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"Voluntarily admitted against my will” : Patient perspectives on effects of, and alternatives to coercion in psychiatric care for self-injury.
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- Gerle, Ellen (author)
- Lund University,Lunds universitet,Enheten för klinisk beroendeforskning,Forskargrupper vid Lunds universitet,Clinical addiction research unit,Lund University Research Groups
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- Fischer, Anne (author)
- Lund University
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- Lundh, Lars-Gunnar (author)
- Lund University,Lunds universitet,Institutionen för psykologi,Samhällsvetenskapliga institutioner och centrumbildningar,Samhällsvetenskapliga fakulteten,Department of Psychology,Departments of Administrative, Economic and Social Sciences,Faculty of Social Sciences
- (creator_code:org_t)
- 2018-09-18
- 2019
- English 6 s.
- In: Journal of Patient Experience. - : SAGE Publications. - 2374-3735 .- 2374-3743. ; 6:4, s. 265-270
- Journal article (peer-reviewed)
Abstract
Subject headings
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- Various forms of coercion are used in the psychiatric care of patients with self-injurious behaviors, but there is little research on how these are perceived by the patients. The aim of this study was to investigate how 6 patients, who had received care for self-injurious behavior, perceived coercion and how they think coercion could be avoided.Methods:This study employed a qualitative design with 6 semistructured interviews and interpretative phenomenological analysis.Results:Three main themes were identified: keep voluntary care voluntary, apportioning control and responsibility, and dialogue and participation. Constant supervision was described as the most destructive form of coercion. To enable self-responsibility, a reduction of control and supervision was advocated. Calls were made for a treatment based on the assumption that there is a desire, on behalf of the patients, to get better.Conclusions:The use of coercion in the psychiatric care of patients with self-injurious behavior can be reduced by increasing predictability, by listening to the patient with genuine interest, and by involving the patient in decisions regarding their treatment.
Subject headings
- SAMHÄLLSVETENSKAP -- Psykologi (hsv//swe)
- SOCIAL SCIENCES -- Psychology (hsv//eng)
Keyword
- perceived coercion
- self-injury
- patient perspective
Publication and Content Type
- art (subject category)
- ref (subject category)
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