{"id":1784,"date":"2023-10-17T18:03:44","date_gmt":"2023-10-17T18:03:44","guid":{"rendered":"https:\/\/lafuente.mx\/?p=1784"},"modified":"2023-10-17T18:03:46","modified_gmt":"2023-10-17T18:03:46","slug":"bioetica-y-voluntades-anticipadas-en-psiquiatria-en-el-contexto-hospitalario","status":"publish","type":"post","link":"https:\/\/lafuente.mx\/?p=1784","title":{"rendered":"Bio\u00e9tica y voluntades anticipadas en psiquiatr\u00eda en el contexto hospitalario\u00a0"},"content":{"rendered":"\n

Liliana Mondrag\u00f3n-Barrios, Fernando Lolas Stepke<\/strong><\/p>\n\n\n\n

\n\n\n
\n
\"\"<\/figure>\n<\/div>\n\n\n
\n\n\n\n

Introducci\u00f3n.\u00a0<\/strong>Los servicios de salud mental han sido foco de atenci\u00f3n de los defensores de los derechos humanos y de las recientes reformas legales en algunos pa\u00edses de Am\u00e9rica Latina, que han pedido un cambio del paradigma de la hospitalizaci\u00f3n a uno de acompa\u00f1amiento y apoyo a la persona con problemas de salud mental, que permitan aplicar las Voluntades Anticipadas en Psiquiatr\u00eda (PAD). Este cambio requerir\u00e1 tiempo, as\u00ed como recursos econ\u00f3micos, materiales y humanos, y transformaciones en las actitudes, la cultura y la sociedad, pero la implementaci\u00f3n de los PAD no se puede posponer: deben utilizarse para proteger la autonom\u00eda de las personas afectadas, dentro de un marco bio\u00e9tico.\u00a0
\u00a0
Objetivo.<\/strong>\u00a0Identificar posibles condiciones bio\u00e9ticas en el contexto hospitalario convencional prevaleciente en Am\u00e9rica Latina que permitan la implementaci\u00f3n de PAD.\u00a0
\u00a0
M\u00e9todo.<\/strong>\u00a0Se realiz\u00f3 un estudio participante-observador en dos servicios de hospitales psiqui\u00e1tricos entre junio y septiembre de 2022.\u00a0
\u00a0
Resultados.<\/strong>\u00a0Un an\u00e1lisis tem\u00e1tico encontr\u00f3 tres temas: 1) atenci\u00f3n cl\u00ednica, 2) predisposici\u00f3n del paciente y 3) cuestiones m\u00e9dico-legales. Este estudio consider\u00f3 parte del tema 2, incluyendo los siguientes subtemas: a) autopercepci\u00f3n del paciente, b) biograf\u00eda\/narrativa versus clasificaci\u00f3n diagn\u00f3stica, y c) negociaci\u00f3n.\u00a0
\u00a0
Discusi\u00f3n y conclusi\u00f3n.\u00a0<\/strong>Entre los subtemas discutidos se destacan el reconocimiento de los valores de autonom\u00eda y sus elementos en todas las expresiones de la persona con enfermedad mental, as\u00ed como las acciones del m\u00e9dico o del equipo de salud en sinergia con la toma de decisiones apoyadas, caracter\u00edstica distintiva del proceso anticipatorio de la EAP.\u00a0<\/p>\n\n\n\n

\n\n\n\n
\n
Lee el art\u00edculo completo aqu\u00ed<\/a><\/div>\n<\/div>\n\n\n\n

<\/p>\n\n\n

\n
\"\"<\/a><\/figure>\n<\/div>\n\n\n

<\/p>\n","protected":false},"excerpt":{"rendered":"

