Involuntary psychiatric treatment during the COVID-19 pandemic. An international qualitative study

Carbone, Agostino; Knapp, Martín

doi:10.3389/fpsyt.2023.1200888

Cited by 2 publications

(1 citation statement)

References 60 publications

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“…The research took into consideration the experiences of a specific group of teachers, so the answers will be limited to the Italian reality, and in particular, to the capital. The second limitation concerns the fact that the interviews were conducted in the first academic year after the pandemic, which was characterized by a full reopening of schools and a return to full-time teaching; this meant that the interviewees found themselves in a difficult period of readjustment to school life [37] and emerging social challenges [38,39]. The statements of the interviewees should be anchored to this particular and unique moment for schools.…”

Section: Limitations and Future Directionsmentioning

confidence: 99%

The Work-Related Stress and Well-Being of Teachers—An Exploratory Study within Primary Schools in Italy

et al. 2023

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This study analyzes the critical aspects of the professional life of primary school teachers in a southern European context. The social changes of the last two decades have profoundly impacted teachers’ well-being, putting a strain on their ability to adapt to sometimes unfair working conditions. For this purpose, we interviewed twenty teachers (M = 38.85; DS = 9.17) from different areas of Italy and analyzed data using the grounded theory method. Through a data analysis, we summarized and emphasized eight core themes. The results show the effects of the gradual impoverishment of the recognition for the role of the teacher, highlighting the difficulty for teachers in renegotiating more flexible workload assessments and reinforcing psycho-emotional skills for developing a teaching methodology that is attentive to the psycho-emotional needs of their pupils. Schools emerge as a rigid working context where a competent organizational function is often absent. The practical psychological implications of this are discussed.

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Section: Limitations and Future Directionsmentioning

confidence: 99%

The Work-Related Stress and Well-Being of Teachers—An Exploratory Study within Primary Schools in Italy

et al. 2023

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A no-win situation: psychiatrists navigating competing obligations between free will, paternalism, duty of care, and position of guarantee

Scognamiglio,

Iniziato,

La Pia

et al. 2023

Mental Wellness

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This paper examines the ethical tensions psychiatrists encounter in balancing competing obligations to patients and society, heightened in the COVID-19 era. With reference to the Italian situation, legal concepts such as duty of care or the rule of law defined “position of guarantee” engender heightened duties of care but generate discordance concerning patient autonomy. As a matter of fact, Italian psychiatrists are considered responsible for the effects of their interventions on patients and their behaviors. Consequently, managing involuntary treatment, assessing risk, and worrying about liability strain practitioners' efforts to uphold non-maleficence. As mental healthcare needs escalate globally amidst resource constraints, the application of ethical principles is imperative. Evidence-based approaches prioritizing collaborative harm reduction over social control must be reinforced through education, oversight, and organizational policies. With balanced civil commitment criteria and realistic expectations acknowledging risk prediction limits, therapeutic alliances can be maintained. Greater investment in community-based systems can mitigate coercion and marginalization. Psychiatrists worldwide endeavor to uphold beneficence and non-maleficence within shifting accountability landscapes. This perspective advocates collective efforts to promote patient welfare through equitable, quality care. Navigating the multifaceted nexus of competing obligations demands thoughtful dialogue and judicious reforms responsive to both practitioner and patient needs. By engaging with ethical complexities with scientific rigor and compassion, psychiatry can uphold humane, ethical standards despite mounting challenges.

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Involuntary psychiatric treatment during the COVID-19 pandemic. An international qualitative study

Cited by 2 publications

References 60 publications

The Work-Related Stress and Well-Being of Teachers—An Exploratory Study within Primary Schools in Italy

The Work-Related Stress and Well-Being of Teachers—An Exploratory Study within Primary Schools in Italy

A no-win situation: psychiatrists navigating competing obligations between free will, paternalism, duty of care, and position of guarantee

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