In fact, there are two criteria for mental illness - the lack of social adaptation (i.e. a person cannot arrange his life in society at an average level) and the presence of productive symptoms (delusions, hallucinations, other obviously "abnormal" symptoms). But even if both criteria are met, this is not yet a reason for involuntary hospitalization. The only reason provided by law is if a person poses a danger to himself and others. Signs of such a state are considered, in particular, suicide attempts, the manifestation of aggression and auditory hallucinations of an imperative nature ("voices order to do something"). Minors are in a very disadvantageous position: if desired, parents, guardians or employees of the orphanage can always present the situation as if hospitalization is necessary. At the same time, it is the parents, guardians and educators, and not the child himself, who give consent to hospitalization. And the most unpleasant thing is that it is almost never necessary to expect adequate treatment in domestic hospitals. No one will listen to your complaints and wisely ask about dreams and childhood traumas. You will simply be given antipsychotics according to the general order, so that the medical staff will not be disturbed. Therefore, lying there does not make sense, even if you really have problems. Although, as an option, you can by all means avoid taking medication (with wheels it's easy, with injections it's more difficult) and spend time on all sorts of useful things like reading smart books. In a few weeks, maybe - months of exemplary behavior, you will certainly be discharged, the hospital is not rubber. And if you are tired of waiting, you can run away. To do this, ask a friend to bring you "magic slippers", in the soles of which money and a universal key will be hidden, like in trains (the doors are the same in mental hospitals). There is no need to go to the nearest metro station, they will probably be waiting for you there. Go as far as possible on foot, then get into transport and leave - in no case home and not to people known to your parents or who hid you there. You need a safe place where you won't be looked for. You have to sit there for two weeks - and then you can safely leave the underground. After this period, the fugitive is no longer looked for, and it may no longer be a question of "returning to the hospital", but only of "re-hospitalization" (which will not be so easy to achieve). Of course, this does not apply to closed prison-type institutions, where they are sent by court decision after a crime has been committed. Escaping from there in terms of its complexity and consequences is approximately equal to escaping from the colony.
What about negative symptoms? Please don't think. There are no two criteria for a mental disorder: there is the ICD-10 (or DSM-4, if you like), which clearly spells out the symptoms of each disease and the duration of the presence of each of the symptoms. And only if the symptoms and the time of their observation coincide, then the diagnosis is made.
Hospitalization in a psychiatric clinic and its conditions differ depending on whether it is an acute or chronic stage of the disease.
Acute and chronic stages
The chronic stage lasts for weeks and months. It can be dementia, chronic delusional disorder, depression. If the patient does not take any actions that would be dangerous for himself or for others, the question of hospitalization is raised only for social reasons: the person is helpless, he has no relatives who could take care of him.
The main thing that is necessary for hospitalization in this case is a referral from a doctor. No other doctor can give such a referral.
In the presence of an acute stage, it is possible to hospitalize and. Relatives of the patient can call an ambulance or bring a person to the clinic on their own. This should be a clinic to which a person belongs at the place indicated in the passport, and the patient's passport must be presented.
Hospitalization voluntary and involuntary
Contrary to popular belief, mentally ill people do not always resist hospitalization. Even if a person does not adequately perceive reality, he can admit that he is. True, such a patient does not admit that he is ill because of his illness - the whole point is in the special services pursuing him, cosmic rays, etc. - but he can agree to hospitalization. “I'm tired of all this,” patients usually say. Psychiatrists know cases when patients during exacerbations themselves asked to be hospitalized. These people remembered that during the previous exacerbation they became better after a course of treatment in the hospital.
In any case, even if the patient was brought to the clinic by an ambulance team, doctors are obliged to find out whether he agrees to hospitalization or not. If the patient does not give consent, under certain circumstances he may be hospitalized involuntarily.
Hospitalization without the consent of the patient is possible if his behavior directly poses a danger to himself or to others. Symptoms of an acute disorder should be identified by the doctor of the emergency department during the examination. If no such symptoms are detected at the time of the examination, then a psychiatric examination and a court decision will be required to forcefully place a person in a clinic.
