Recent challenges to conventional mental health laws concerning involuntary detention and treatment of persons with a mental disorder have led to proposals, or indeed an insistence, that fundamental reform is necessary. A key theme has been the need to eliminate unfair discrimination against people with a mental disorder because their human rights are not respected on an equal basis with other people. Some proposals depart radically from conventional assumptions concerning the justification of involuntary detention and treatment. One is a "fusion law," a generic law applying to all persons lacking the ability to make a treatment decision, whether resulting from a "mental" or "physical" illness. An authoritative interpretation of the UN Convention on the Rights of Persons with Disabilities (2006) goes so far as to maintain that involuntary interventions are a violation of the Convention.

中文翻译：

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非自愿拘留和治疗：我们正在走向“范式转变”吗？

最近对有关非自愿拘留和精神障碍患者治疗的传统精神卫生法的挑战导致有人提出建议，甚至坚持认为有必要进行根本性改革。一个关键主题是需要消除对精神障碍患者的不公平歧视，因为他们的人权没有与其他人平等地得到尊重。一些提案与关于非自愿拘留和待遇理由的传统假设截然不同。其中之一是“融合法”，这是一项适用于所有缺乏做出治疗决定能力的人的通用法，无论是由于“精神”还是“身体”疾病引起的。对联合国《残疾人权利公约》（2006）的权威解释甚至认为非自愿干预违反了《公约》。