Liliana Mondrag\u00f3n-Barrios, Fernando Lolas Stepke Introducci\u00f3n.\u00a0Los servicios de salud mental han sido foco de atenci\u00f3n de los defensores de los derechos humanos y de las<\/p>\n","protected":false},"author":5,"featured_media":1786,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[11],"tags":[468,21,33,32],"class_list":["post-1784","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-revista-salud-mental","tag-bioetica","tag-inprfm","tag-revista","tag-salud-mental"],"yoast_head":"\nBio\u00e9tica y voluntades anticipadas en psiquiatr\u00eda en el contexto hospitalario\u00a0 -<\/title>\n<meta name=\"description\" content=\"Bio\u00e9tica y voluntades anticipadas en psiquiatr\u00eda en el contexto hospitalario\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/lafuente.mx\/?p=1784\" \/>\n<meta property=\"og:locale\" content=\"es_MX\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Bio\u00e9tica y voluntades anticipadas en psiquiatr\u00eda en el contexto hospitalario\" \/>\n<meta property=\"og:description\" content=\"Bio\u00e9tica y voluntades anticipadas en psiquiatr\u00eda en el contexto hospitalario\" \/>\n<meta property=\"og:url\" content=\"https:\/\/lafuente.mx\/?p=1784\" \/>\n<meta property=\"article:published_time\" content=\"2023-10-17T18:03:44+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-10-17T18:03:46+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/lafuente.mx\/wp-content\/uploads\/2023\/10\/3430925-1.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"2000\" \/>\n\t<meta property=\"og:image:height\" content=\"1333\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Dar\u00edo Ram\u00edrez\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:title\" content=\"Bio\u00e9tica y voluntades anticipadas en psiquiatr\u00eda en el contexto hospitalario\" \/>\n<meta name=\"twitter:description\" content=\"Bio\u00e9tica y voluntades anticipadas en psiquiatr\u00eda en el contexto hospitalario\" \/>\n<meta name=\"twitter:image\" content=\"https:\/\/i0.wp.com\/lafuente.mx\/wp-content\/uploads\/2023\/10\/3430925-1.jpg?fit=2000%2C1333&ssl=1\" \/>\n<meta name=\"twitter:label1\" content=\"Escrito por\" \/>\n\t<meta name=\"twitter:data1\" content=\"Dar\u00edo Ram\u00edrez\" \/>\n\t<meta name=\"twitter:label2\" content=\"Tiempo de lectura\" \/>\n\t<meta name=\"twitter:data2\" content=\"1 minuto\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebSite\",\"@id\":\"https:\/\/lafuente.mx\/#website\",\"url\":\"https:\/\/lafuente.mx\/\",\"name\":\"\",\"description\":\"Informaci\u00f3n confiable sobre salud mental\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/lafuente.mx\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"es\"},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/lafuente.mx\/?p=1784\",\"url\":\"https:\/\/lafuente.mx\/?p=1784\",\"name\":\"Bio\u00e9tica y voluntades anticipadas en psiquiatr\u00eda en el contexto hospitalario\u00a0 -\",\"isPartOf\":{\"@id\":\"https:\/\/lafuente.mx\/#website\"},\"datePublished\":\"2023-10-17T18:03:44+00:00\",\"dateModified\":\"2023-10-17T18:03:46+00:00\",\"author\":{\"@id\":\"https:\/\/lafuente.mx\/#\/schema\/person\/b9cc1ac3941245ec61c80638a92abfb6\"},\"description\":\"Bio\u00e9tica y voluntades anticipadas en psiquiatr\u00eda en el contexto hospitalario\",\"breadcrumb\":{\"@id\":\"https:\/\/lafuente.mx\/?p=1784#breadcrumb\"},\"inLanguage\":\"es\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/lafuente.mx\/?p=1784\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/lafuente.mx\/?p=1784#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Inicio\",\"item\":\"https:\/\/lafuente.mx\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Bio\u00e9tica y voluntades anticipadas en psiquiatr\u00eda en el contexto hospitalario\u00a0\"}]},{\"@type\":\"Person\",\"@id\":\"https:\/\/lafuente.mx\/#\/schema\/person\/b9cc1ac3941245ec61c80638a92abfb6\",\"name\":\"Dar\u00edo Ram\u00edrez\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"es\",\"@id\":\"https:\/\/lafuente.mx\/#\/schema\/person\/image\/\",\"url\":\"https:\/\/secure.gravatar.com\/avatar\/87a4854cf5143b98387cbe5ecf3c457b21c847642274418f681586228b297b5d?s=96&d=mm&r=g\",\"contentUrl\":\"https:\/\/secure.gravatar.com\/avatar\/87a4854cf5143b98387cbe5ecf3c457b21c847642274418f681586228b297b5d?s=96&d=mm&r=g\",\"caption\":\"Dar\u00edo Ram\u00edrez\"},\"url\":\"https:\/\/lafuente.mx\/?author=5\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Bio\u00e9tica y voluntades anticipadas en psiquiatr\u00eda en el contexto hospitalario\u00a0 -","description":"Bio\u00e9tica y voluntades anticipadas en psiquiatr\u00eda en el contexto hospitalario","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/lafuente.mx\/?p=1784","og_locale":"es_MX","og_type":"article","og_title":"Bio\u00e9tica y voluntades anticipadas en psiquiatr\u00eda en el contexto hospitalario","og_description":"Bio\u00e9tica y voluntades anticipadas en psiquiatr\u00eda en el contexto hospitalario","og_url":"https:\/\/lafuente.mx\/?p=1784","article_published_time":"2023-10-17T18:03:44+00:00","article_modified_time":"2023-10-17T18:03:46+00:00","og_image":[{"width":2000,"height":1333,"url":"http:\/\/lafuente.mx\/wp-content\/uploads\/2023\/10\/3430925-1.jpg","type":"image\/jpeg"}],"author":"Dar\u00edo Ram\u00edrez","twitter_card":"summary_large_image","twitter_title":"Bio\u00e9tica y voluntades anticipadas en psiquiatr\u00eda en el contexto hospitalario","twitter_description":"Bio\u00e9tica y voluntades anticipadas en psiquiatr\u00eda en el contexto hospitalario","twitter_image":"https:\/\/i0.wp.com\/lafuente.mx\/wp-content\/uploads\/2023\/10\/3430925-1.jpg?fit=2000%2C1333&ssl=1","twitter_misc":{"Escrito por":"Dar\u00edo Ram\u00edrez","Tiempo de lectura":"1 minuto"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebSite","@id":"https:\/\/lafuente.mx\/#website","url":"https:\/\/lafuente.mx\/","name":"","description":"Informaci\u00f3n confiable sobre salud mental","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/lafuente.mx\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"es"},{"@type":"WebPage","@id":"https:\/\/lafuente.mx\/?p=1784","url":"https:\/\/lafuente.mx\/?p=1784","name":"Bio\u00e9tica y voluntades anticipadas en psiquiatr\u00eda en el contexto hospitalario\u00a0 -","isPartOf":{"@id":"https:\/\/lafuente.mx\/#website"},"datePublished":"2023-10-17T18:03:44+00:00","dateModified":"2023-10-17T18:03:46+00:00","author":{"@id":"https:\/\/lafuente.mx\/#\/schema\/person\/b9cc1ac3941245ec61c80638a92abfb6"},"description":"Bio\u00e9tica y voluntades anticipadas en psiquiatr\u00eda en el contexto hospitalario","breadcrumb":{"@id":"https:\/\/lafuente.mx\/?p=1784#breadcrumb"},"inLanguage":"es","potentialAction":[{"@type":"ReadAction","target":["https:\/\/lafuente.mx\/?p=1784"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/lafuente.mx\/?p=1784#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Inicio","item":"https:\/\/lafuente.mx\/"},{"@type":"ListItem","position":2,"name":"Bio\u00e9tica y voluntades anticipadas en psiquiatr\u00eda en el contexto hospitalario\u00a0"}]},{"@type":"Person","@id":"https:\/\/lafuente.mx\/#\/schema\/person\/b9cc1ac3941245ec61c80638a92abfb6","name":"Dar\u00edo Ram\u00edrez","image":{"@type":"ImageObject","inLanguage":"es","@id":"https:\/\/lafuente.mx\/#\/schema\/person\/image\/","url":"https:\/\/secure.gravatar.com\/avatar\/87a4854cf5143b98387cbe5ecf3c457b21c847642274418f681586228b297b5d?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/87a4854cf5143b98387cbe5ecf3c457b21c847642274418f681586228b297b5d?s=96&d=mm&r=g","caption":"Dar\u00edo Ram\u00edrez"},"url":"https:\/\/lafuente.mx\/?author=5"}]}},"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/lafuente.mx\/wp-content\/uploads\/2023\/10\/3430925-1.jpg?fit=2000%2C1333&ssl=1","jetpack-related-posts":[],"jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/pe9WUx-sM","_links":{"self":[{"href":"https:\/\/lafuente.mx\/index.php?rest_route=\/wp\/v2\/posts\/1784","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/lafuente.mx\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/lafuente.mx\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/lafuente.mx\/index.php?rest_route=\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/lafuente.mx\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1784"}],"version-history":[{"count":3,"href":"https:\/\/lafuente.mx\/index.php?rest_route=\/wp\/v2\/posts\/1784\/revisions"}],"predecessor-version":[{"id":1789,"href":"https:\/\/lafuente.mx\/index.php?rest_route=\/wp\/v2\/posts\/1784\/revisions\/1789"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/lafuente.mx\/index.php?rest_route=\/wp\/v2\/media\/1786"}],"wp:attachment":[{"href":"https:\/\/lafuente.mx\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1784"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/lafuente.mx\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1784"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/lafuente.mx\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1784"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}