Dehumanization of psychiatric patients: Experimental and clinical implications in severe alcohol-use disorders

Fontesse, Sullivan; Demoulin, Stéphanie; Stinglhamber, Florence; Maurage, Pierre

doi:10.1016/j.addbeh.2018.08.041

Cited by 34 publications

(28 citation statements)

References 71 publications

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“…Regarding SAUD, this paper offers the first empirical evidence that metadehumanization constitutes a pervasive phenomenon in psychiatry (Fontesse et al, 2019), which might be involved in disease maintenance (relapse risk) and reduced quality of life. This claims for the implementation of multi-level interventions reducing (meta)dehumanization towards patients with SAUD, and more globally towards psychiatric patients: At the public health level, structural changes should be initiated to favour psychiatric patients' humanization by rethinking the treatment process and structures to ensure patients' fundamental needs fulfilment.…”

Section: Discussionmentioning

confidence: 99%

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Examining the role of fundamental psychological needs in the development of metadehumanization: A multi‐population approach

Demoulin

Nguyen

Chevallereau

et al. 2020

British J Social Psychol

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In the present paper, we investigate dehumanization processes from a victim perspective. We propose that dehumanization experiences, that is metadehumanization, arise from people's feelings that their fundamental human needs are thwarted and that such experiences influence their emotions, self-esteem, and coping strategies. Our model is put at test in three contexts involving different types of dehumanization victims: Women (Study 1a, N = 349), patients with severe alcohol use disorder (Study 1b, N = 120), and employees in organizations (Study 1c, N = 347). Our integrated model of metadehumanization, which considers both its antecedents and consequences, proved stable across contexts and populations and therefore helps building bridges between different psychological disciplines in which dehumanization occurs.

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Section: Discussionmentioning

confidence: 99%

“…In line with this idea, we propose that social targets will perceive a maltreatment as dehumanizing when their fundamental needs are undermined. The crucial role of needs thwarting in metadehumanization was similarly theorized in organizational (Christoff, 2014) and medical (Fontesse et al, 2019) domains.…”

Section: Antecedents Of Metadehumanizationmentioning

confidence: 96%

Examining the role of fundamental psychological needs in the development of metadehumanization: A multi‐population approach

Demoulin

Nguyen

Chevallereau

et al. 2020

British J Social Psychol

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“…It has been identified that negative attitudes of health professionals towards individuals with substance use disorders are common and result in suboptimal care (11). Negative attitudes are observed to be based in perceptions of substance users being dangerous, irresponsible, manipulative and poorly motivated (11,12) and to have a dehumanizing effect among health professionals (12), which is consistent with the paternalistic and authoritarian leanings identified in historical legislation and treatment for substance dependence (13)(14)(15).…”

Section: Client Centered Care In the Treatment Of Substance Dependencementioning

confidence: 60%

“…Staff and client participants indicated that a client centered approach was overall acceptable in a residential setting and even preferred to a standard approach when participants reflected on previous practice (staff) or experiences at other residential services (clients). Staff and client descriptions of working collaboratively and developing client agency is consistent with suggestions of how to 'rehumanize' substance users among health providers and thereby combat stigmatised attitudes that have detrimental impacts on quality of care (12,17). Indeed it is telling that one client commented on feeling "human again" (P2, Group 4).…”

Section: Participant Demographicsmentioning

confidence: 62%

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A qualitative study exploring the benefits and challenges of implementing client centered care in a substance dependence rehabilitation service

Davis¹,

Kelly²,

Deane³

et al. 2020

Preprint

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Background Client centered care is strongly advocated as key to improving the quality of health care. However, there is a notable absence of research about the acceptability and feasibility of a client centered approach in substance dependence treatment settings. The aim of this study was to explore client and staff perspectives of a new client centered model of care implemented at Kedesh Rehabilitation Services, a residential substance dependence treatment service.Methods Participants were client and staff at Kedesh between April 2018 and April 2019. Clients were invited to take part in a focus group and staff in individual interviews. Questions elicited client and staff experience of client centered care at Kedesh, including advantages and disadvantages. Staff were also asked to describe how they would define the client centered model. Thematic analysis was conducted on transcriptions of audio recordings.Results Four focus groups were conducted amongst 18 clients and 8 individual interviews amongst staff. Staff identified the defining features of client centered care as that which is flexible, comprehensive, open-minded and inclusive. Clients and staff shared predominantly positive views on the client centered model, with an emphasis on the satisfaction in providing and receiving what felt like more authentic and comprehensive care. Shared themes emerged for clients and staff on the challenge of striking a balance between flexibility and structure, and managing comprehensive and individualized care within existing knowledge, skills and resources.Conclusions Client centered care encourages health care organisations and providers to strive for a more holistic and empowering standard of care. Results support the acceptability of client centered care in residential substance dependence treatment settings for both clients and staff. Future research is needed to develop knowledge in interpreting, implementing, and assessing client centered care in the treatment of substance dependence.

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The Toxic Bully Boss: Echoes of American Slavocracy Tactics in Adverse Workplace Leadership Styles

Sippio

2023

J of Leadership Studies

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Dehumanization of psychiatric patients: Experimental and clinical implications in severe alcohol-use disorders

Cited by 34 publications

References 71 publications

Examining the role of fundamental psychological needs in the development of metadehumanization: A multi‐population approach

Examining the role of fundamental psychological needs in the development of metadehumanization: A multi‐population approach

A qualitative study exploring the benefits and challenges of implementing client centered care in a substance dependence rehabilitation service

The Toxic Bully Boss: Echoes of American Slavocracy Tactics in Adverse Workplace Leadership Styles

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