Coercion is one of the most fascinating and controversial subjects
in psychiatry. It is a highly sensitive, and hotly debated topic in
which clinical practice, ethics, the law and public policy
converge. This book considers coercion within the healing and
ethical framework of therapeutic relationships and partnerships at
all levels, and addresses the universal problem of how to balance
safety versus autonomy when dealing with psychiatric treatment.
"Coercive Treatment in Psychiatry" is a much needed contribution
to the literature. The first three sections deal with the
conceptual and clinical aspects of coercive treatment, the legal
aspects and the ethical aspects of coercive treatment. In detail,
these sections cover a broad spectrum of issues: coercion in
institutions and in the community, coercive treatment and stigma,
the definition of best practice standards for coercive treatment,
de-escalation of risk situations, recent developments in mental
health legislation, mental health care and patients' rights,
cross-cultural perspectives on coercive treatment, historical
injustice in psychiatry, and paternalism in mental health. The
fourth section features users' views on coercive treatment: giving
voice to an often-unheeded population. Finally, the book addresses
the original topic of coercion and undue influence in decisions to
participate in psychiatric research.
This book presents the first comprehensive review of the issue
of coercion in psychiatry. With chapters written by the leading
experts in the field, many of whom are renowned as clear thinkers
and experienced clinicians, it may be seen as a starting point for
international discussions and initiatives in this field aiming to
minimize coercion.
Highly Commended in the Psychiatry section of the 2012 BMA Book
Awards.
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