“A Complicated Subject: Knowing Without Knowing”

During my specialist training, my teacher, who contributed a lot to me, said: "You will be like both the doctor and the lawyer of the future patient, you will prevent their victimization and protect their rights." This statement resonated with me.

Illness is a disability and is not the patient's individual choice (you can read the article "It is not my choice"). For this reason, the patient is given a "license", he is not held responsible, and when necessary, he is protected with reports (such as rest, apology, disability, incapacity, guardian reports).

The patient suffering from stomach bleeding due to melana (bloody stools) is protected. You can't blame the entire ER for making it stink. You cannot blame a paralyzed patient who is cared for at home and cannot get out of bed for messing up his diaper. Generally, those with medical (organic) diseases are luckier and their rights are protected.

Psychiatric patients are unfortunate in this regard. They are often stigmatized (discussed in the article “stigma”). They are also labeled and victimized in religious and legal dimensions. Some non-medical experts (managers, lawyers, theologians, teachers...) make generous evaluations on psychiatric diseases (the "role confusion" article can be reviewed).

The patient with kleptomania (a stealing disease-a type of impulse control disorder) You cannot put stealing and theft committed by a healthy individual on the same level. In legal terms, the penalty the patient will receive is reduced based on his excuse (illness). It would not be very fair for a lawyer to complain that "they are hiding behind the disease, they are not receiving the necessary punishment." How can one argue with a theologian who comments "Suicide is haram" and has no knowledge about depression? How humane would it be to evaluate the patient on the same level as any suicide incident, without taking into account the disease excuse (when mental faculties are not at a healthy level)? (The fire burns the place where it falls, one cannot empathize with the patient without "falling off the roof". Unfortunately, in the twist of fate, this person later received treatment for depression.) � I heard it from my friend. I hope that, as a person experiencing depression, he no longer interprets the illness as just "religious weakness").

The patient experiencing a panic attack is described as "being untrustworthy", the OCD (obsessive compulsive disorder) patient is described as "being under the influence of the devil" due to his obsessions, depression. People who brand their patients as "being ungrateful"... unfortunately, by making the mistake of "knowing without knowing", they violate the patient's rights (some patients suffer from this and their diseases are negatively affected) and they also prevent the use of the licenses (special rights) given to patients.

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