u00e1r\u00f3l \u00e9ri. A szerz\u0151k a klinikai alkalmaz\u00e1s \u00e9s a kutat\u00e1s etikai k\u00e9rd\u00e9seit …<\/p>\n","protected":false},"author":101277,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-10519","post","type-post","status-publish","format-standard","hentry","category-hirek"],"acf":[],"_links":{"self":[{"href":"https:\/\/semmelweis.hu\/magtud\/wp-json\/wp\/v2\/posts\/10519","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/semmelweis.hu\/magtud\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/semmelweis.hu\/magtud\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/semmelweis.hu\/magtud\/wp-json\/wp\/v2\/users\/101277"}],"replies":[{"embeddable":true,"href":"https:\/\/semmelweis.hu\/magtud\/wp-json\/wp\/v2\/comments?post=10519"}],"version-history":[{"count":4,"href":"https:\/\/semmelweis.hu\/magtud\/wp-json\/wp\/v2\/posts\/10519\/revisions"}],"predecessor-version":[{"id":10540,"href":"https:\/\/semmelweis.hu\/magtud\/wp-json\/wp\/v2\/posts\/10519\/revisions\/10540"}],"wp:attachment":[{"href":"https:\/\/semmelweis.hu\/magtud\/wp-json\/wp\/v2\/media?parent=10519"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/semmelweis.hu\/magtud\/wp-json\/wp\/v2\/categories?post=10519"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/semmelweis.hu\/magtud\/wp-json\/wp\/v2\/tags?post=10519"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}