Coercive Treatment in Psychiatry: Clinical, legal and ethical aspects

Coercive Treatment in Psychiatry: Clinical, legal and ethical aspects

by Thomas W. Kallert
     
 

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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

Overview

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.

Editorial Reviews

Doody's Review Service
Reviewer: Steven T. Herron, MD (Assurance Health and Wellness)
Description: This book addresses many of the coercive aspects of the treatment of psychiatric patients throughout the world, though mainly focusing on areas influenced by Western medicine, including Europe, the United States, New Zealand, Israel, and Egypt.
Purpose: As the editors' note, "The relevance of coercive treatment for psychiatry has been underestimated for a long period in the history of the discipline." However, recent developments have fueled an interest in understanding and learning how and why these procedures have been used, and this work compiles this information in one resource.
Audience: Though directed primarily at those in the mental healthcare field, such as psychiatrists, psychologists, psychiatric residents, and medical students, this book also could be useful to those interested in mental health law and the appreciation for the complex relationship between psychiatric treatment and civil liberties.
Features: Divided into five sections related to coercive treatment, each one addresses a different facet of these complex issues. Chapters end with a decent number of references, and some contain a "Conclusions" section which offers a brief summary of the chapter. There are a limited number of black-and-white graphs, pictures, tables, and diagrams.
Assessment: Though the other sections are interesting and useful, the chapters describing an individual's personal experience with coercion in their treatment are the most powerful part of this book. While it is clear that there has been a greater focus on monitoring and acknowledging the rights of psychiatric patients over the past 20 to 30 years, the nature of mental health issues often can create a difficult juxtaposition to navigate, especially when providers attempt to recognize the patient's individual rights and the rights of the society as a whole. The multicultural approach to this book is appealing and valuable and, despite its dull and bland appearance, it is well put together and worth reading.
From the Publisher
“Summing up then, this is a rich and valuable collection. It comes at a time when ideas about both coercion and treatment are being revised, and in addition to raising more practical and policy-related challenges, it demonstrates important philosophical issues requiring further attention.”  (Metapsychology Online, 23 April 2013)

Product Details

ISBN-13:
9780470978658
Publisher:
Wiley
Publication date:
03/25/2011
Sold by:
Barnes & Noble
Format:
NOOK Book
Pages:
352
File size:
1 MB

Meet the Author

Professor Kallert has been active in the field of mental health services research for many years. He was co-ordinator of the EC-funded research project, European evaluation of coercion in psychiatry and harmonisation of best clinical practice (EUNOMIA). He has published 6 books, more than 35 chapters in books, and more than 125 articles in peer-reviewed journals. He has received the Hermann-Simon-Prize for Social Psychiatry, and the Hans-Heimann-Prize of the German Society of Psychiatry, Psychotherapy and Neurosciences. He is an Honorary Member of the World Psychiatric Association.

Dr. Mezzich was Chair of the World Psychiatric Association (WPA) Section on Classification and Diagnostic Assessment, and a member of the ICD-10 Mental Disorders Workgroup and the DSM-IV Task Force. He has authored over 200 scientific journal articles and book chapters and 25 books and monographs primarily on psychiatric diagnosis and epidemiology from clinical, philosophical, statistical, and cultural perspectives and more recently on person-centered psychiatry and medicine. He has received six Honorary Doctorates from universities in the Americas and Europe as well as the Simon Bolivar Award of the American Psychiatric Association, the Medal for Extraordinary Merit of the Medical Council of Peru, and the Linneaus Medal of Uppsala University in Sweden. He is President of the InternationalNetwork for Person-centered Medicine.

Professor Monahan is well known internationally for his numerous publications and presentations in mental health law, for his leadership of the MacArthur Research Network on Violence, Coercion and Competence and of the current MacArthur Research Network on Mandated Treatment in the Community, and for his generous support and encouragement of scholars in coercion and in all areas of mental health law.

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