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