《新闻1+1》2012年8月29日完成台本

《News 1 + 1》August 29, 2012 complete playscript with stage directions

　　——让“精神卫生法”更“卫生”！

-- let“Mental health legislation”more“health”！

　　(节目导视)

(Program guide apparent)

　　解说：

interpretation：

　　全国人民代表大会法律委员会对《精神卫生法(草案)》的主要问题进行了修改。

The law committee of the National People's Congress to《Mental health legislation(draft)》The main problems have been modified。

　　严重精神障碍患者如何诊断？“强制收治”的程序如何设计？精神障碍患者应该享有什么样的权利？正在审议的《精神卫生法(草案)》备受关注。

Serious mental disorder patients how to diagnosis？“Were forced”How to design the program？In patients with mental disorders should have what kind of rights？Is deliberative《Mental health legislation(draft)》concern。

　　马弘：

MaHong：

　　必须有一部法律来保证患者在需要得到治疗的时候能够得到治疗。

There must be a law to ensure that patients in need to get treatment can get treatment。

　　解说：

interpretation：

　　将司法鉴定改为医学鉴定，改为不住院不利于治疗改为自愿住院，我们关注一部重要法律的修改，我们更关注法律修改背后的方向。

Will the judicial appraisal to medical appraisal，To not to hospital treatment to voluntary hospitalization，We focus on an important law changes，We pay more attention to change the direction of the law behind。

　　吴春霞：

WuChunXia：

　　医院没有做鉴定，直接把我当成精神病人来治。

Hospital didn't do identification，Direct me as a mental patient to treat。

　　解说：

interpretation：

　　一个正常人为何在精神病院被治疗了132天？

A normal human mental hospital is what treatment for 132 days？

　　《新闻1+1》今日关注“《精神卫生法》进入二审！”

《News 1 + 1》Attention today“《Mental health legislation》Into the trial of second instance！”

　　主持人(柴璐)：

The host(ChaiLu)：

　　各位晚上好，欢迎收看正在为您直播的《新闻1+1》。

Everybody good evening，Welcome to is for you to live《News 1 + 1》。

　　首先来关注一条突发新闻，据本台消息，记者刚刚从国航获得了一个正式消息，今天国航CA981航班，从北京飞往纽约的一架航班因为受到了威胁的信息，为了确保旅客的安全，这个航班已经于北京时间20点26分返航，目前航班已经安全抵达北京首都国际机场。

First of all to pay attention to a sudden news，According to the Taiwan news，The reporter just from Air China won a formal news，Today CA981 Air China flight，From Beijing to New York a flight for threatened information，In order to ensure the safety of the passengers，The flight has been in Beijing time 20 point 26 points return，At present the flight safety has arrived in Beijing capital international airport。

　　接下来继续今天的话题，一起来关注《精神卫生法》。

Then continue to today's topic，Together to pay attention to《Mental health legislation》。

　　昨天全国人大对提交的《精神卫生法(草案)》进行了二次审议，各界对于这次审议非常关注，不仅仅是因为跟去年一次审议相比，这次法案当中的很多规定都做出了相当程度的修改，更是因为这样一部法律历经27年的酝酿，终将揭开盖头。第二次审议和第一次审议相比，究竟有哪些条文做出了哪些修改？“被精神病”的现象能否就此终结？今天我们共同来关注。

Yesterday, the National People's Congress to submit《Mental health legislation(draft)》For the secondary review，From all walks of life for this review is very concerned about，Not just because of a review with last year compared，The act of a lot of rules made a degree of modification，But because such a law after 27 years of brewing，Will uncover a covering。The second review and review the first time compared，What what provisions made which modify？“Be mental”Whether the phenomenon on the end？Today we work together to concern。

　　(播放短片)

(Play video)

　　解说：

interpretation：

　　一个亿，这是我国各类精神疾病患者的人数，而其中有超过约1600万为严重精神障碍患者。这一庞大人群使得精神卫生在我国既是重大公共卫生问题，也是公众关注的社会问题。

a，This is our country the number of of all kinds of mental disease，And there are more than 16 million for serious in patients with mental disorders。The huge crowd make mental health in our country is not only significant public health problem，Is also the focus of public social problems。

