Coercive Treatment in Psychiatry

2011 ◽  
Keyword(s):  
Coercive Treatment

scholarly journals Reopening Selves: Phenomenological Considerations on Psychiatric Spaces and the Therapeutic Stance

2021 ◽  
pp. 1-12
Author(s):  
Samuel Thoma ◽  
Isabelle Schwänzl ◽  
Laura Galbusera
Keyword(s):  
Social Factors ◽  
Phenomenological Research ◽  
Social World ◽  
Societal Implications ◽  
Structural Level ◽  
Open Door ◽  
Coercive Treatment ◽  
Psychiatric Institutions ◽  
The Individual

Classical and contemporary phenomenological approaches in psychiatry describe schizophrenia as a disorder of common sense and self-affection. Although taking into account intersubjectivity, this conceptualization still puts forward an individualistic view of the disorder, that is, the intersubjective deficit resides within the person. To overcome such individualism, in this article, we first propose that schizophrenic experience might be understood as arising from a dialectic relation between the self’s loss of openness to the world and the world’s loss of openness to the self. To show the relevance of social factors at the onset of schizophrenic experience, we propose a phenomenological analysis of trigger situations. In the second and main part of this article, we then focus on the implications of these phenomenological insights for the clinical practice: we argue that if schizophrenia is understood as a loss of openness between self and social world, psychiatric institutions should be transformed into spaces that enable a reopening of selves. We first describe <i>enclosing</i> phenomena such as coercive treatment to then, in contrast, present particular forms of <i>open psychiatric spaces</i> such as open door approaches and open dialogue. Besides the institutional-structural level, we also highlight aspects of openness at the intersubjective level of the individual agents, thus particularly emphasizing the role of an open therapeutic stance. We thus speak of (re)opening <i>selves</i> as we believe that the reopening of the patients’ self cannot but be related to and fostered by a reopening of the professionals’ self and stance. We thus argue that openness in the therapeutic stance is key to initiating the further process of recovery, which we describe as a reattunement of selves both at the bodily and narrative level. Last but not least, we sketch out possibilities for future phenomenological research on the question of psychiatric space and draw some broader societal implications.

scholarly journals How can the service user voice be best heard at psychiatric meetings?

2013 ◽  
Vol 203 (2) ◽  
pp. 88-89 ◽  
Author(s):  
Tom Burns ◽  
Diana Rose
Keyword(s):  
Mental Health ◽  
Clinical Practice ◽  
Service User ◽  
Coercive Treatment ◽  
Health Conferences

SummaryService user contributions to mental health conferences are now routine. How effective they are at promoting dialogue is not clear. We report a difficult exchange following a presentation about coercive treatment, with our individual reflections on what we learnt.Suggestions are made to improve both the clinical practice and the dialogue.

scholarly journals The ethics of coercive treatment of people with dementia

2013 ◽  
Vol 20 (3) ◽  
pp. 248-262 ◽  
Author(s):  
Eva Lejman ◽  
Margareta Westerbotn ◽  
Ulrika Pöder ◽  
Barbro Wadensten
Keyword(s):  
Registered Nurses ◽  
Nursing Home Residents ◽  
Structured Interviews ◽  
Charge Nurses ◽  
Coercive Treatment ◽  
People With Dementia ◽  
Gerontological Nursing ◽  
Alternative Measures ◽  
Legal Security ◽  
Nursing Training

The aim of the present study was to describe how registered nurses in nursing homes ensure legal security, good and safe nursing care and uphold the dignity of nursing home residents with severe dementia without violating residents’ integrity. Semi-structured interviews were conducted with 10 charge nurses in a county in central Sweden. The transcribed interviews were examined using manifest and latent content analyses. The manifest analysis identified actual local routines involving coercive treatment and registered nurses’ descriptions of complications and alternative measures. The latent analysis resulted in three themes describing nursing strategies: one with coercive treatment, one with coercive treatment under specific circumstances and one to prevent coercive treatment. Interpretations of legal terms regarding coercive treatment and inadequate gerontological nursing training and understaffing seem to preserve the use of coercive treatment.

scholarly journals Could Animal-Assisted Therapy Help to Reduce Coercive Treatment in Psychiatry?

2019 ◽  
Vol 10 ◽  
Author(s):  
Sonja Widmayer ◽  
Stefan Borgwardt ◽  
Undine E. Lang ◽  
Christian G. Huber
Keyword(s):  
Animal Assisted Therapy ◽  
Coercive Treatment

Coercion, Cooperation, Conflicts and Contempt: Orthodox-Lutheran Relations in Swedish-Occupied Kexholm County, Karelia, in the Seventeenth Century

2020 ◽  
Vol 11 (1) ◽  
Author(s):  
Teuvo Laitila
Keyword(s):  
Seventeenth Century ◽  
The State ◽  
County Level ◽  
Way Of Life ◽  
Religious Policy ◽  
Coercive Treatment ◽  
Religious Issues ◽  
Social Encounters ◽  
Grassroots Level ◽  
The Way

The article is about the Swedish religious policy towards the Orthodox (a majority at first, a minority after the mid-1650s) and Orthodox-Lutheran relations at the grassroots level. It shows that in official Swedish policy, the highest authorities urged local functionaries to cautious and non-coercive treatment of the Orthodox, while the latter at times proposed, and partly tried to implement, a forced conversion of the Karelians. Grassroots relations between Orthodox and Lutherans varied greatly, depending on which of them made up a majority in each place, who owned the land, and whether the Lutherans were newcomers. When the Orthodox were a majority the Lutherans conformed with their faith, even converting to Orthodoxy, although this was officially forbidden. When the majority consisted of Lutherans, the Orthodox started to convert or to assimilate to the Lutheran way of life. At the county level, religion as such was not a major factor in transforming the region into a Lutheran one. More important was the way in which religious issues were linked to local social encounters and practices and how the state overtly or covertly attempted to change Orthodoxy and encouraged Orthodox emigration from and Lutheran immigration to the county.

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