The reason for refusing hospitalization is the patient has a somatic disease or injury: pneumonia, indigestion, fracture, etc.
Children's rest can be brightened up with various activities, reading books, walking, needlework
Bring before madness
Terrible and stupid word - "psychiatric hospital". To admit that he was in a psychiatric hospital is just as embarrassing as in a venereal dispensary. But is a disease of the nervous system something shameful? Yes, because there are a lot of stupid myths and anecdotes associated with psychiatric illnesses. The inmate of the psychiatric hospital behaves strangely, inadequately. He is "crazy", "fool", "crazy". But this disease is a tragedy, the cause of which is often parents.
I happened to be a patient in a "psychiatric hospital", but I'm not ashamed of it at all. Because I got there with a diagnosis of fatigue neurosis, that is, I overstrained my nervous system so much that I had to treat it. But also because it is one of the most poignant experiences of my life, because being in a ward with barred windows has become one of my most powerful life lessons. I learned about the "other" life as much as I could not have done anywhere else. For example, I realized that the "psychiatric hospital" is a refuge not only for alcoholics, perverts and drug addicts.
A psychiatric hospital is called a house of sorrow - a surprisingly accurate definition. I still remember many of my unfortunate neighbors. I'll only tell you about one.
Kostya was a child prodigy, and the only child in the family. Both mother and father doted on him, especially since the boy turned out to have absolute pitch and generally excellent abilities. He grasped everything on the fly, read a lot and varied, and it was not necessary to force him to study. His father was a music school teacher, so the future of the five-year-old Kostya, one might say, had no options. In addition to a regular school, the kid studied at the music school in two specialties at once - violin and piano. At the age of seven, the baby's working day lasted 12 hours, and he did not even have time for a night's sleep.
In the second grade, he became lethargic, indifferent, began to study worse, but his father saw his son as the future Paganini and believed that his son was eating away at "just laziness." Once, as a punishment, the father locked the boy in the bathroom, and he lost consciousness. Doctors prescribed the child complete rest.
For almost two months, an eight-year-old boy could only lie on the couch and play. He played like this: he barked, imitating a puppy. When the baby recovered, the mother convinced the father to release his son at least from the violin: at the sight of the instrument, Kostya began to cry. The father agreed, but forbade his son to do anything other than music. At the piano, the boy's father seated by force. The matter ended with the fact that, in spite of everything, Kostya flatly refused to continue studying music.
However, it didn't end. At the age of 17, Kostya was sent for examination to psychiatrists: he had long been registered with the police, getting into various unpleasant stories in the company of guys who were much younger than him. Experts concluded: the boy was deprived of childhood, the father suppressed the initiative and independence of the boy so much that he, making up for lost time, became completely weak-willed. And that's why he obeyed even his younger comrades, easily fell under the bad influence of those with whom he played. The young man's reactions were slow, there was no will. Typical, according to peers, "brake". With the help of a complex set of exercises, Kostya was "restored" for a long time, then sent to a sanatorium. I don't know anything more about him.
This case is extreme, one might say, clinical. But in it, as in any extreme, many will be able to find familiar features of their own behavior. The cases are probably not so acute, but therefore no less painful for the child.
Resource URL: http://www.semya.ru.ru
Olga Lukinskaya
We began to talk more about diseases and mental disorders, not least thanks to social networks - after all, depression or anxiety of a virtual audience is often easier. True, the idea of being in a psychiatric hospital is still associated with many fears and prejudices - it is all the more important to raise this topic and talk about the experience of such treatment. The AST publishing house publishes the book "Mental Disorders and the Heads That Live in Them" by Ksenia Ivanenko, the author of a telegram channel about mental illness and her own experience of treatment. We publish an excerpt from it.
. . .
Nowhere have I seen such tolerance and mutual assistance as in a psychiatric hospital. How often do you see a tattooed 16-year-old atheist and a 40-year-old former novice discuss a painting hanging on the wall with interest? And how does an elderly woman from Tatarstan help a young girl to put a blanket in a duvet cover? Common life brings people together, erasing differences and equalizing everyone. In the mornings, Madina prays, calls Christina for breakfast, they both pray to their gods before eating and share a meal. Next to them, the vegetarian Lisa gives her cutlet to Masha. 14-year-old Anya sits at a table by the window and shares a chocolate bar that her mother brought her yesterday. 55-year-old Vera Mikhailovna gratefully accepts sweets - no one has come to her for a long time.
