Compulsory treatment in psychiatry

Sheehan, Kathleen

doi:10.1097/yco.0b013e328330cd15

Cited by 38 publications

(36 citation statements)

References 42 publications

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“…In the next years, research on coercion should be strengthened, in particular, as regards the use of coercive measures in special population, such as geriatric patients [73], adolescents [74], migrants [35], and in patients with specific disorders, such as forensic patients (i.e., those living in secured institutions) [75], those with eating [32, 76,77] or addictive [78] disorders. Eating disorders were excluded from this review since in many countries they are treated using coercive measures (such as doors locked after meals, forced nutrition, etc.…”

Section: (2007) Norwaymentioning

confidence: 99%

Use of coercive measures in mental health practice and its impact on outcome: a critical review

Luciano

Sampogna

Vecchio

et al. 2014

Expert Review of Neurotherapeutics

102

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Although coercive measures have always been part of the psychiatric armamentarium, the ethical dilemma between the use of a "therapeutic" coercion and the loss of patients' dignity is one of the major controversial issues in mental health research and practice. The aims of the present review are to explore the existing literature on predictors of use of coercive measures and to explore the relationship between coercive measures and patient outcome. A literature search was conducted using MEDLINE, PsychyINFO, Scopus, Web of Knowledge and the Cochrane Database. In all selected papers, references were cross-checked to identify other possible eligible papers. The use of coercive measures was predicted by patients' clinical and socio-demographic features, staff characteristics and ward-related factors. Coercive measures have only a limited impact on patients' clinical and social outcome. At the current level of knowledge, coercion is still a controversial issue in mental health practice. Only few studies with a solid methodology have been carried out. Large multicenter and rigorous studies, with long-term follow-ups, are highly needed.

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Section: (2007) Norwaymentioning

confidence: 99%

Use of coercive measures in mental health practice and its impact on outcome: a critical review

Luciano

Sampogna

Vecchio

et al. 2014

Expert Review of Neurotherapeutics

102

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“…Other countries experience other combinations of challenges as they reform their mental health laws, some of which overlap with concerns expressed in Ireland (Sheehan, 2009). In China, for example, mental health legislation is undergoing substantial change at present as a new mental health law was passed by the National People's Congress in October 2012, to come into effect in May 2013 (Qian, 2012).…”

Section: International Perspectivesmentioning

confidence: 96%

Implementing the Mental Health Act 2001 in Ireland: views of Irish general practitioners

Jabbar¹,

Aziz²,

Kelly³

2013

Ir. j. psychol. Med.

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“…Among staff members, a variety of personal characteristics, including emotional flexibility, have been found to have impact on therapeutic relationships Holmqvist, 1998;Holmqvist & Armelius, 2006). These seem to predict the outcome of patients , and they can help patients to experience even compulsory care as something positive (Sheehan, 2009). …”

Section: The Experiences Of Professionalsmentioning

confidence: 99%

“…Within Europe there are differences in legislation regarding the compulsory treatment of psychotic patients; moreover, societal attitudes and traditions rather than clinical factors seem to be responsible for the substantial variations in the application of coercive measures across countries Raboch et al, 2010;Sheehan, 2009). From research on the history of madness and psychiatry and from a critical analysis of an abundance of psychiatric studies and documents, several writers have claimed that the past and present approach to psychosis is largely a matter social control -albeit camouflaged in expert theories (Cullberg, 2005; Read & Dillon, 2013;Whitaker, 2003).…”

Section: Social and Institutional Perspectivesmentioning

confidence: 99%

The Need-Adapted Approach in Psychosis: The Impact of Psychosis on the Treatment and the Professionals

Borchers¹,

Seikkula

Arnkil

2014

Ethical Hum Psychol Psychiatry

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This research aimed to describe the inner dialogues of psychiatrists in the context of the Need-Adapted treatment of psychosis. It strived to show that the experiences of professionals can have an impact on the treatments offered. In addition, the research aimed to clarify how the phenomenon of professionals' inner dialogues may be studied.The data for the three studies of the research consisted of eight videotaped and transcribed stimulated recall interviews with psychiatrists, who recalled their inner dialogues, assisted by videos from co-research interviews. The dialogues took place in multi-agent discussions with patients, with the family members of patients, and with other professionals. The first study provided an overall picture of the research material, with a focus on psychiatrists' inner dialogues concerning their workmates. The second study focused on how the psychiatrists viewed their agency. The third study dealt with the impact of psychosis on the treatment, the psychiatrists, and other professionals. The first two studies used adaptations of dialogical-narrative analysis, while the third study used an adaptation of qualitative content analysis.From the perspective of real-world clinical practice the studies suggested the following: (i) since psychiatrists interact with the clients and with other professionals, they respond as embodied individual human beings with possibly strong emotions; this suggests that the experiences and inner dialogues of the participants may be interdependent; (ii) clinician-clinician relationships can be of crucial importance in the treatment; (iii) especially in the inpatient setting, institutional forces can have an enormous impact on psychiatrists' agency by reducing professional creativity, and occasionally, by leading to a kind of agentless situation; (iv) psychiatrists seem to be more or less aware of the many harmful effects of (in particular) inpatient treatment; (v) the interview methods used in the research increased professionals' reflective opportunities, indicating that such interviews could be helpful in the dilemmas professionals encounter in practice. Tämän tutkimuksen tavoite oli kuvata psykiatrien sisäistä keskustelua psykoosien tarpeenmukaisen hoitomallin kontekstissa. Se pyrki osoittamaan, että ammattilaisten kokemuksilla voi olla vaikutusta tarjottuun hoitoon, ja selvittä-mään, miten ammattilaisten sisäistä keskustelua voidaan tutkia. Kolmen osatutkimuksen aineisto koostui kahdeksasta videolle tallennetusta ja transkriptoidusta stimulated recall -haastattelusta, joissa psykiatrit yhteisen tutkimisen haastattelun kuvanauhan avulla palauttivat mieleensä sisäistä keskusteluaan. Yhteisen tutkimisen haastattelu oli ryhmäkeskustelu, jossa oli lääkärien ohella läsnä potilas, hänen perheenjäseniään sekä muita ammattilaisia. Ensimmäisessä osatutkimuksessa kuvattiin tutkimusaineistoa kokonaisuudessaan ja keskityttiin psykiatrien työtovereita koskevaan sisäiseen keskusteluun. Toisessa osatutkimuksessa paneuduttiin psykiatrien kokemukseen toimijuudestaan....

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Compulsory treatment in psychiatry

Abstract: Compulsory treatment in psychiatry remains an ethically and clinically contentious issue. As ethical concerns are generally countered by the argument that compulsory measures can lead to beneficial clinical outcomes, further empirical investigation in this area is required.

Cited by 38 publications

References 42 publications

Use of coercive measures in mental health practice and its impact on outcome: a critical review

Use of coercive measures in mental health practice and its impact on outcome: a critical review

Implementing the Mental Health Act 2001 in Ireland: views of Irish general practitioners

The Need-Adapted Approach in Psychosis: The Impact of Psychosis on the Treatment and the Professionals

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