Exploring Patients' Feeling of Being Coerced During Psychiatric Hospital Admission: A Qualitative Study.

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Version: Final published version
License: CC BY 4.0
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Download: Silva et al 2023.pdf (919.56 [Ko])
State: Public
Version: Final published version
License: Not specified
Serval ID
serval:BIB_BD5AD46CBB9E
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Exploring Patients' Feeling of Being Coerced During Psychiatric Hospital Admission: A Qualitative Study.
Journal
The Psychiatric quarterly
Author(s)
Silva B., Bachelard M., Bonsack C., Golay P., Morandi S.
ISSN
1573-6709 (Electronic)
ISSN-L
0033-2720
Publication state
Published
Issued date
09/2023
Peer-reviewed
Oui
Volume
94
Number
3
Pages
411-434
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Various coercive measures can be used to legally compel a person suffering from psychiatric disorder to undergo treatment. However, evidence suggests that patients' feeling of being coerced is not determined solely by their being submitted to formal coercion. This study aimed to explore voluntary and involuntary patients' experience of coercion during psychiatric hospitalisation and to identify which factors, from their perspective, most affected it. We chose a qualitative design inspired by a hermeneutic-phenomenological approach. Participants were purposively selected from six psychiatric hospitals in Switzerland. Maximum variation sampling was used to ensure the inclusion of patients with different levels of perceived coercion and different admission statuses. In-depth, semi-structured interviews were co-conducted by a research psychologist and a service-user researcher. The transcribed data underwent thematic analysis. All twelve interviewed patients described the hospitalisation as an experience of loss of control over their life due to either external or internal pressures. During the process, perceptions of these pressures varied and sometimes overlapped, leading some patients to describe their admission as a form of simultaneous protection and violation. The balance between these two contradictory feelings was affected by a variety of contextual and relational factors, as well as by the meaningfulness of the experience and the patient's subsequent satisfaction with it. Increasing policy-makers' and clinicians' awareness about the main factors influencing patients' experience of loss of control is of paramount importance in order to develop skills and strategies able to address them, reinforcing patients' empowerment, reducing their feeling of coercion and improving their well-being.
Keywords
Humans, Hospitals, Psychiatric, Hospitalization, Coercion, Patients, Mental Disorders/therapy, Mental Disorders/psychology, Emotions, Experience, Psychiatric hospitalisation, Qualitative study, Thematic analysis
Pubmed
Web of science
Open Access
Yes
Funding(s)
CHUV
Create date
13/06/2023 14:36
Last modification date
30/08/2023 6:58
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