However, such reform measures with respect to all categories of mentally ill have their own specifics in psychiatry. In clinical psychiatry patient is a person with altered mentality. In clinical psychiatry patient is a person with altered mentality. And modified the human psyche is not always expressed in the external figure behavior of the patient. In some cases, it is a clear deviation from the usual standard norms of behaviour: the patient stops her ears with auditory hallucinations, plug nose when olfactory hallucinations, strides «cracks» on asphalt, etc. In the other - external picture of conduct, mimics, gestures expressed as a normal person. But the survey shows that changed his brain disease. At some point of his life, he may become dangerous for your relatives, neighbors. So in psychiatry sharply there is a question about the use of voluntary or compulsory measures of assistance.
Patients with whom it has psychiatrist, for their ability to consent form a wide spectrum. Some patients may not only protect, but even Express their interests and rights. For example, patients with a diagnosis of dementia, psychosis. In such cases the most suitable model of doctor-patient relations» - paternalistic. In this model, the physician acts as a specialist, «the guardian», and the patient is restricted in making a decision. Other patients may not yield to the doctor to personal автономиии, personal responsibility, intellectual development. Most often it is the patients with neurotic disorders. In such situations the most effective model of informed consent. Doctor in it acts as an expert, he informs the patient about the diagnosis, treatment, risks, consequences. The patient being инфоромированным voluntarily accepts the decision (consent to or refuse treatment, consent to outpatient or inpatient treatment).
But in both cases, the psychiatrist should avoid interpretations of mental pathology, overdiagnosis. Feature of psychiatry is the fact that it diagnosed with a mental illness carries a negative socio-ethical load that does not have the diagnosis of the majority of clinical specialties.