“Voluntarily Admitted Against My Will”: Patient Perspectives on Effects of, and Alternatives to, Coercion in Psychiatric Care for Self-Injury

INTRODUCTION: Various forms of coercion are used in the psychiatric care of patients with self-injurious behaviors, but there is little research on how these are perceived by the patients. The aim of this study was to investigate how 6 patients, who had received care for self-injurious behavior, per...

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Autores principales: Gerle, Ellen, Fischer, Anne, Lundh, Lars-Gunnar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6908982/
https://www.ncbi.nlm.nih.gov/pubmed/31853481
http://dx.doi.org/10.1177/2374373518800811
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author Gerle, Ellen
Fischer, Anne
Lundh, Lars-Gunnar
author_facet Gerle, Ellen
Fischer, Anne
Lundh, Lars-Gunnar
author_sort Gerle, Ellen
collection PubMed
description INTRODUCTION: Various forms of coercion are used in the psychiatric care of patients with self-injurious behaviors, but there is little research on how these are perceived by the patients. The aim of this study was to investigate how 6 patients, who had received care for self-injurious behavior, perceived coercion and how they think coercion could be avoided. METHODS: This study employed a qualitative design with 6 semistructured interviews and interpretative phenomenological analysis. RESULTS: Three main themes were identified: keep voluntary care voluntary, apportioning control and responsibility, and dialogue and participation. Constant supervision was described as the most destructive form of coercion. To enable self-responsibility, a reduction of control and supervision was advocated. Calls were made for a treatment based on the assumption that there is a desire, on behalf of the patients, to get better. CONCLUSIONS: The use of coercion in the psychiatric care of patients with self-injurious behavior can be reduced by increasing predictability, by listening to the patient with genuine interest, and by involving the patient in decisions regarding their treatment.
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spelling pubmed-69089822019-12-18 “Voluntarily Admitted Against My Will”: Patient Perspectives on Effects of, and Alternatives to, Coercion in Psychiatric Care for Self-Injury Gerle, Ellen Fischer, Anne Lundh, Lars-Gunnar J Patient Exp Research Articles INTRODUCTION: Various forms of coercion are used in the psychiatric care of patients with self-injurious behaviors, but there is little research on how these are perceived by the patients. The aim of this study was to investigate how 6 patients, who had received care for self-injurious behavior, perceived coercion and how they think coercion could be avoided. METHODS: This study employed a qualitative design with 6 semistructured interviews and interpretative phenomenological analysis. RESULTS: Three main themes were identified: keep voluntary care voluntary, apportioning control and responsibility, and dialogue and participation. Constant supervision was described as the most destructive form of coercion. To enable self-responsibility, a reduction of control and supervision was advocated. Calls were made for a treatment based on the assumption that there is a desire, on behalf of the patients, to get better. CONCLUSIONS: The use of coercion in the psychiatric care of patients with self-injurious behavior can be reduced by increasing predictability, by listening to the patient with genuine interest, and by involving the patient in decisions regarding their treatment. SAGE Publications 2018-09-18 2019-12 /pmc/articles/PMC6908982/ /pubmed/31853481 http://dx.doi.org/10.1177/2374373518800811 Text en © The Author(s) 2018 http://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Research Articles
Gerle, Ellen
Fischer, Anne
Lundh, Lars-Gunnar
“Voluntarily Admitted Against My Will”: Patient Perspectives on Effects of, and Alternatives to, Coercion in Psychiatric Care for Self-Injury
title “Voluntarily Admitted Against My Will”: Patient Perspectives on Effects of, and Alternatives to, Coercion in Psychiatric Care for Self-Injury
title_full “Voluntarily Admitted Against My Will”: Patient Perspectives on Effects of, and Alternatives to, Coercion in Psychiatric Care for Self-Injury
title_fullStr “Voluntarily Admitted Against My Will”: Patient Perspectives on Effects of, and Alternatives to, Coercion in Psychiatric Care for Self-Injury
title_full_unstemmed “Voluntarily Admitted Against My Will”: Patient Perspectives on Effects of, and Alternatives to, Coercion in Psychiatric Care for Self-Injury
title_short “Voluntarily Admitted Against My Will”: Patient Perspectives on Effects of, and Alternatives to, Coercion in Psychiatric Care for Self-Injury
title_sort “voluntarily admitted against my will”: patient perspectives on effects of, and alternatives to, coercion in psychiatric care for self-injury
topic Research Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6908982/
https://www.ncbi.nlm.nih.gov/pubmed/31853481
http://dx.doi.org/10.1177/2374373518800811
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