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The Impact of Legal Coercion on the Therapeutic Relationship in Adult Schizophrenia Patients

The quality of the therapeutic relationship between psychiatric patients and their attending physicians plays a key role in treatment success. We hypothesize that mandatory treatment is negatively associated with the quality of the therapeutic relationship. In a cross-sectional study design, data on...

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Autores principales: Höfer, Friederike X. E., Habermeyer, Elmar, Mokros, Andreas, Lau, Steffen, Gairing, Stefanie K.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4409206/
https://www.ncbi.nlm.nih.gov/pubmed/25909589
http://dx.doi.org/10.1371/journal.pone.0124043
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author Höfer, Friederike X. E.
Habermeyer, Elmar
Mokros, Andreas
Lau, Steffen
Gairing, Stefanie K.
author_facet Höfer, Friederike X. E.
Habermeyer, Elmar
Mokros, Andreas
Lau, Steffen
Gairing, Stefanie K.
author_sort Höfer, Friederike X. E.
collection PubMed
description The quality of the therapeutic relationship between psychiatric patients and their attending physicians plays a key role in treatment success. We hypothesize that mandatory treatment is negatively associated with the quality of the therapeutic relationship. In a cross-sectional study design, data on psychopathological symptom load (as captured with the Brief Psychiatric Rating Scale) and on the quality of the therapeutic relationship (as measured with the Scale to Assess the Therapeutic Relationship) were collected from 113 adult male psychiatric patients and 35 attending physicians. Patients belonged to one of three groups: self-referred or involuntarily admitted patients from general psychiatry wards or patients from medium secure forensic psychiatric units. On average, self-referred patients rated the quality of the therapeutic relationship significantly more positive than did involuntarily admitted patients in general psychiatry wards. Forensic psychiatric patients, on average, gave an intermediate rating of the quality of the therapeutic relationship. There was no association between patients’ ratings and physicians’ ratings of the quality of the therapeutic relationship. Patients’ ratings of the quality of the therapeutic relationship were inversely related to symptom severity in general and hostility in particular. Ratings of the quality of the therapeutic relationship are not associated with patients’ legal status but rather with patients’ symptoms of hostility.
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spelling pubmed-44092062015-05-12 The Impact of Legal Coercion on the Therapeutic Relationship in Adult Schizophrenia Patients Höfer, Friederike X. E. Habermeyer, Elmar Mokros, Andreas Lau, Steffen Gairing, Stefanie K. PLoS One Research Article The quality of the therapeutic relationship between psychiatric patients and their attending physicians plays a key role in treatment success. We hypothesize that mandatory treatment is negatively associated with the quality of the therapeutic relationship. In a cross-sectional study design, data on psychopathological symptom load (as captured with the Brief Psychiatric Rating Scale) and on the quality of the therapeutic relationship (as measured with the Scale to Assess the Therapeutic Relationship) were collected from 113 adult male psychiatric patients and 35 attending physicians. Patients belonged to one of three groups: self-referred or involuntarily admitted patients from general psychiatry wards or patients from medium secure forensic psychiatric units. On average, self-referred patients rated the quality of the therapeutic relationship significantly more positive than did involuntarily admitted patients in general psychiatry wards. Forensic psychiatric patients, on average, gave an intermediate rating of the quality of the therapeutic relationship. There was no association between patients’ ratings and physicians’ ratings of the quality of the therapeutic relationship. Patients’ ratings of the quality of the therapeutic relationship were inversely related to symptom severity in general and hostility in particular. Ratings of the quality of the therapeutic relationship are not associated with patients’ legal status but rather with patients’ symptoms of hostility. Public Library of Science 2015-04-24 /pmc/articles/PMC4409206/ /pubmed/25909589 http://dx.doi.org/10.1371/journal.pone.0124043 Text en © 2015 Höfer et al http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly credited.
spellingShingle Research Article
Höfer, Friederike X. E.
Habermeyer, Elmar
Mokros, Andreas
Lau, Steffen
Gairing, Stefanie K.
The Impact of Legal Coercion on the Therapeutic Relationship in Adult Schizophrenia Patients
title The Impact of Legal Coercion on the Therapeutic Relationship in Adult Schizophrenia Patients
title_full The Impact of Legal Coercion on the Therapeutic Relationship in Adult Schizophrenia Patients
title_fullStr The Impact of Legal Coercion on the Therapeutic Relationship in Adult Schizophrenia Patients
title_full_unstemmed The Impact of Legal Coercion on the Therapeutic Relationship in Adult Schizophrenia Patients
title_short The Impact of Legal Coercion on the Therapeutic Relationship in Adult Schizophrenia Patients
title_sort impact of legal coercion on the therapeutic relationship in adult schizophrenia patients
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4409206/
https://www.ncbi.nlm.nih.gov/pubmed/25909589
http://dx.doi.org/10.1371/journal.pone.0124043
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