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    Factual sources of psychiatric patients' perceptions of coercion in the hospital admission process

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    Authors
    Lidz, Charles W.
    Mulvey, Edward P.
    Hoge, Steven K.
    Kirsch, Brenda L.
    Monahan, John
    Eisenberg, Marlene
    Gardner, William
    Roth, Loren H.
    UMass Chan Affiliations
    Center for Research on Mental Health Services
    Document Type
    Journal Article
    Publication Date
    1998-09-12
    Keywords
    Adult
    Aged
    Aged, 80 and over
    *Attitude to Health
    *Coercion
    Commitment of Mentally Ill
    Female
    Hospital Records
    *Hospitals, Psychiatric
    Humans
    Interviews as Topic
    Male
    Mental Disorders
    Middle Aged
    *Patient Admission
    Patient Participation
    Persuasive Communication
    Questionnaires
    Research Design
    Life Sciences
    Medicine and Health Sciences
    Psychiatry
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    Link to Full Text
    https://doi.org/10.1176/ajp.155.9.1254
    Abstract
    OBJECTIVE: The purpose of this study was to determine what predicts patients' perceptions of coercion surrounding admission to a psychiatric hospital. METHOD: For 171 cases, the authors integrated data from interviews with patients, admitting clinicians, and other individuals involved in the patients' psychiatric admissions with data from the medical records. Using a structured set of procedures, coders determined whether or not nine coercion-related behaviors occurred around the time of admission. Correlation and regression analyses were used to describe the predictors of patients' scores on the MacArthur Perceived Coercion Scale. RESULTS: The use of legal force, being given orders, threats, and "a show of force" were all strongly correlated with perceived coercion. A least squares regression accounted for 43.3% of the variance in perceived coercion. The evidence also suggested that force is typically only used in conjunction with less coercive pressures. CONCLUSIONS: Force and negative symbolic pressures, such as threats and giving orders about admission decisions, induce perceptions of coercion in persons with mental illness. Positive symbolic pressures, such as persuasion, do not induce perceptions of coercion. Such positive pressures should be tried in order to encourage admission before force or negative pressures are used.
    Source

    Am J Psychiatry. 1998 Sep;155(9):1254-60.

    DOI
    10.1176/ajp.155.9.1254
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/38517
    PubMed ID
    9734551
    Related Resources

    Link to article in PubMed

    ae974a485f413a2113503eed53cd6c53
    10.1176/ajp.155.9.1254
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