Perceived Coercion and the Therapeutic Relationship: A Neglected Association?

Sheehan, Kathleen

doi:10.1176/appi.ps.62.5.471

Cited by 47 publications

(53 citation statements)

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“…It has been demonstrated that the level of perceived coercion reduces over time (Fiorillo et al, 2012) and this might indicate an opportunity to engage the individual in further care. The relationship between the perception of coercion and the subsequent therapeutic relationship is unclear, with some studies indicating that they are inherently associated (Sheehan and Burns, 2011;Theodoridou et al, 2012) and others indicating that they are independent of one another . The therapeutic relationship is of utmost importance in mental health services and recently it has been found that an improved therapeutic relationship is associated with a better outcome in terms of admission rates and suicide attempts for individuals with psychotic disorders (Farrelly et al, 2014).…”

Section: Clinical Implications and Future Researchmentioning

confidence: 99%

Longer term outcomes of voluntarily admitted service users with high levels of perceived coercion

O’Donoghue¹,

Roche²,

Shannon³

et al. 2015

Psychiatry Research

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Section: Clinical Implications and Future Researchmentioning

confidence: 99%

Longer term outcomes of voluntarily admitted service users with high levels of perceived coercion

O’Donoghue¹,

Roche²,

Shannon³

et al. 2015

Psychiatry Research

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“…The intensity of coercion that is perceived by the patient consecutively interacts with various aspects, such as transparency, fairness, dignity, trust, and the quality of the therapeutic alliance itself (2). Therefore, perceived coercion does not necessarily correlate with factual coercion, both formal and informal (3, 4). …”

Section: Introductionmentioning

confidence: 99%

Clinical Relevance of Informal Coercion in Psychiatric Treatment—A Systematic Review

Hotzy

Jaeger

2016

Front. Psychiatry

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IntroductionAlthough informal coercion is frequently applied in psychiatry, its use is discussed controversially. This systematic review aimed to summarize literature on attitudes toward informal coercion, its prevalence, and clinical effects.MethodsA systematic search of PubMed, Embase, PsycINF, and Google Scholar was conducted. Publications were included if they reported original data describing patients’ and clinicians’ attitudes toward and prevalence rates or clinical effects of informal coercion.ResultsTwenty-one publications out of a total of 162 articles met the inclusion criteria. Most publications focused on leverage and inducements rather than persuasion and threat. Prevalence rates of informal coercion were 29–59%, comparable on different study sites and in different settings. The majority of mental health professionals as well as one-third to two-third of the psychiatric patients had positive attitudes, even if there was personal experience of informal coercion. We found no study evaluating the clinical effect of informal coercion in an experimental study design.DiscussionCultural and ethical aspects are associated with the attitudes and prevalence rates. The clinical effect of informal coercion remains unclear and further studies are needed to evaluate these interventions and the effect on therapeutic relationship and clinical outcome. It can be hypothesized that informal coercion may lead to better adherence and clinical outcome but also to strains in the therapeutic relationship. It is recommendable to establish structured education about informal coercion and sensitize mental health professionals for its potential for adverse effects in clinical routine practice.

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“…High levels of perceived coercion were correlated in a number of studies with experiences of threats, force and having a poor relationship with others involved in the admission process Iversen Anestis et al, 2013;Bennett et al, 1993;Bindman et al, 2005;Bonsack and Borgeat, 2005;Cascardi and Poythress, 1997;Eriksson and Westrin, 1995;Fiorillo et al, 2012;Gardner et al, 1999;Gilburt et al, 2008;Haglund and von Essen, 2005;Hoge et al, 1993Hoge et al, , 1997Hoge et al, , 1998Iversen et al, 2002;Kallert et al, 2011;Kaltiala-Heino et al, 1997;Katsakou et al, 2011;Kjellin et al, 1993Kjellin et al, , 1997Kjellin et al, , 2004Kjellin et al, , 2006Koivisto, Janhonen, and Vaisanen, 2004;Lidz et al, 1995Lidz et al, , 1998Lidz et al, , 2000Lidz, Mulvey, Arnold, Bennett, and Kirsch, 1993;Lomax et al, 2012;McKenna et al, 1999McKenna et al, , 2001Miedema and Stoppard, 1994;Nicholson et al, 1996;O'Donoghue, Roche, Ranieri et al, 2013;Poulsen, 1999Poulsen, , 2002Poulsen and Engberg, 2001;Rogers, 1993;Seigel, Wallsten, Torsteinsdottir, and Lindstr€ om, 1997;Shee...…”

Section: Perception Of Coercionmentioning

confidence: 99%

“…Informed consent Bennett et al, 1993;Kjellin et al, 1993Kjellin et al, , 2004Rogers, 1993;Sugarman and Moss, 1994;Wallsten and Kjellin, 2004. Knowledge of rights Kjellin et al, 2004Kjellin et al, , 2006Lomax et al, 2012;McKenna et al, 2001;Sørgaard, 2007;Sugarman and Moss, 1994;Tuohimaki et al, 2001;Lindstr€ om, 2006. et al, 2002;Lidz et al, 1995Lidz et al, , 1998McKenna, Simpson, & Laidlaw, 1999;O'Donoghue, Roche, Ranieri et al, 2013;Sheehan & Burns, 2011). Many of these studies used the AES and therefore were unable to give qualitative detail about the nature of the coercive incidents reported.…”

Section: Perception Of Coercionmentioning

confidence: 99%

Service Users' Experiences of Voluntary Admission to Mental Hospital: A Review of Research Literature

Prebble

Thom

Hudson

2014

Psychiatry, Psychology and Law

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Australia and New Zealand are committed to upholding the rights of people who experience mental illness and providing a "recovery" approach to service delivery. These have farreaching implications for acute inpatients, many of whom are admitted voluntarily. In order to inform future research in these two countries, this review aimed to identify literature pertaining to the experiences of people admitted voluntarily to acute adult mental health facilities. Literature was limited to studies in English published between 1993 and 2013. Perceived coercion was the focus of most studies, many of which reported that voluntary service users do not always experience their admission and treatment as strictly voluntary. Two smaller bodies of literature reported that service users were limited in their ability to make informed choices and had poor knowledge of their rights and legal status. Further research on informed consent, knowledge of rights, and access to advocacy is warranted.

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Perceived Coercion and the Therapeutic Relationship: A Neglected Association?

Cited by 47 publications

References 0 publications

Longer term outcomes of voluntarily admitted service users with high levels of perceived coercion

Longer term outcomes of voluntarily admitted service users with high levels of perceived coercion

Clinical Relevance of Informal Coercion in Psychiatric Treatment—A Systematic Review

Service Users' Experiences of Voluntary Admission to Mental Hospital: A Review of Research Literature

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