No one really cares if you believe in God or not. Your musical tastes can be the cause of a lively conversation, but not censure. No one distinguishes each other by skin color and does not judge if you are a former drug addict or a current transgender. Everyone wants to be free from pain. Therefore, here everyone tries to support each other and not lose their sense of humor.
When you find yourself in a psychiatric hospital, your age ceases to play any role.
A twenty-year-old and a forty-year-old immediately switch to "you." They listen not to the elders, but to the more adequate ones. If a 45-year-old woman, forgetting herself, tries to smoke in the wrong place, then a gloomy-looking teenager calmly pulls her up, and she obeys. Here adults again become small, under the yoke of the disease, losing their influence, which has accumulated over the years. And a new, adult responsibility often falls on the shoulders of the young.
In no place have I seen such mutual assistance as in psychiatric hospitals. Never met with such compassion and tact
It sounds strange, but I would advise almost every person to go to a psychiatric clinic for at least ten days. Without drugs and procedures, just plunge into this atmosphere. Not to see enough horrors, but to learn patience and understanding.
In no place have I seen such mutual assistance as in psychiatric hospitals. I have never met with such compassion and tact. There are no happy people here, everyone has wagons of pain and anxiety behind them. With each person, the conversation must be started very carefully and kindly, so as not to inadvertently pick off a wound the size of a hippopotamus. One was raped, another was beaten, a third can't stop cutting herself, a fourth was deprived of her virginity at preschool age.
Here everyone treats each other with delicate indulgence. Many patients cannot speak adequately, their speech is slurred and seemingly meaningless. Everyone here with his army of cockroaches in his head and a legion of skeletons in the closet. No one here jokes or reproaches such people, but on the contrary, everyone tries to talk and help - because everyone here is “such” person himself.
Each of us here needs support, everyone enters into the position of the other, shares cigarettes and treats with sweets. If a person wants to talk, they will not refuse him, if he suddenly becomes anxious, they will not get it, but they will understand and leave him alone if this is what he lacks.
But a psychiatric hospital is not a magical place where all people suddenly become polite and good-natured.
It's better to be in the asylum sooner rather than later. You should not take it to extremes and get into situations where the psychiatric hospital itself leaves for you
The first days patients walk around the hospital completely lost, and it's nice to see when even adults find company after some time. I became close friends with several girls from the department, and we keep in touch even after discharge.
Most of the conversations were held in the smoking room, where we squatted around the bucket for cigarette butts, spent many hours a day. When we got to know each other better, two girls asked to be transferred to one deluxe room, designed for two people. Their room had a separate TV, we often gathered there with the whole company, watched the 2x2 channel, shared stories, played board games or charades.
. . .
Almost all the girls with whom I managed to talk in the hospital, like me, had the experience of repeated stays in various psychiatric clinics. We all agreed that the hospitals you go to on your own are very different from the places you are forcibly brought to after attempting suicide or self-mutilation. This sad experience taught us one very important lesson: it is better to be in a psychiatric hospital sooner rather than later. You should not take it to extremes and get into situations where the psychiatric hospital itself leaves for you. Deciding to commit suicide and realizing that you have nothing to lose,<...>you can try to go to the hospital. After all, it won't get any worse, will it? Moreover, you can choose a medical institution on your own, having read the recommendations and reviews, but if you have already been brought to the hospital by force, then you don’t have to choose. Most likely, you will be locked up in the psychosomatic department of a regular hospital, where doctors, unfortunately, usually do not aim to save you from a mental disorder or somehow normalize your mental state. Most of all, staying in such places resembles an overexposure, and after such an experience, a wrong idea of \u200b\u200bpsychiatry can form.
