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Published Online: 1 May 2011

Coercion in Psychiatric Care: Systematic Review of Correlates and Themes

Giles Newton-Howes, M.R.C.Psych., F.R.A.N.Z.C.P. [email protected], and Richard Mullen, M.R.C.Psych., Ph.D.Authors Info & Affiliations
Publication: Psychiatric Services
Volume 62, Number 5
https://doi.org/10.1176/ps.62.5.pss6205_0465
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Abstract

Objective:

This study systematically examined the empirical literature on the themes and correlates of coercion as defined by the subjective experience of patients in psychiatric care.

Methods:

The study was a systematic review of the literature on coercion as covered in MEDLINE, PsycINFO, and CINAHL. From qualitative studies, themes that the authors identified were extracted. From quantitative studies, correlational and outcome data were extracted.

Results:

The final analysis included 27 articles. Themes related to perceived coercion were almost all negative. Correlation and outcome data were insufficiently homogeneous to allow meaningful combined statistical analysis. There was no strong quantitative evidence that the experience of coercion is negatively or positively associated with psychopathology or general well-being.

Conclusions:

Coercion was commonly felt by patients as dehumanizing. Compulsory actions likely to increase perceived coercion had mixed correlates, and it was therefore difficult to predict who is at greatest risk of experiencing coercion as a “side effect” of intervention. Clinicians should routinely consider that all patients have the potential to experience an intervention as coercive. (Psychiatric Services 62:465–470, 2011)

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Table 1 Thematic articles on coercion and themes related to patients' experiences of coercion
Table 2 Studies showing a correlation or lack of correlation with perceived coercion, by characteristic

Information & Authors

Information

Published In

Go to Psychiatric Services
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Cover: The Lee Shore, by Edward Hopper, 1941. Oil on canvas, 28 × 43 inches. Private collection. Photo © Art Resource, New York.
Psychiatric Services
Volume 62 • Number 5 • May 2011
Pages: 465 - 470
PubMed: 21532070

History

Published online: 1 May 2011
Published in print: May 2011

Authors

Affiliations

Giles Newton-Howes, M.R.C.Psych., F.R.A.N.Z.C.P. [email protected]
Dr. Newton-Howes is affiliated with the Department of Psychiatry, Hawkes Bay District Health Board, 76 Wellesley Rd., Napier 4110, New Zealand (e-mail: [email protected]).
Dr. Newton-Howes is also an honorary clinical lecturer for Imperial College, London, and for Wellington School of Medicine, Otago University, Dunedin, New Zealand.
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Richard Mullen, M.R.C.Psych., Ph.D.
Dr. Mullen is with the Dunedin School of Medicine, Otago University.
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