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Involuntary commitment and the treatment process: a clinical perspective

G C Eisenberg, B M Barnes, T G Gutheil

    The Bulletin of the American Academy of Psychiatry and the Law
    |January 1, 1980
    PubMed
    Summary
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    This study explores how clinicians can use involuntary hospitalization experiences to enhance therapeutic work. It focuses on maintaining patient alliances and addressing issues like responsibility and countertransference.

    Area of Science:

    • Psychiatry
    • Clinical Psychology
    • Legal Medicine

    Background:

    • Involuntary hospitalization is a critical legal and clinical issue.
    • Existing research often focuses on legal aspects, statistics, and outcomes.
    • Less attention is given to the therapeutic integration of this experience.

    Purpose of the Study:

    • To explore how clinicians can leverage the experience of involuntary hospitalization for therapeutic benefit.
    • To identify key clinical issues arising from involuntary commitment procedures.
    • To provide strategies for maintaining the therapeutic alliance during adversarial processes.

    Main Methods:

    • Qualitative analysis of clinical experiences related to involuntary hospitalization.
    • Exploration of therapeutic challenges and opportunities presented by commitment procedures.

    Related Experiment Videos

  • Review of psychoanalytic concepts such as transference and countertransference in this context.

    • Main Results:

    • Key issues include alliance maintenance, responsibility, dependence, and limit-setting.
    • The subjective experience of the patient and clinician countertransference are significant.
    • Commitment procedures can be therapeutically utilized if managed carefully.

    Conclusions:

    • Clinicians can integrate involuntary hospitalization experiences into ongoing therapy.
    • Addressing issues of responsibility, dependence, and alliance is crucial.
    • Maximizing therapeutic benefit requires careful exploration of commitment's various aspects.