　　就在昨天，历时27年，历经10余次修改的《精神卫生法(草案)》进入全国人大常委会的第二次审议阶段。

Just yesterday，Lasted for 27 years，After more than 10 times of change《Mental health legislation(draft)》Enter the National People's Congress (NPC) second report stage。

　　去年6月，备受关注的《精神卫生法(草案)》首次向社会公开征求意见，这在当时被看作是《精神卫生法》从“一个行业规定”走向“国家大法”的巨大转变。

Last June，Of concern《Mental health legislation(draft)》For the first time to the public to solicit their opinions，The people of the time considered to be《Mental health legislation》from“An industry regulations”to“National constitution of”Huge shift。

　　去年10月份，十一届全国人大常委会第二十三次会议对《精神卫生法(草案)》进行了第一次审议。对比第一次审议的草案初稿，这次的草案二审稿进行了多处修改。

In October last year，The first session of the 11th National People's Congress the 23rd meeting of the standing committee《Mental health legislation(draft)》The first deliberation。Contrast the first review preliminary draft，The draft of the second reviewing many amendments。

　　主持人：

The host：

　　草案第28条明确规定，精神障碍的住院治疗实行自愿原则，草案还对严重精神障碍患者规定了诊断和复诊的程序，还规定了患者或者其监护人对需要住院治疗的复诊结论有异议的司法鉴定结构进行鉴定和重新鉴定的程序。

Article 28 the draft clearly stipulates，Mentally handicapped hospitalization voluntary principle，The draft of serious in patients with mental disorders stipulated the diagnosis and return visit program，Also stipulates the patient or his or her guardian to need to be hospitalized treatment of return visit conclusion has an objection to the judicial appraisal structure identification and new appraisal procedure。

　　解说：

interpretation：

　　草案二审稿提出，精神障碍鉴定由患者或者其监护人自主委托进行，其性质是医学鉴定，不是司法鉴定。鉴定和重新鉴定一般需要60天时间，时间长、成本高对患者不利，再者严重精神障碍患者缺乏自制力，往往不愿接受住院治疗，但规定在监护人同意住院治疗的情况下，患者又可以要求复诊鉴定，实践中会造成新的社会问题。

Reviewing the draft two put forward，Identification of mental disorders from patients or their guardians commissioned by the independent，Its character is medical appraisal，Not judicial authentication。Identification and new appraisal generally need to 60 days，Time long、High cost of adverse to patients，Moreover serious lack of self-control in patients with mental disorders，Often do not willing to accept hospitalization，But the provisions in the guardian agree to hospital treatment，Patients and may require return visit appraisal，Practice will cause new social problems。

　　马弘(北京大学精神卫生研究所主任)：

MaHong(Beijing university institute of mental health director)：

　　因为它是一个慢性过程，如果到，比如说(病情)到后面，治疗的时间比较长了，但是前面还有康复的问题，随着患者年龄增加，监护人的年龄也增加，最后监护起来力度可能就不够了。

Because it is a chronic process，if，For example(condition)Behind to，Treatment time is long，But before and fitness problems，With increasing age patients，The age of the guardian also increases，Finally guardianship up strength may be short。

　　解说：

interpretation：

　　草案二审稿将草案初审稿第27条中，“精神障碍司法鉴定机构”修改为“依法取得职业资质的精神障碍鉴定机构”，将“司法鉴定人”修改为“鉴定人”，明确鉴定的性质为医学鉴定。

The draft will be reviewing two draft trial draft in article 27，“Mental disorders judicial authentication institutions”Modification for“In accordance with laws, obtain professional qualification authentication institutions mental disorders”，will“Judicial appraiser”Modification for“appraiser”，Clearly the nature of the appraisal for medical appraisal。

　　马弘：

MaHong：

　　作为法律证据之一，所以这样的机构叫司法鉴定机构。如果说没有触犯刑律的患者，他又需要强制住院，比如说他非常衰退、非常不照顾自己，社会退缩(很厉害)，他也需要强制治疗的时候，他又不涉及破坏公共秩序的时候，如果再沿用司法精神病鉴定这套程序，对他应该就不适用了。所以现在改成医学鉴定，从说法上应该说是区分开来了两类不同性质的对患者的一个诊断复核的程序。

