关键词: Debate Egypt Mental health legislation Psychiatric reform Revolution

Mesh : Egypt Humans Psychiatry / legislation & jurisprudence Health Care Reform / legislation & jurisprudence Mental Health Services / legislation & jurisprudence Patient Rights / legislation & jurisprudence

来  源:   DOI:10.1007/s11013-023-09837-1

Abstract:
In 2009, Egypt adopted the \"Law for the Care of Mental Patients,\" a rights-based legislation intended to bring the country\'s mental health system-otherwise defined by resource gaps and chronic underfunding-closer to global standards of care. Yet, the new act stirred dissension among Egyptian psychiatrists. And, in the immediate aftermath of the 2011 uprising, debates about the 2009 law became intertwined with debates about the present and future of the \'new Egypt.\' Based on field research in Cairo, this article provides an ethnographic analysis of the making of this mental health act and of the ensuing debates as they unfolded in 2011-2012. Showing the diverging perspectives at the core of these debates on psychiatric power, patient rights, and the law\'s fit in society, the article highlights the challenges of psychiatric reform in a country of the Global South. It also argues that in a context of revolutionary upheaval, debates about psychiatric reform become a site for political reflection and provide a language for imagining the future of the nation. The article also highlights the centrality of temporality in debating psychiatric reform in times of political transformation.
摘要:
2009年,埃及通过了《精神病患者护理法》,“一项基于权利的立法旨在使该国的精神卫生系统-否则由资源缺口和长期资金不足定义-更接近全球护理标准。然而,新法案激起了埃及精神病学家之间的分歧。And,在2011年起义之后,关于2009年法律的辩论与关于新埃及的现在和未来的辩论交织在一起。根据开罗的实地研究,这篇文章提供了一个人种学分析,该精神健康法案的制定和随后的辩论,因为他们在2011-2012年展开.展示了这些关于精神病学权力的辩论核心的不同观点,患者权利,和法律适合社会,这篇文章强调了全球南方国家精神病学改革的挑战。它还认为,在革命动荡的背景下,关于精神病改革的辩论成为政治反思的场所,并提供了一种想象国家未来的语言。本文还强调了政治转型时期辩论精神病改革的时间性的中心地位。
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