Russian psychiatry is still only moving away from Soviet times, and there is still a high probability of encountering the unprofessionalism of doctors and the unsuitability of medical institutions. That is why you should be especially careful when choosing a hospital. Every year the number of conscientious qualified specialists is growing and the situation with obtaining timely quality mental health care is improving. Faced with an inadequate doctor, one should not judge by him the state of all science in the country. If you do not like the specialist or the conditions of the hospital - change them, there is an alternative. Do not be afraid of treatment, psychiatrists and mental hospitals. There are places where you can get help.
. . .
In general, leisure in a psychiatric hospital looks like passing an exciting quest. First you have to obey absurd rules (such as forced lights out, pulling out your shoelaces and surrendering all means of communication), then you remember who is the villain here and who needs to smile. You even have a goal: to move from an acute ward to a regular one, and then a luxury one. This is done in stages: from acute ward #1, after a week, you may (or may not) be transferred to #2, and from there to #3. But only if you behave well, eat all the porridge and don't scream at night from hallucinations. Otherwise, you pass this level again. When you move to the next level, new opportunities open up for you: round-the-clock telephone, walks, art therapy, physiotherapy exercises, etc. There are six levels in total, and the final boss is in the deluxe ward.
I'm in the first one for now.
You live in a strict ward from the end of quiet hours until lights out. It was at this time that they let them out of the cell (or cabins, as we jokingly called the chambers) and let them use the telephone. Wi-Fi was, there was no password for it. The psychiatric hospital was filled with its own absurd rules, which mostly came from nurses. I was once told that most nurses are former patients who have stayed too long in the hospital. Looks like, so as not to be kicked out, they mimicked, well, or evolved into personnel. But it was they, and not doctors, who completely controlled the patients, it was they who checked our nightstands while we were away, they stole our hidden sweets and expensive personal hygiene products, they were with us all day long and made sure that we did not go beyond the invisible framework. They also control the time.
I was once told that most nurses are former patients who have stayed too long in the hospital. Apparently, so as not to be kicked out, they mimicked
In fact, the quiet hour lasted from 13:30 to 16:10 daily. At this time, the entire ward is locked with a key without a single opportunity to leave. Guessing that the quiet hour is coming to an end is possible only by the gathering twilight outside the window and by the biological clock, because all the others have been taken away, but the phones have not yet been issued.
The real signal to wake up is the turning on of the light in the corridor, but this can happen at 16:15 instead of 16:00 - here, as the nurse wants. The treasured switch shines in polished plastic over their desk. It always seemed to us that the nurses had a kind of high on the time they stole from us. After the lights are turned on, we're still waiting. We are waiting for us to finally be opened, and we look through the glass of the door. Shuffling psychos come with the light, they measure the corridor with steps and look into our closed ward. It's so interesting how we are here, the most acute, the most severe patients. Suddenly we gnaw our veins and write beautiful poems with blood on the walls.
Once, they didn’t open us for a long time: the patients behind the door managed to comb the corridor a dozen times, and we stuck to the door, ready to break loose at any second
and jump into conditional freedom. After all, you can’t leave the floor anyway. Where to get out of his chamber is also unclear. There is nowhere to go. But we still fall out of the room, take a couple of steps along the corridor, occasionally even reach the recreation area with a TV. And inevitably we come back and go to bed. But still, these open hours are very important - you need to know that you have your rights. Even when they don't really exist. As well as the passport, which was prudently taken away, apparently to make it more difficult for the patient to escape.
She confessed on camera: “Do you think it’s just a healthy person to be put in the hospital? It’s not easy,” says Sergey Zhorin, lawyer for Anna Pavlenkova, who was forcibly committed by her mother to a psychiatric hospital.
Anna Pavlenkova and her young man Anton Butyrin are the heroes of a love-psychiatric drama, which was watched by the whole country. On February 12, the media reported that an attack had been made on the Moscow psychiatric hospital No. 6. The attackers kidnapped the patient Anna Pavlenkova, shot at the guards and sprayed tear gas.
It soon became clear that Anton Butyrin and his friends had stolen the bride. The attackers were put on the wanted list, but two days later they themselves came to the police and said that the girl had been forcibly sent to the hospital by her mother. And no, there was no attack.
