@article{ref1,
title=""Voluntarily admitted against my will": patient perspectives on effects of, and alternatives to, coercion in psychiatric care for self-injury",
journal="Journal of patient experience",
year="2019",
author="Gerle, Ellen and Fischer, Anne and Lundh, Lars-Gunnar",
volume="6",
number="4",
pages="265-270",
abstract="INTRODUCTION: Various forms of coercion are used in the psychiatric care of patients with self-injurious behaviors, but there is little research on how these are perceived by the patients. The aim of this study was to investigate how 6 patients, who had received care for self-injurious behavior, perceived coercion and how they think coercion could be avoided. <br><br>METHODS: This study employed a qualitative design with 6 semistructured interviews and interpretative phenomenological analysis. <br><br>RESULTS: Three main themes were identified: <i>keep voluntary care voluntary</i>, <i>apportioning control and responsibility</i>, and <i>dialogue and participation.</i> Constant supervision was described as the most destructive form of coercion. To enable self-responsibility, a reduction of control and supervision was advocated. Calls were made for a treatment based on the assumption that there is a desire, on behalf of the patients, to get better. <br><br>CONCLUSIONS: The use of coercion in the psychiatric care of patients with self-injurious behavior can be reduced by increasing predictability, by listening to the patient with genuine interest, and by involving the patient in decisions regarding their treatment.<br><br>© The Author(s) 2018.<p /> <p>Language: en</p>",
language="en",
issn="2374-3735",
doi="10.1177/2374373518800811",
url="http://dx.doi.org/10.1177/2374373518800811"
}