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Related Experiment Videos

[Coercion in psychiatry: current knowledge and perspectives].

Y Khazaal1, C Bonsack, F Borgeat

  • 1Département universitaire de psychiatrie adulte, DUPA, Site de Cery, 1008 Prilly. Yasser.khazaal@inst.hospvd.ch

Revue Medicale Suisse
|March 26, 2005
PubMed
Summary
This summary is machine-generated.

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Coercion in psychiatry, often deemed necessary for at-risk patients lacking judgment, increases patient stress and may reduce treatment adherence. Exploring alternatives and patient-centered approaches is crucial for improving care.

Area of Science:

  • Psychiatry
  • Medical Ethics

Context:

  • Coercion is a prevalent practice in psychiatric care, frequently employed when patients pose a risk and exhibit impaired judgment.
  • The use of coercion is often viewed as a necessary intervention in managing patient safety and treatment compliance.

Purpose:

  • To review and synthesize current scientific understanding regarding the use of coercion in psychiatric settings.
  • To analyze the multifaceted impact of coercion on patient stress levels and treatment adherence.

Summary:

  • Coercive measures in psychiatry, encompassing the type of coercion, legal status, and subjective patient experience, contribute significantly to patient distress.
  • This distress can negatively affect patient adherence to prescribed treatments, highlighting a critical challenge in psychiatric care.
  • The study emphasizes the need for clinicians to carefully consider these three dimensions when implementing coercive interventions.

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Impact:

  • Findings underscore the importance of developing and implementing alternatives to coerced treatment to enhance patient acceptance and therapeutic relationships.
  • The integration of advance directives into legal frameworks, such as in Swiss cantonal laws, offers a promising avenue for more collaborative and patient-preferred care models.
  • This research can inform clinical practice and policy development aimed at reducing reliance on coercion and promoting patient autonomy in mental healthcare.