During reception hours, everything was simply open. The checkpoint has two doors and a turnstile. Everything is lowered there, open, and the guards are not interested in who came to whom. We just ran away without hindrance, - Anton tells "RR" his version of events. As a result, the case was closed, and the lawyer of the guy and the girl is preparing another lawsuit - about illegal placement in a psychiatric hospital.
But it will be very difficult to prove its illegality.
Anna herself says:
I lived for seven years with a man whom my family loved very much. But I did not love him, and we parted ways. My family didn't like it. And my new chosen one - anyone - was obviously unpleasant to them. My mother convinced me many times that this is not love, that there is no reason to love this person. She constantly attacked him, brought me just to hysterics.
The mother and doctors have their own argument: Anna signed a voluntary consent to treatment, no one kept her in the hospital, she could leave at any moment.
They told me: they'll put you in anyway. There will still be a court, and you will still be put in jail. There were two paramedics above me. I got scared and signed a consent to voluntary treatment, - says the girl. According to her, she was also not allowed to apply for an extract.
Voluntary-compulsory
Voluntary consent, one way or another signed by a person, is far from the only tool for retention in a psychiatric hospital.
We are sitting in the office of Yevgeny Arkhipov, chairman of the Russian Bar Association for Human Rights. He is often approached to help solve problems with the illegal placement of people in psychiatric hospitals. I read aloud the law "On psychiatric care and guarantees of the rights of citizens in its provision."
The order of hospitalization de jure is as follows. A person can write a voluntary consent to treatment. And if he changes his mind, write an application for discharge, and he should be released. With forced hospitalization, everything is more complicated. One of two reasons is necessary here: first, a person poses an immediate danger to himself or others; second, he is incapacitated and could be seriously harmed without psychiatric help. In this case, the doctor has the right to hospitalize him without his consent. Then he has 48 hours for a medical examination, which should show whether the diagnosis was confirmed or not. If it is confirmed and the person needs to be left in the hospital, the doctor has another 24 hours to send the documents to the court. On their basis, the judge must make a decision within five days.
Everything seems to be legal and logical, - says Evgeny Arkhipov. - But in practice, all this can turn into a nightmare. Let's start by calling the doctor. Relatives can apply for your hospitalization. And the doctor will most likely believe them.
On what basis?
A brigade arrives, sees that the person is inadequate. Formally, a team of doctors must make sure whether a person is adequate or not. But it is clear that in the case of corruption, everything can be done with one statement.
Psychiatrist for children
“On the morning of the day of hospitalization, I came to the Aragvi restaurant to see a friend, the director of the restaurant. In his words, she behaved “extremely excited and ridiculous”: she beat the dishes in the hall, screamed, then laughed, then cried, attacked the visitors, huddled in the corner of the hall, grabbed a knife, threatened the director ”- this act of psychiatric examination of Anna Astanina was drawn up December 4, 2008 by doctors of the psychiatric hospital No. 6 of St. Petersburg.
The statement, compiled from the words of others, seems to unequivocally show: the person is clearly dangerous. But two weeks later, Anna was released, without specifying either the diagnosis or the reasons for such strange behavior in the extract. And the doctors answered the questions of relatives simply: "Astanina no longer needs treatment."
Don't you admit that there was some interest of the director of the restaurant himself? I ask Anna.
May be. Only the next morning after my hospitalization, my ex-husband with a nanny came to court and testified that I had been ill for eight years. And my friends and relatives, who were looking for me in horror, did not say anything where I was and what, - she replies.
According to Anna, she then "shared" the children with her ex-husband, a major banker, at that time the deputy board of Vneshtorgbank. They have two children in their family - son Fedor (then he was 11 years old) and daughter Maria (4 years old).
This story also thundered throughout the country, but since the opposite side evades comment, it is difficult to judge who is the victim in it. In 2006, the couple separated. The son stayed with his father, the daughter with her mother.
Former friends of the family said that Anna's husband, Vadim Levin, immediately after the divorce, said: he would take the children, but he was unable to communicate with his wife, as he had undergone a serious operation and this communication would damage his health. The intermediary between the ex-spouses was Shota Boterashvili, the founder of the VTB-Development company and the former director of the Aragvi restaurant - since then he has been on the Interpol wanted list and become a defendant in one of the investigations of Alexei Navalny.