As one of the legal evidence，So such institutions that judicial authentication institutions。If not violating criminal law of the patients，He needs to compulsive be in hospital，For example he very recession、Very don't take care of yourself，Social withdrawal(So much)，He also need compulsory treatment，He does not involve damage when public order，If you continue to use the judicial psychosis appraisal this program，For he should no longer valid。So now into medical appraisal，On the view from should say is to distinguish the two types of different kinds of a diagnosis of patients with review of the program。

　　解说：

interpretation：

　　另外，草案二审稿还删去草案初审稿第26条中，有关在监护人同意住院治疗的情况下患者可以要求复诊、鉴定的规定和有关重新鉴定的规定。但为了能保障患者的权利，相应地增加了精神障碍患者或者其近亲属认为行政机关、医疗机构或者其他有关单位和个人违反本法规定侵害患者合法权益的，可以依法提起诉讼。

In addition，The draft two copy-editor also delete the draft trial draft in article 26，On the guardian agree to hospital treatment cases patients may require return visit、Identification of the regulations and the provisions of the relevant new appraisal。But in order to safeguard the rights of patients，Accordingly increased in patients with mental disorders or their close relatives think administrative organs、A medical institution or other units and individuals concerned enroach on, in violation of the provisions of the lawful rights and interests of patients，Can file a lawsuit according to law。

　　主持人：

The host：

　　刚才短片当中也说到，一亿精神病患者，背后可能不仅仅是一亿个精神病患者的家庭，还可能会牵涉更多的，有千丝万缕的社会群体和人群。因此当然这部法律的出台是非常重要的，也是非常慎重的。

Just short of also said，One hundred million psychiatric patients，Back may be more than one hundred million psychotic family，Also may involve more，Have countless ties social group and the crowd。So of course this law is very important，Is also very careful。

　　可以回顾一下，整个在起草、审议、出台当中的过程。

Can review，The whole in the drafting、review、On the process of。

　　1985年，《精神卫生法(草案)》开始起草；2011年9月19日，国务院常务会议讨论并且原则通过《精神卫生法(草案)》；2011年10月份，《中华人民共和国精神卫生法(草案)》及其说明在中国人大网公布，并且向社会公开征集意见；2011年10月24日，《精神卫生法(草案)》提请十一届全国人大常委会第二十三次会议第一次审议；在2012年8月27日，《精神卫生法(草案)》提请十一届全国人大常委会第二十八次会议第二次审议。

In 1985,，《Mental health legislation(draft)》Started drafting；On September 19th, 2011，The state council executive meeting to discuss and principles through the《Mental health legislation(draft)》；In October 2011，《Mental health law of the People's Republic of China(draft)》And its description in the Chinese announced net，And to social public solicit opinion；On October 24, 2011，《Mental health legislation(draft)》The first session of the 11th National People's Congress (NPC) to the 23rd meeting the first deliberation；In August 27, 2012，《Mental health legislation(draft)》For the first session of the 11th National People's Congress (NPC) in the 28th meeting of the second review。

　　整个过程非常慎重，同时也不得不说明这样一部法律其实只是一部卫生法，只是一部行业内的法律，有可能是行业内最高的法律，但是它并不是一部以限制公权为主的《行政法》，或者是规定犯罪或刑法的《刑事法》。因此作为一部行业内的法律，可能在强制力方面受到一定的限制，不管怎么说，这样一部法律的出台对于最大程度上的保障精神病患者的权益来说，当然是一件必须行之事。

The whole process is very careful，At the same time also had to explain such a law is just a health law，Just a law in the industry，May is the highest in the industry of the law，But it is not a right to limit and mainly《Administrative law》，Or the provisions of the criminal law or crime《Criminal law》。So as a industry within the law，May be in coercive power aspects certain limits，No matter how to say，Such a law for maximum protection for the rights and interests of mental illness，Of course is a must do things。

　　第二次审议跟第一次审议相比，究竟有哪些规定做出了改变？这些规定对于精神病患者来说，他们的权益又是得到了更多的保障还是缩水？今天即将会连线中华精神医学学会秘书长杨甫德先生，请他来给我们介绍一些相关的情况。

The second review first review with compared，What are the regulations on earth to make the change？The rules for psychiatric patients speaking，Their interest is to get more security or shrink？Today would be the spirit medical association secretary-general attachment YangFuDe sir，Ask him to give we introduce some related situation。

