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Different forms of informal coercion in psychiatry: a qualitative study
Örebro University, School of Medical Sciences. Örebro University Hospital. University Health Care Research Center (UFC).ORCID iD: 0000-0002-3509-8701
University Health Care Research Center (UFC), Faculty of Medicine and Health, Örebro University Hospital, Örebro, Sweden; Örebro University, Örebro, Sweden.
University Health Care Research Center (UFC), Faculty of Medicine and Health, Örebro University Hospital, Örebro, Sweden; Örebro University, Örebro, Sweden.
Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
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2019 (English)In: BMC Research Notes, E-ISSN 1756-0500, Vol. 12, no 1, article id 787Article in journal (Refereed) Published
Abstract [en]

OBJECTIVES: The objective of the study was to investigate how mental health professionals describe and reflect upon different forms of informal coercion.

RESULTS: In a deductive qualitative content analysis of focus group interviews, several examples of persuasion, interpersonal leverage, inducements, and threats were found. Persuasion was sometimes described as being more like a negotiation. Some participants worried about that the use of interpersonal leverage and inducements risked to pass into blackmail in some situations. In a following inductive analysis, three more categories of informal coercion was found: cheating, using a disciplinary style and referring to rules and routines. Participants also described situations of coercion from other stakeholders: relatives and other authorities than psychiatry. The results indicate that informal coercion includes forms that are not obviously arranged in a hierarchy, and that its use is complex with a variety of pathways between different forms before treatment is accepted by the patient or compulsion is imposed.

Place, publisher, year, edition, pages
BioMed Central, 2019. Vol. 12, no 1, article id 787
Keywords [en]
Coercion, Ethics, Informal coercion, Leverage, Psychiatry, Qualitative research
National Category
Psychiatry
Identifiers
URN: urn:nbn:se:oru:diva-78553DOI: 10.1186/s13104-019-4823-xISI: 000500807800002PubMedID: 31791408Scopus ID: 2-s2.0-85076108137OAI: oai:DiVA.org:oru-78553DiVA, id: diva2:1378649
Available from: 2019-12-13 Created: 2019-12-13 Last updated: 2024-01-17Bibliographically approved

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Pelto-Piri, Veikko

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