On December 4, 2008, the day the psychiatric examination was drawn up, Shota was supposed to give Astanina a certain amount of money for the maintenance of Masha. Anna came for them from Moscow to St. Petersburg.
The restaurant was closed. The officers attacked me, forcibly gave me vodka, loaded me into an ambulance and sent me to the hospital. Moreover, the accompanying documentation states that I had bruises on my neck and arms. But no one was categorically interested in this, ”she says.
In early 2009, immediately after the incident with the hospital, Vadim Levin filed a lawsuit in court to determine the place of residence for the children with him. The main argument: "We do not allow her to see the children now, because she is inadequate."
The court then ruled: the children stay with their father, and the mother can see them once every two weeks on weekends and a month in the summer during the holidays. Now Vadim Levin lives in London, and this makes it difficult for the mother to meet with her children.
There is no way to fulfill this decision, we even applied to the bailiff service. As a result, I see children about once every six months for only a few hours, when I manage to agree. In the summer they are always on the road, either in France or in Switzerland, - Anna says more and more harshly and resentfully.
Practical Limitations
In theory, the forensic psychiatric commission, which meets on each specific case, should serve as a barrier to corruption during hospitalization.
Who does she consist of? - I ask Evgeny Arkhipov.
It all depends on the region. As a rule, it is formed at psychiatric dispensaries. It happens that doctors from several dispensaries and hospitals are included in its composition.
In the case of Anna Astanina, forensic psychiatric experts were heard in court the very next day. They also called Vadim Levin. In his only interview, he said: “I was called as an ex-husband to ask some questions. But I didn't draw any conclusions. The decision is made by the medical board. I expressed a specific opinion about her behavior, as I know, a person who is not of sound mind.
When the court decides whether to hospitalize a person or not, the defense side seems to have the right to provide the results of an independent examination, but for this the patient must be taken to the experts. But the law does not specify how a person who is already in a mental hospital can be taken from there for a comprehensive examination in another institution. Therefore, it is almost impossible to prove something at the first court session. Proceedings drag on for years, and the illegality of hospitalization is established only in exceptional cases. Astanina managed to pass an independent examination at the Serbsky Center for Social and Forensic Psychiatry and at the Research Institute of Psychiatry of Roszdrav only after she had already been released. But even this did not help: the court attached the results of the examination to the case, but still believed the doctors from the mental hospital.
According to Yevgeny Arkhipov, it is easy to agree with the forensic psychiatric commission on the necessary conclusion.
People who work in the field of psychiatry often have a private practice. A private practice is associated with certain financial injections. You know who is on the commission, you allegedly sign up for an appointment with one of its members and deposit money,” he says about the most popular mechanism.
It is quite inexpensive. I drive in the Internet search engine the query "how to put a person in a psychiatric hospital." A bunch of links to forums with a discussion of this topic come out.
Very often people really worry about the health of their loved ones. A little less often they directly write: “The gothic neighbor got it, she reads curses from her Kabbalah.” Or: “Help grandmother to be taken to the hospital. There is no more strength." The answers are appropriate: “Do you understand what you are doing?” There is also a discussion that you cannot put a person legally by force. But illegally - the prices are different: some call 20,000 rubles, some - 500 bucks, some - 900 euros. In the same amount, judging by the entries on the forum, the “patient service” also costs. For this money, he is guaranteed not to be tortured, beaten, or even offended.
The numbers speak
According to the World Health Organization, up to 15 million people in Russia suffer from mental disorders. The most common illness is depression. 1.5 million people are registered, another 2 million are formally healthy, but are forced to seek advice. No one knows how many cases of illegal placement of people in psychiatric hospitals. The Human Rights Bar Association estimates that household disputes account for up to 20-25% of cases of illegal hospitalization.
Here are a few more episodes from the lawyer's practice. Lidia Balakireva, 50, was placed in a psychiatric hospital three times, and her daughter has since moved into her apartment in central Moscow. The man sent his own daughter to a mental hospital to take revenge on his ex-wife. In St. Petersburg, the daughter called psychiatrists to her elderly mother Zoya Orlova, having learned that she wants to sell her half of the apartment.
