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

Canvin, Krysia

Abstract

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.

Citation

Canvin, K. (2016). Patient experiences and perceptions of coercion: universal meaning, individual experiences?. In A. Molodynski, J. Rugkåsa, & T. Burns (Eds.), Coercion in Community Mental Health Care: International Perspectives (143–160). Oxford University Press. https://doi.org/10.1093/med/9780198788065.003.0009

• Publication Date: Sep 1, 2016
• Deposit Date: Oct 31, 2023
• Publisher: Oxford University Press
• Pages: 143–160
• Book Title: Coercion in Community Mental Health Care: International Perspectives
• Chapter Number: 9
• DOI: https://doi.org/10.1093/med/9780198788065.003.0009