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Books > Medicine > Other branches of medicine > Psychiatry
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Committed - The Battle over Involuntary Psychiatric Care (Paperback)
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Committed - The Battle over Involuntary Psychiatric Care (Paperback)
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A compelling look at involuntary psychiatric care and psychiatry's
role in preventing violence. Battle lines have been drawn over
involuntary treatment. On one side are those who oppose involuntary
psychiatric treatments under any condition. Activists who take up
this cause often don't acknowledge that psychiatric symptoms can
render people dangerous to themselves or others, regardless of
their civil rights. On the other side are groups pushing for
increased use of involuntary treatment. These proponents are quick
to point out that people with psychiatric illnesses often don't
recognize that they are ill, which (from their perspective) makes
the discussion of civil rights moot. They may gloss over the
sometimes dangerous side effects of psychiatric medications, and
they often don't admit that patients, even after their symptoms
have abated, are sometimes unhappy that treatment was inflicted
upon them. In Committed, psychiatrists Dinah Miller and Annette
Hanson offer a thought-provoking and engaging account of the
controversy surrounding involuntary psychiatric care in the United
States. They bring the issue to life with first-hand accounts from
patients, clinicians, advocates, and opponents. Looking at
practices such as seclusion and restraint, involuntary medication,
and involuntary electroconvulsive therapy-all within the context of
civil rights-Miller and Hanson illuminate the personal consequences
of these controversial practices through voices of people who have
been helped by the treatment they had as well as those who have
been traumatized by it. The authors explore the question of whether
involuntary treatment has a role in preventing violence, suicide,
and mass murder. They delve into the controversial use of
court-ordered outpatient treatment at its best and at its worst.
Finally, they examine innovative solutions-mental health court,
crisis intervention training, and pretrial diversion-that are
intended to expand access to care while diverting people who have
serious mental illness out of the cycle of repeated hospitalization
and incarceration. They also assess what psychiatry knows about the
prediction of violence and the limitations of laws designed to
protect the public.
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