Coercion in psychiatric care: Can paternalism justify coercion?

Abstract

It can be noted that mental health experts who support paternalism without question must reconsider their previous methods. Above all, the reason why the assumption of dangerousness was not justified in any of the categories of coercion was because coercive intervention used to prevent harm to oneself and others must be very carefully carried out.

Regaining ownership and restoring belongingness: impact of family group conferences in coercive psychiatry

“…Although the number of coercive treatments increased, it still can be seen as a highly controversial issue (Seo et al . ). There is consensus among scholars that these treatments need to be limited because they entail a loss of ownership or control over the situation and are a profound experience for individuals infringing their fundamental rights (O'Brien & Golding , De Stefano & Ducci , Landeweer et al .…”

“…In this paper, coercive treatment refers to compulsory admissions in crisis situations and court ordered admissions in both psychiatric hospitals and the community. Although the number of coercive treatments increased, it still can be seen as a highly controversial issue (Seo et al 2013). There is consensus among scholars that these treatments need to be limited because they entail a loss of ownership or control over the situation and are a profound experience for individuals infringing their fundamental rights (O'Brien & Golding 2003, De Stefano & Ducci 2008, Landeweer et al 2009, Roskes 2009, De Jong & Schout 2010, Katsakou et al 2010.…”

Psychiatric Advance Directives and their relevance to improving psychiatric care in Asian countries

“…In such cases, clinicians are tasked with providing psychiatric care using the least restrictive methods with the service user's best interest in mind (Semple & Smyth, ). This may include life‐saving treatments that can only be provided in an inpatient setting (Seo, Kim, & Rhee, ).…”

Anorexia nervosa, paternalism and clinical practice

“…This fact may be aggravated by the slow improvement typical of AN, which can be frustrating and, as a result of this, professionals can adopt a strong and directive attitude toward the patients trying to reach better outcomes in the treatment. In fact, a coercive attitude in AN can generate relatively quick results 3 , what can provide a transient attenuation of professional's discomfort. This may have reinforcing effects over the controlling attitude, making it more likely to occur in future similar occasions.…”

“…However, according to Darcy et al 6 the therapist-patient alliance is yet relatively under-researched especially when studied from the professional perspective and there is a deficiency of mental health professional's continued training on the use of rational paternalistic techniques 3 .…”