精神疾病與基因科技之反烙印倫理觀

Anti-Stigmatization and Ethical Perspectives on Mental Illness and Genetic Technologies

精神病者受苦的不只是疾病，也包括社會對他們的歧視烙印。本文試圖探索烙印的生物、心理、和社會成因及反烙印的可能策略，也針對基因科技可能帶來精神疾病的烙印從不同的爭議點和潛在防治的層面來做探討。作者強調目前台灣精神病家仍處於嚴重社會烙印的弱勢處境，健康專業者對基因科技的衝擊更須謹慎以對，除強化反烙印和基因護理教育外，更需建立一種以照顧關懷之存在與倫理為取向的人文社會醫療照護體系。

People with mental illness suffer from their disorder as well as from social stigma. This paper explores the bio-psycho-social reasons that underlie human stigma and proposes potential anti-stigmatization strategies. Furthermore, this paper presents a multi-component, multi-level intervention genetic psychiatry protocol addressing stigma prevention. Significant levels of social stigma still pervade Taiwanese culture, and a potential crisis of genetic psychiatry exists in cases where mental illness is identified. Promoting humanistic, ethical, and caring attitudes and enhancing genetic nursing education at both the community level and amongst health professional are central to ensuring the rights and quality of life of the mentally ill in Taiwan society.