• Corpus ID: 1743444

Coercion in psychiatric care: what have we learned from research?

  title={Coercion in psychiatric care: what have we learned from research?},
  author={Charles W. Lidz},
  journal={The journal of the American Academy of Psychiatry and the Law},
  volume={26 4},
  • C. Lidz
  • Published 1 December 1998
  • Psychology
  • The journal of the American Academy of Psychiatry and the Law
The use of coercion to assure that people with a mental illness receive treatment has been the focus one of the longest running controversies among mental health professionals. Until quite recently, however, this debate has been almost entirely based on abstract principles. Empirical research concerning coercion was quite limited. Recently, however, research in this field has blossomed. The development of a validated measure of perceived coercion has spawned a variety of new studies. A five… 
Variation in use of coercive measures in psychiatric hospitals
Prevalence of perceived coercion among psychiatric patients: literature review and meta-regression modelling
Coercion was more common in studies outside the USA, among patient populations subject to legal detention and populations studied using the MacArthur Perceived Coercion Scale as opposed to other measures, and among voluntary in-patients reported coercion in care.
Maintaining subjectivity under coercion: Former patients’ experiences of being transformed into an object in psychiatric care
There is a need for an ongoing ethical discussion on how to find common ground between patients and health care workers, where both are viewed as subjects with knowledge and opinions worthy of respect.
Perception of Coercion Among Patients With a Psychiatric Community Treatment Order: A Literature Review.
Coercive elements of CTOs may be reduced through increased patient access to information, better working relationships with service providers, and accessible, fair processes.
Compulsory mental health care in Norway: the treatment criterion.
Informal coercion in psychiatry: a focus group study of attitudes and experiences of mental health professionals in ten countries
A disapproval of informal coercion in theory is often overridden in practice, and dissonance occurs across different sociocultural contexts, tends to make professionals feel uneasy, and requires more debate and guidance.
The perceived coerciveness of involuntary outpatient commitment: findings from an experimental study.
A consequence of OPC is increased perceptions of coercion in the treatment process, which is partially explained by the increased attention by case managers to noncompliance with treatment.
Coercion in psychiatric care – patients’ and relatives’ experiences from four swedish psychiatric services
In one of the centers, where involuntarily admitted patients were treated without locking the doors of the wards, the patients reported less coercion at admission than in the other three centers, and few differences were found between centers among committed and voluntarily admitted patients, respectively.
Compulsory admissions to psychiatric hospitals in Norway - international comparisons and regional variations
This study presents data on voluntary and compulsory admissions to psychiatric hospitals in Norway in 1996, and confirms the international findings in most fields, except for a higher proportion of women and nonpsychotic patients admitted compulsory.
Perceived dangerousness of children with mental health problems and support for coerced treatment.
Large numbers of people in the United States link children's mental health problems, particularly depression, to a potential for violence and support legally mandated treatment and evaluations appear to reflect the stigma associated with mental illness and the public's concern for parental responsibility.


A philosophical examination of coercion for mental health issues
This article considers two philosophical questions about coercion and mental disorders: (1) an analytical question, i.e., what is meant by the concept of coercion? (2) a normative question, i.e.,
Patient perceptions of coercion in mental hospital admission.
Perceived coercion in mental hospital admission. Pressures and process.
Patients' feelings of being coerced concerning admission appears to be closely related to their sense of procedural justice, and clinicians can minimize the experience of coercion even among those legally committed by attending more closely to procedural justice issues.
Inclusion, motivation, and good faith: the morality of coercion in mental hospital admission.
Patients' perceptions of the morality of attempts by others to influence them to be admitted to the hospital, and of the process by which these influence attempts resulted in admission, are attended to.
Perception of coercion: A pilot study using the Swedish version of the Admission Experience Scale
The Admission Experience Scale has been translated into Swedish and tested in a small pilot study comprising 20 patients, and three individual items dealing with force and threat showed a significant difference between voluntarily and involuntarily admitted patients.
Liberty and psychiatry
The security facilities available in one regional health authority area have been surveyed. The simultaneous run-down of the large mental hospitals and the open-door policy have resulted in a lack of
Principles of biomedical ethics
The principles of biomedical and Islamic medical ethics and an interfaith perspective on end-of-life issues and three cases to exemplify some of the conflicts in ethical decision-making are discussed.
Coercion and the outcome of psychiatric hospitalization.
Impact of coercion on treatment outcome.
Perceptions of coercion in the admission of voluntary and involuntary psychiatric patients.