　　杨先生，你好。您也是参与到这次立法过程当中的一位学者，我们也做了一个简单的PPT，把第二次审议一些规定的情况跟第一次审议的情况做了一个简单的对比，可以先跟观众一起来分享一下。

Mr Yang，hello。You also are involved in the legislative process of a scholar，We also do a simple PPT，The second review some provisions of review with the first of a simple comparison，To share with the audience together。

　　在去年第一次审议当中，对于精神障碍鉴定的性质列为司法鉴定，而这一次列为了医学鉴定。而之前在一审当中，认为在鉴定的时候可以有两次鉴定，如果是患者及其亲属对于第一次鉴定的结果不满意，可以申请二次鉴定，但是在二审当中已经删除了这样一些规定，明令说只能是一次鉴定，就是一个终结的结果。第三点非常重要，也是各界争议最大的，非自愿住院。在过去曾经规定患者要不要住院，可能这个权利是在医生手里，他是不是一定要住院是由医生说了算，现在第二次审议规定看到了自愿住院，非强制的。可能这样一个权利交到了患者及其亲属的手里，而并不是医生的手里。我们想逐条请您帮我们分析一下：

The first time last year of deliberation，The nature of the appraisal for mental disorders as judicial authentication，This time as the medical appraisal。And in the first instance of before，Think in the identification of time can have two appraisal，If patients and their relatives for the first time appraisal results are not satisfied，Can apply for secondary appraisal，But in the trial of second instance of such provisions have been deleted，Public proclamation said is only a appraisal，Is the result of an end。The third point is very important，Is also the most controversial from all walks of life，Involuntary hospital。Provisions in the past to patients don't hospital，May this right is in the hand of the doctor，Whether he be in hospital is by the doctors have the final say，Now the second review provisions saw the voluntary hospitalization，Not mandatory。Could such a right given to patients and their relatives hand，And not the doctor's hands。We want to item by item please help us analyse：

　　第一条，从司法鉴定到医学鉴定，其实条文文字是这样的，原来是“精神障碍司法鉴定机构”现在修改为“精神障碍鉴定机构”，原来是“司法鉴定人”现在改为“鉴定人”，去掉“司法”这两个字究竟有什么样的改变，内涵上？

Article 1，From the judicial identification to the medical appraisal，In fact provisions text is such，It is“Mental disorders judicial authentication institutions”Now is amended as“Mental disorders appraisal institutions”，It is“Judicial appraiser”Now instead“appraiser”，remove“judicial”This two word actually have what kind of change，connotation？

　　杨甫德(中华精神医学学会秘书长)：

YangFuDe(The Chinese spirit medical association secretary general)：

　　这样一种修改是非常重要的，因为司法鉴定当前有司法鉴定条例的相关规定，明确要求只有公安、检察院和法院才能启动司法鉴定的程序。但是这次修改为医学鉴定，核心是强调既要进行像司法鉴定这样一种严格程序的有关诊断判断，同时也要有别于普通的临床诊断。所以这次修改为医学鉴定更加符合实际操作，也会让更多患者得到更加严格的诊断。

Such a modification is very important，Because the judicial appraisal is the current judicial authentication regulations related regulations，Clear requirements only public security、Procuratorate and the court to start judicial authentication procedure。But the revision for medical appraisal，The core is to emphasize both like to judicial authentication such a strict procedure related diagnosis judgment，And at the same time is different from the common clinical diagnosis。So the revision for medical appraisal more in line with the actual operation，Will make more patients be more strict diagnosis。

　　主持人：

The host：

　　诊断的机构可能更加专业。

Diagnosis of the mechanism may be more professional。

　　第二点，关于二次程序变成一次程序的修改，之前看到患者和监护人如果对于鉴定机构不满意可以申请二次鉴定，这一次删除了这样的规定，从表面上来看，似乎是患者和监护人的权利缩水了，比如说现在真的法律就是这么规定下来，不能够有二次申请，如果对第一次鉴定的结果不满意怎么办呢？

The second point，About the second program into a program changes，Saw before patients and guardian if for authentication institutions not satisfied can apply for secondary appraisal，This time delete such provisions，On the face of it，Seems to be patient and guardian rights shrunk，For example now really law is so provisions down，Not to have the second application，If the first appraisal results are not satisfactory？