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Justifications of coercion: are decisions of coercive care psychiatric or ethical?
Örebro University, School of Health and Medical Sciences.
2008 (English)Conference paper, Oral presentation only (Refereed)
Abstract [en]

Questions on coercion in psychiatric care have long been controversial themes for psychiatry. Health care is usually based on the patient’s wish for help whereas psychiatric care to a large extent is based on the decisions of others, first and foremost by psychiatrists. Due to the reduction of beds in psychiatric care, an increasing proportion of beds are used for committed patients. This makes the questions even more relevant, despite a decrease in absolute numbers.

The legal prerequisites for coercive care are based only on psychiatric criteria, which points to a notion of fact-based rationality, whereas ethical reasons for coercion at best may be implicit. This paper is based on an ongoing study of coercive care in child and adolescent psychiatry, where the files and the certificates for all committed patients during one year in Sweden are analyzed with respect to given reasons for decisions of coercive care. The core question is whether ethical reasons are present and if so, what ethical values are judged to be at risk in different clinical situations.

This paper advocates a stronger emphasis on ethical questions in discussions of the use of coercion in psychiatry. We advocate an open discussion of which fundamental values may be at stake in such instances and the ethical reasons involved in making these judgments. The need for a transparent deliberative process involving all parties to the coercion is emphasized.

Place, publisher, year, edition, pages
2008.
National Category
Medical and Health Sciences Psychiatry
Research subject
Psychiatry
Identifiers
URN: urn:nbn:se:oru:diva-3686OAI: oai:DiVA.org:oru-3686DiVA, id: diva2:137984
Conference
International Conference on Philosophy, Psychaitry, and Psychology
Available from: 2008-12-17 Created: 2008-12-17 Last updated: 2017-10-18Bibliographically approved

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Engström, Ingemar

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CiteExportLink to record
Permanent link

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Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf