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Patients' attitudes toward having been forcibly medicated

W M Greenberg1, L Moore-Duncan, R Herron

  • 1Division of Psychiatry, Bergen Pines County Hospital, Paramus, NJ 07652, USA.

The Bulletin of the American Academy of Psychiatry and the Law
|January 1, 1996
PubMed
Summary

Forcibly medicated patients interviewed post-discharge showed surprising support for involuntary antipsychotic treatment. Many recalled feeling coerced but retrospectively agreed with the necessity, with some more likely to take medication voluntarily in the future.

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Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Medical Ethics

Background:

  • Forced antipsychotic medication is a necessary but intrusive treatment.
  • Previous studies interviewed patients during hospitalization, potentially biasing results.
  • Patient attitudes towards involuntary treatment require further investigation in community settings.

Purpose of the Study:

  • To assess attitudes of forcibly medicated inpatients towards their treatment after discharge.
  • To explore patient recall and retrospective agreement with involuntary medication procedures.
  • To understand the long-term psychological impact of forced antipsychotic medication.

Main Methods:

  • Telephone interviews conducted post-discharge with English-speaking acute-care inpatients.
Keywords:
Empirical ApproachMental Health TherapiesProfessional Patient Relationship

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  • Clinician interviews were independent of patient treatment.
  • Data collected from 30 successfully interviewed patients regarding their experiences and feelings.

    • Main Results:

    • 47% received forced injections; others accepted oral medication under duress.
    • Common fears included side effects (57%), addiction (17%), and loss of control (17%).
    • Despite negative emotions (anger, helplessness), 60% retrospectively agreed with coercion, and 53% were more likely to take medication voluntarily.

    Conclusions:

    • A significant portion of forcibly medicated patients, when interviewed post-discharge, retrospectively supported their involuntary treatment.
    • Patient outcomes varied, with those experiencing poorer outcomes potentially holding more negative views.
    • Findings suggest that post-discharge perspectives on forced antipsychotic medication may differ from in-hospital accounts.