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Exploring the Neural Correlates of Cognitive Reappraisal in Obsessive-Compulsive Disorder Using Task-based Functional Magnetic Resonance Imaging
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[Coercion in Psychiatry - a taboo?].

Ullrich Meise1, Beatrice Frajo-Apor, Stippler Stippler

  • 1Gesellschaft für Psychische Gesundheit - pro mente tirol, Innsbruck. meise.u@gpg-tirol.at

Neuropsychiatrie : Klinik, Diagnostik, Therapie Und Rehabilitation : Organ Der Gesellschaft Osterreichischer Nervenarzte Und Psychiater
|April 14, 2011
PubMed
Summary
This summary is machine-generated.

Coercive measures in psychiatry, including violence, are a persistent issue. More research and open debate are needed to prevent excessive force and routine violence against mentally ill patients.

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Area of Science:

  • Psychiatry
  • Medical Ethics
  • Mental Health Law

Context:

  • The use of coercive measures in psychiatric care presents an ongoing ethical dilemma.
  • Psychiatry's dual role as a therapeutic and regulatory body complicates the management of these measures.
  • International comparisons of coercive practices are hindered by regulatory and practical variations across EU countries.

Purpose:

  • To highlight the historical and ongoing challenges surrounding coercive measures in psychiatry.
  • To underscore the insufficient scientific examination of coercion, particularly from patient perspectives.
  • To advocate for a comprehensive debate on the necessity and implications of coercion in mental healthcare.

Summary:

  • Coercive measures and violence in psychiatric treatment have a long history, posing ethical challenges to helping professions.
  • Experts acknowledge that certain violent aspects of psychiatric work may be unavoidable but risk being repressed, hindering control.
  • There is a lack of robust scientific inquiry into coercive practices, including patient experiences, and a need for open discourse to prevent excessive force.

Impact:

  • Increased awareness of the complexities and ethical considerations of coercive psychiatric interventions.
  • Calls for more rigorous research into patient-reported outcomes of coercive measures.
  • Promotes a societal dialogue to establish clearer guidelines and reduce the incidence of "routine violence" in mental healthcare settings.