No abstract

No abstract

No abstract

No abstract

Coercion in psychiatry is associated with several detrimental effects, including in the long term. The effect of past experience of coercion on the perception of subsequent hospitalisations remains less studied. The present study aimed to assess the impact of past experience of coercion on the perception of coercion and satisfaction with subsequent voluntary hospitalisations. A total of 140 patients who were hospitalised on a voluntary basis were included. Fifty-three patients experienced coercion before this hospitalisation and 87 did not. Patients were assessed for treatment satisfaction and perceived coercion. Health status was also evaluated by both patients and carers. Past experience of coercion was the independent variable. Perceived coercion and satisfaction scores were used as different dependent variables in a series of regression models. Results suggested a long-term detrimental impact of past experience of coercion on some aspects of satisfaction and perceived coercion in subsequent voluntary hospitalisations even when controlling for self and carers-rated health status. Overall, this study suggests that special attention should be paid to patients who are voluntarily admitted to hospital but have a history of coercion, as they may still be impacted by their past coercive experiences. Ways to increase satisfaction and reduce perceived coercion of these patients are discussed.

Aberrant salience is likely to be a key mechanism in the development of psychosis. This concept bridges the perceptual and the cognitive levels but little is known about their respective roles in the emergence of psychosis. It has also been suggested that not all aspects of aberrant salience are specific to psychosis. The aim of this study was to compare patients with psychosis, patients with other psychiatric diagnoses and healthy, non-clinical participants on several psychological dimensions related to aberrant salience.A total of 432 French-speaking individuals participated in the study. Overall, 282 participants from the general population and 150 persons hospitalised in psychiatric institutions in Switzerland were assessed using the Perceptual Aberration Scale (PAS), the Internal and External Encoding Style Questionnaire (ESQ), the Highly Sensitive Person Scale (HSPS), the Aberrant Salience Inventory (ASI) and the Magical Ideation Scale (MIS).Three scores (PAS, ESQ and ASI-Sharpening of Senses) were able to discriminate between psychiatric patients (both those with psychosis and those with other psychiatric diagnosis) and the general population whereas three other scores (HSPS, MIS and ASI-Heightened Cognition) discriminated patients with psychosis from both patients with other psychiatric diagnose and non-clinical participants.The results suggest that low-level processes (perception) were not specific to psychosis, but rather to psychiatric disorders more generally. In contrast, aspects related to cognition, sensitivity, and ideation seems to be specific to psychosis. Future studies should examine whether aspects of cognition, sensitivity, and ideation play a more prominent role in the development of psychosis.

No abstract

No abstract