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.
Table of Contents
List of Contributors vii
Introduction xi
Thomas W. Kallert, Juan E. Mezzich and John Monahan
SECTION 1 Conceptual and clinical aspects of coercive treatment 1
1. Person-centred psychiatry perspectives on coercion and cooperation 3
Juan E. Mezzich
2. Coercive treatment and stigma – is there a link? 13
Wolfgang Gaebel and Harald Zaske
3. Mandated psychiatric treatment in the community – forms, prevalence, outcomes and controversies 33
John Monahan
4. Is it possible to define a best practice standard for coercive treatment in psychiatry? 49
Tilman Steinert and Peter Lepping
5. How to de-escalate a risk situation to avoid the use of coercion 57
Dirk Richter
SECTION 2 Legal aspects of coercive treatment 81
6. Psychiatry and the law – do the fields agree in their views on coercive treatment? 83
Julio Arboleda-Florez
7. Reducing discrimination in mental health law – the 'fusion' of incapacity and mental health legislation 97
George Szmukler and John Dawson
8. Mental health care and patients' rights – are these two fields currently compatible? 121
Thomas W. Kallert
SECTION 3 Ethical aspects of coercive treatment 151
9. Cross-cultural perspectives on coercive treatment in psychiatry 153
Ahmed Okasha and Tarek Okasha
10. Historical injustice in psychiatry with examples from Nazi Germany and others – ethical
lessons for the modern professional 161
Rael Strous
11. Paternalism in mental health – when boots are superior to Pushkin 175
Tom Burns
SECTION 4 Users' views on coercive treatment 185
12. The moral imperative for dialogue with organizations of survivors of coerced psychiatric human rights violations 187
David W. Oaks
13. Resisting variables – service user/survivor perspectives on researching coercion 213
Jasna Russo and Jan Wallcraft
14. Seventy years of coercion in psychiatric institutions, experienced and witnessed 235
Dorothea S. Buck-Zerchin
15. Coercion – point, perception, process 245
Dorothy M. Castille, Kristina H. Muenzenmaier and Bruce G. Link
SECTION 5 Coercion and undue influence in decisions to participate in psychiatric research 269
16. Ethical issues of participating in psychiatric research on coercion 271
Lars Kjellin
17. Coercion and undue influence in decisions to participate in psychiatric research 293
Paul S. Appelbaum, Charles W. Lidz and Robert Klitzman
Index 315
