Abstract：
UNASSIGNED: Bioethicists have long been concerned with the mistreatment of institutionalized patients, including those suffering from mental illness. Despite this attention, the built environments of health care settings have largely escaped bioethical analysis. This is a striking oversight given that architects and social scientists agree that buildings reflect and reinforce prevailing social, cultural, and medical attitudes. Architectural choices are therefore ethical choices. We argue that mental health institutions are fertile sites for ethical analysis. Examining the ethics of architecture calls attention to the potential for hospitals to hinder autonomy. Additionally, such examination highlights the salutogenic possibilities of institutional design, that is to care, nurture, and enhance patient and provider well-being.
摘要：
■生物伦理学家长期以来一直关注对住院患者的虐待，包括那些患有精神疾病的人。尽管受到关注,医疗机构的建筑环境在很大程度上逃脱了生物伦理分析。这是一个引人注目的疏忽，因为建筑师和社会科学家都认为建筑反映并加强了当时的社会，文化,和医疗态度。因此，建筑选择是道德选择。我们认为，精神卫生机构是进行道德分析的肥沃场所。检查建筑伦理需要注意医院阻碍自治的潜力。此外,这样的检查突出了制度设计的潜在可能性，那就是关心，养育,并提高患者和提供者的福祉。