Indeed, there are not so many such reports - compared with news about cases where psychiatrists were not an instrument of showdowns, but participants in them: as part of gangs that hunt for weaning apartments. But such scammers regularly end up in the dock, but those who only "help" relatives - never. At least for the last ten years.
Law by edge
Today, under the current law on psychiatric care, two judges, together with secretaries and a district psychiatrist, organized the seizure of apartments and are now spending time in the zone, - says Mikhail Vinogradov, forensic psychiatrist, doctor of medical sciences, ex-head of the Center for Special Studies of the Ministry of Internal Affairs of the Russian Federation. “The existence of this law did not prevent them in any way.
Mikhail advocates a return to the Soviet way of regulating relations between the healthy and the mentally ill. The key proposal is to exclude such cases from judicial consideration altogether:
The courts are already choking. We have 17 psychiatric hospitals in Moscow. The average filling is from four to six thousand people. Do not deceive yourself: it is still unrealistic to conduct a serious trial in each case.
According to Vinogradov, for a solution, a person needs to be hospitalized or a council of doctors must be assembled. I argue with him: now doctors can also come to court and say that a person is dangerous.
And you prove to the judge that this man can kill someone. After all, he may not kill, - Mikhail insists.
It is clear that leaving real patients in the wild is dangerous for society. Evgeny Arkhipov agrees with this. The lawyer says that apparently mentally ill people periodically turn to him:
A woman came to us, she works in the police. Said, "I'm being persecuted by my leadership." 15 minutes pass, she returns and demands that we tear out the sheet with the registration of her data. Then he pretends that he is calling his friends from the police, who supposedly will come to us now and break all the furniture. What's the matter? They began to find out: it turned out that her child was ill, and it seemed to her that the authorities were to blame for this. And there are many such people.
And according to Arkhipov, it is necessary to revise the list of diseases and rethink for which diagnosis a person needs to be hospitalized, and for which one not. Introduce a commissioner for the rights of the mentally ill, who would have access to medical secrets and could go to all hospitals. Change frames. Completely. How the police were reformed in Georgia - from scratch and anew.
I don't want to argue anymore. It seems that this condition is called mental health.
Parishioners defended
The most ordinary person who has a lot of friends and acquaintances can be drawn into a family showdown with the involvement of a psychiatrist. It is they who most often become a kind of ombudsman for an illegally hospitalized person. Her fiancé became Anna Pavlenkova's defender, Anna Astanina's sister, Inna from the Moscow region, in the struggle for her daughter, raised the prosecutor's office and guardianship authorities to their feet. It is, of course, more difficult for lonely people who are faced with ill-wishers relatives. Lidia Balakireva was rescued from a psychiatric hospital by volunteers who miraculously noticed her. And Zoya Orlova is the rector of the St. Nicholas Church in St. Petersburg, where she goes to pray.
Behind the shoulders of Father Alexander was the service in the church at the Kresty pre-trial detention center. However, you can’t tell from him that he spent many years “in captivity”. He smiles a lot and often jokes. The story of Zoya Orlova tells, rather, as an instructive parable. 50 year old daughter and 80 year old mother. They live in eternal conflicts. Mother decided to leave, having sold her half of the apartment. The daughter stabbed the door with a knife, called psychiatrists, said that her mother wanted to kill her, and the mother was taken away.
The parishioners of the temple found out about this, they told Father Alexander. And he led the fight for a parishioner: they all went to the courts together, wrote applications, visited in the hospital. Three months later, Zoya Orlova was released, but none of the courts proved the guilt of doctors in illegal hospitalization.
The main thing is that they didn’t turn it into a vegetable,” the priest sums up. Now Zoya Orlova still lives with her daughter. They have one apartment, but a separate household, they do not communicate. Zoya Ivanovna herself no longer wants to move out: where is she at her age.
And nothing prevents the daughter from piercing the door again with a knife and calling the orderlies. And Father Alexander will have to take on the role of ombudsman again. So far, even his only method of protection is publicity.
