Human Rights That Influence The Mentally Ill Patient In South African Medical Law: A Discussion of Sections 9; 27; 30 and 31 of the Constitution
DOI:
https://doi.org/10.17159/1727-3781/2011/v14i7a2619Keywords:
Mentally ill person, medical law, human rights law, equality, health care services, language, culture and religionAbstract
The personalised nature of mental illness obscures from general view the intolerable burden of private and public distress that people with serious mental illness carry. Invariably the mentally ill person encounters rejection and humiliation that are in some way tantamount to a "second illness." The combination either disrupts or puts beyond reach the usual personal and social life stages of marriage, family life, raising children, sexual relationships, the choice of treatment, affordable housing, transportation, education and gainful employment. As a result of their lack of financial and social support and their experience of rejection from society, persons with mental illness tend to neglect themselves and their diet, and frequently delay seeking treatment. Against this background, this contribution critically focuses on the human rights that influence the mentally ill patient in South African medical law. Specific attention is paid to the relevance and meaning of sections 9 (the equality clause), 27 (access to health care services), 30 and 31 (language, culture and religion) of the Constitution of the Republic of South Africa, 1996.
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Bibliography
Burris 2002 J L Med & Ethics
Burris S "Disease stigma in US public health law" 2002 J L Med & Ethics 179-190
Cook and Ngwena (eds) International Library of Medicine
Cook RJ and Ngwena CG (eds) The International Library of Medicine, Ethics and Law: Health and Human Rights (Ashgate Hampshire 2007)
Currie and De Waal Bill of Rights Handbook
Currie I and De Waal J The Bill of Rights Handbook (Juta Lansdowne 2005)
Davis and Cheadle et al Fundamental Rights
Davis D and Cheadle H et al Fundamental Rights in the Constitution: Commentary and Cases (Juta Johannesburg 1997)
Emsley 2001 Br J Psychiatry
Emsley R "Focus on psychiatry in South Africa" 2001 Br J Psychiatry 382
Fremouw "New right to treatment"
Fremouw WJ "A new right to treatment" in Golann SE and Fremoux WJ (eds) The Right to Treatment for Mental Patients (Irvington New York 1976)
Hassim et al (eds) Health and Democracy
Hassim A et al (eds) Health and Democracy: A Guide to Human Rights, Health Law and Policy in Post-apartheid South Africa (Siber Ink Cape Town 2007)
Hunt and Mesquita 2006 Hum Rts Q
Hunt P and Mesquita J "Mental disabilities and the human right to the highest attainable standard of health" 2006 Hum Rts Q 332-356
Jamison 2006 Lancet
Jamison KR "The many stigmas of mental illness" 2006 367 Lancet 533-534
Jamison Unquiet Mind
Jamison KR An Unquiet Mind (Knopf New York 1995)
Jones "Prospects of a progressive mental health system"
Jones TF "Prospects of a progressive mental health system in 1940's South Africa: Hereditarianism, behaviourism and radical therapies" (Unpublished paper presented at the Workshop on South Africa in the 1940's at the South African Research Centre, Queen's University 2-4 September 2003 Kingston Ontario)
Link 1982 Am Soc Rev
Link BG "Mental patient status, work and income: An examination of the effects of a psychiatric label" 1982 Am Soc Rev 212-215
Link 1987 Am Soc Rev
Link BG "Understanding labelling effects in the area of mental illness: An assessment of the effects of expectations of rejection" 1987 Am Soc Rev 96-112
Link and Phelan 2006 Lancet
Link BG and Phelan JC "Stigma and its public health implications" 2006 367 Lancet 528-529
Mubangizi 2003 Obiter
Mubangizi JC "The constitutional right of access to health care services in South Africa: From renal dialysis to Nevirapine" 2003 Obiter 203-214
Orovwuje and Taylor "Mental health consumers"
Orovwuje PR and Taylor AJW "Mental health consumers, social justice and the historical antecedents of oppression" in Taylor AJW (ed) Justice as a Basic Human Need (Nova Science New York 2006)
Pearmain Critical Analysis
Pearmain DL A Critical Analysis of the Law of Health Service Delivery in South Africa (LLD thesis University of Pretoria 2004)
Strous RD "Hitler's psychiatrists: Healers and researchers turned executioners and its relevance today" 2006 Harv Rev Psychiatry 30-37
Swanepoel Law, Psychiatry and Psychology
Swanepoel M Law, Psychiatry and Psychology: A Selection of Constitutional, Medico-legal and Liability Issues (LLD thesis Unisa 2009)
Swanepoel 2011 THRHR
Swanepoel M "A selection of constitutional aspects that impact on the mentally disordered patient in South Africa" 2011 THRHR (to be published)
Van Oosten 1999 De Jure
Van Oosten FFW "Financial resources and the patient's right to health care: Myth and reality" 1999 De Jure 1-18
Register of cases
Brink v Kitshoff 1996 4 SA 197 (CC)
Harksen v Lane 1998 1 SA 300 (CC)
President of the Republic of South Africa v Hugo 1997 4 SA 1 (CC)
S v Makwanyane 1995 3 SA 391 (CC)
Soobramoney v Minister of Health (Kwazulu-Natal) 1998 1 SA 765 (CC)
Treatment Action Campaign v Minister of Health 2002 5 SA 721 (CC)
Register of legislation
Citation of Constitutional Laws Act 5 of 2005
Constitution of the Republic of South Africa 1996
Mental Health Care Act 17 of 2002
Promotion of Equality and Prevention of Unfair Discrimination Act 4 of 2000
Principles for the Protection of Persons with Mental Illness and the Improvement of Mental Health Care (MI Principles), GA Res 46/119, UN GAOR, UN Doc A/RES/46/119 (1991) Principle 7(3).
Register of internet sources
Independent Living Institute 1997 www.independentliving.org
Independent Living Institute 1997 Disability: Policy Paper for the South African Human Rights Commission www.independentliving.org/docs6/sahr1977.html [date of use 8 Dec 2011]
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