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Patient experiences and perceptions of coercion: universal meaning, individual experiences? 

Patient experiences and perceptions of coercion: universal meaning, individual experiences?
Chapter:
Patient experiences and perceptions of coercion: universal meaning, individual experiences?
Author(s):

Krysia Canvin

DOI:
10.1093/med/9780198788065.003.0009
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date: 08 December 2021

This chapter presents a synthesis of major research themes and findings on patients’ subjective experiences and perceptions of coercion in community psychiatry. Covering the 20-year period from 1994 to 2014, it reviews studies of both formal (legislative) and informal (non-legislative) coercion, including patients’ experiences of mandated community treatment or community treatment orders (CTOs), assertive community treatment (ACT), and leverage. It begins by presenting four concepts that characterize patients’ perceptions: interventions, obligations, threats, and safety. It then reviews the contradictory evidence surrounding patients’ experiences of coercion, including patient comparisons of hospital and community coercion and the implications of coercion for self-determination, ‘normality’, care and services, and for wellness. It concludes by identifying gaps in the literature and recommending future research.

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